Objective To study the prevalence and risk factors of hypertensive nephropathy in the elderly retir-ees population.Methods A total of 1695 elderly retirees over 65 were selected from 2013 healthy physical examination data of Guangzhou military region.Eighty hundreds and forty-six hypertension were selected and divided into hyperten-sive nephropathy group and simple hypertension group.Results The prevalence of hypertensive nephropathy was 11.0%;Multiple logistic regression showed that age(OR =1.045,95%CI:1.027 ~1.074,P <0.01 ),hyperuricemia (OR =2.433,95%CI:1.613 ~3.670,P <0.01),heart failure(OR =4.392 ,95%CI:2.661 ~7.249,P <0.01)and abnormal body mass index(BMI)(OR =2.079,95%CI:1.356 ~3.187,P <0.01)were risk factors of hypertensive nephropathy.Conclusion Age,hyperuricemia,heart failure and abnormal BMI are risk factors of hypertensive ne-phropathy in the elderly.%目的：研究退休老年人高血压肾病的患病率及危险因素。方法对2013年广州军区离退休干部体检资料进行检索，筛选出1695例≥65岁的老年人，将其中846名高血压患者依据高血压肾病的诊断标准分为高血压肾病组和单纯高血压组进行比较，并分析高血压肾病的危险因素。结果老年高血压肾病患病率为11．0％；多因素 Logistic 回归分析显示年龄（OR ＝1．045，95％CI：1．027～1．074，P ＝0．017）、高尿酸血症（OR ＝2．433，95％CI：1．613～3．670，P ＜0．01）、心力衰竭（OR ＝4．392，95％CI：2．661～7．249，P ＜0．01）及体质量指数（BMI）异常（OR ＝2．079，95％CI：1．356～3．187，P ＜0．01）是高血压肾病的危险因素。结论高血压肾病在广州军区退休老年人中患病率为11．0％；年龄、高尿酸血症、心力衰竭以及体质量指数异常是高血压肾病的危险因素。
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