Ackoundou-N'Guessan K C, Lagou D A, Tia M W, Gnionsahe D A, Guei M C
Service of Nephrology, Dialysis and Hypertension, Yopougon Teaching Hospital, Abidjan, Ivory Coast.
Saudi J Kidney Dis Transpl. 2011 Jan;22(1):185-90.
Chronic renal failure (CRF) represents the major cause of mortality in the nephrology unit in Ivory Coast because the means for appropriate management are lacking. The present study was performed to investigate the risk factors for CRF so that strategies for prevention could be elaborated. A case-control study was performed prospectively at the Yopougon Teaching Hospital in Abidjan from January 2006 to December 2006. Factors known to cause CRF were investigated in patients and controls. Their prevalence rates were compared with the general population. A total of 280 patients and 113 controls were recruited. The mean age of the patients was 37.88 ± 13.33 years and that of the controls was 41.5 ± 9.72 years. Both genders were equally represented. The main causes of CRF were chronic glomerulonephritis (47.48%), with HIV infection accounting for 15% of them, and essential hypertension (HTA) (25%). Essential HTA represented the only factor which, if untreated, inevitably leads to CRF. Thus, our study indicates that HTA is a major public health concern. All efforts should be implemented to reduce the high prevalence of HTA and the deleterious effect of this disorder in Ivory Coast.
慢性肾衰竭（CRF）是科特迪瓦肾脏科死亡的主要原因，因为缺乏适当的管理手段。本研究旨在调查慢性肾衰竭的危险因素，以便制定预防策略。2006年1月至2006年12月，在阿比让的约普贡教学医院前瞻性地开展了一项病例对照研究。对患者和对照组中已知会导致慢性肾衰竭的因素进行了调查。将他们的患病率与普通人群进行了比较。共招募了280名患者和113名对照。患者的平均年龄为37.88±13.33岁，对照的平均年龄为41.5±9.72岁。男女比例均等。慢性肾衰竭的主要病因是慢性肾小球肾炎（47.48%），其中15%是由艾滋病毒感染引起的，原发性高血压（HTA）占25%。原发性高血压是唯一一种若不治疗必然会导致慢性肾衰竭的因素。因此，我们的研究表明原发性高血压是一个主要的公共卫生问题。应尽一切努力降低科特迪瓦原发性高血压的高患病率及其有害影响。
