近年来,随着高血压病、糖尿病、代谢综合征等疾病发病率的上升,慢性肾脏(CKD)也呈现出上升的趋势。CKD病情隐匿,进展缓慢,大多数患者发现时病情已进展至终末期肾病,须依靠透析或肾脏移植维持生命,费用高,给患者和家庭造成沉重的经济负担和精神压力,已经成为全球性公共健康问题。本研究应用白蛋白尿、内生肌酐清除率、血尿和非感染性白细胞尿为肾脏损伤指标进行天水市城区40岁以上人群CKD患病 In recent years, chronic kidney disease (CKD) has shown an upward trend with the rise of the incidence of diseases such as hypertension, diabetes and metabolic syndrome. CKD is in a state of concealment and has slow progress. Most patients have found that their condition has progressed to end-stage renal disease. They need to rely on dialysis or kidney transplantation to sustain their lives, which results in high costs and heavy financial burden and stress on patients and their families. It has become a global public Health problems. In this study, the application of albuminuria, creatinine clearance rate, hematuria and non-infectious leukocyte urinary indicators of kidney damage in urban areas over the age of Tianshui City, CKD patients