河南省濮阳市城区部分儿童尿液筛查结果分析  

Explore of urine screening for children in Puyang city Henna province

作　　者：侯淑萍[1] 付荣[1] 陈瑞玲[1] 刘凌[1] 马圣洁[1] 吴清岩[1] 同少峰[1] 刘雪杰[1] 袁霞[1] 和俊杰[1] 吴际贞[2] 沈莉[2] 

机构地区：[1]河南省濮阳市油田总医院儿科,457001 [2]河南省濮阳市油田总医院检验科

出　　处：《中国学校卫生》2011年第6期697-698,共2页Chinese Journal of School Health

摘　　要：目的探讨河南省濮阳市学龄前儿童血尿和/或蛋白尿的检出率及其意义,为早期发现和预防肾脏疾病提供依据。方法 2008年8-11月采用干化学方法检测河南省濮阳市城区7 919名1～6岁儿童晨尿标本中的血尿和蛋白尿。第一次尿检阳性者于1～2周后复检。对复检仍为阳性者进行临床诊断、治疗和随访。结果 7 919儿童中初次尿筛阳性者109人,初检阳性率为1.38%,复查尿筛检阳性者75人,复检阳性率为0.95%,占初筛阳性的68.81%。其中无症状性血尿检出率为0.62%,无症状性蛋白尿为0.10%,血尿+蛋白尿为0.01%。经过3次检查确诊为泌尿系疾病67人,检出率为8.46‰。结论尿液筛查可发现无症状尿检异常的儿童,并早期发现肾脏疾病、预防肾脏疾病的发展。对无症状尿检异常的儿童应该坚持随访。Objective To investigate the prevalence of hematuria and/or proteinuria for pre-school children in Puyang City, and to evaluate the significance of urine screening. Methods From Aug 2008 to Oct 2008, hematuria and proteinuria were determined in the first-morning urine specimens of 7919 children by urine analyzer. Repeat screening was conducted 1 -2 weeks later in those who had abnormal results in the first screening. Children with abnormal result after duplicate examined were carried on the clinical diagnosis, treatment and follow-up visit. Results In the first screening of 7 919 children, the prevalence of urine abnormalities was 1.38%. After second screening, the prevalence of urine abnormalities was 0.95%. And the symptomless hematuria detection rate was 0.62% , symptomless albuminuria was 0.10% , hematuria combined albuminuria was 0.01%. After 3 times of screening, 67 eases were diagnosed for the urinary diseases patients. Conclusion Urine screening can detect kidney disease at early time, and useful for the prevention of the development of kidney disease ; abnormal urine of asymptomatic children should be followed-up.

关 键 词：血尿 蛋白尿 儿童 

分 类 号：R696.8[医药卫生—泌尿科学] R696.2[医药卫生—外科学]