新乡地区体检者蛋白尿检出情况及高危影响因素分析

摘要

Objective:To explore the detection of proteinuria in Xinxiang area and the influencing fac-tors of high risk. Methods:A retrospective analysis was made on the physical examination data of 930 cases of physical examination in Xinxiang March 2015 to December 2016.According to the examination of urine protein group,urinary protein levels in normal subjects as control group,759 cases of abnormal proteinuria as the ob-servation group,171 cases. The effects of the general information,weight mass index (BMI),medical histo-ry,blood lipid and other factors on the level of proteinuria were analyzed and compared. Results:The 930 ca-ses included in the prevalence of proteinuria was 18.39%. The higher the age,the higher BMI index,the high frequency of heavy metal contact,the high blood pressure of blood lipid and blood sugar,the higher the rate of albuminuria. According to the P < 0.05 standard,the variables selected by single factor,such as age,BMI, occupation,blood pressure and other variables were evaluated. The level of proteinuria is abnormal for the de-pendent variables to establish regression model, Logistic regression analysis showed that age (OR=0.289), BMI (OR=0.094), occupation (OR=0.394), blood pressure (OR=0.353), blood lipids (OR=4.772), blood glucose (OR=0.230) in Xinxiang area is high risk persons influence the level of proteinuria abnormal factor. Conclusion:The prevalence of proteinuria in Xinxiang was higher examination,increased age,hyper-tension,high blood sugar, high blood lipids, high heavy metal contact occupation, the body mass index is high risk factors affecting proteinuria,can reduce the incidence of proteinuria by controlling the above factors.%目的:探讨分析新乡地区体检者蛋白尿检出情况及高危影响因素.方法:对新乡地区2015年3月至2016年12月体检者930例的体检资料进行回顾性分析,根据体检者蛋白尿检出情况分组,蛋白尿水平正常者为对照组,759例,蛋白尿水平异常者为观察组,171例;分析比较患者的一般资料情况、体重质量指数(BMI)、病史、血脂等因素对蛋白尿水平的影响.结果:纳入的930例体检者中,蛋白尿检出率为18.39%.年龄增加、BMI指数偏高、重金属接触频率高、血脂血糖血压高,蛋白尿异常率越高.按P ﹤0.05标准筛选经单因素筛选的年龄、BMI、职业、血压等变量进行赋值,以蛋白尿水平是否异常为因变量建立回归方程模型,Logistic 回归分析结果显示,年龄(OR=0.289)、BMI(OR=0.094)、职业(OR=0.394)、血压水平(OR=0.353)、血脂水平(OR=4.772)、血糖水平(OR=0.230)是新乡地区体检者蛋白尿水平异常的高危影响因素.结论:新乡地区体检者蛋白尿检出率较高,年龄的增加、高血压、高血糖、高血脂、重金属高接触职业、体重质量指数偏高是蛋白尿的高危影响因素,可通过控制以上因素降低蛋白尿发生率.