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目的:调查了解“和谐使命-2011”医疗服务拉美3国慢性肾病(CKD)患病情况。方法:选取医院船访问牙买加、特尼里达和多巴哥、哥斯达黎加期间,门诊就诊且病例资料完整773例,均采用碱性苦味酸法检测血肌酐,并以简化MDRD公式计算肾小球滤过率(GFR)。结果:此次访问期间门诊就诊的人群中,拉美3国CKD总患病率为18.11%(140/773),牙买加、特立尼达和多巴哥、哥斯达黎加CKD患病率分别为11.22%、23.94%、19.31%;牙买加CKD患病率显著低于特立尼达和多巴哥、哥斯达黎加(P<0.05)。CKD患者主要集中在CKD 1期、2期、3期,分别占35.71%、38.57%、22.14%。结论:拉美3国门诊就诊人群CKD患病率较高,且以早期肾损害为主。
OBJECTIVE: To investigate the prevalence of Chronic Kidney Disease (CKD) in Latin America and the United States for “Harmony Mission-2011” medical service. METHODS: A total of 773 outpatients were enrolled in our hospital ship during visits to Jamaica, Tenerife, and Tobago and Costa Rica. The serum creatinine was detected by alkaline picric acid method. The glomerular filtration rate Pass rate (GFR). Results: The prevalence of CKD in three countries in Latin America was 18.11% (140/773) among outpatients during the visit. The prevalences of CKD in Jamaica, Trinidad and Tobago and Costa Rica were 11.22% 23.94% and 19.31% respectively. The prevalence of CKD in Jamaica was significantly lower than that in Trinidad and Tobago and Costa Rica (P <0.05). CKD patients are mainly concentrated in CKD 1, 2, 3, accounting for 35.71%, 38.57%, 22.14%. Conclusions: The prevalence of CKD in outpatient clinics in three Latin American countries is high, and the main cause of early renal damage is CKD.