泌尿系结石170例代谢评价  

Evaluation of metabolic disturbance in urinary calculi patients in chinese xinjiang south uygur and han population

作　　者：钱彪[1] 王勤章[1] 丁国富[1] 孙刚[1,2] 闫长征[1,3] 王建国[1,2] 练文勇[1,2] 王乾[1] 王文晓[1] 

机构地区：[1]新疆石河子大学医学院第一附属医院泌尿外科,石河子832000 [2]新疆阿克苏农一师医院泌尿外科 [3]阿克苏市中医院碎石科

出　　处：《陕西医学杂志》2012年第1期104-106,共3页Shaanxi Medical Journal

基　　金：新疆生产建设兵团博士基金项目(No 2007JC14)

摘　　要：目的:探讨新疆南部维吾尔族与汉族泌尿系结石患者的代谢情况。方法:对比分析阿克苏地区维吾尔族和汉族共170例泌尿系结石患者的空腹血生化、24h尿生化及其结石成分。结果:维吾尔族草酸钙成分占90.2%,汉族草酸钙占84.6%;高钙尿患者共55例,维吾尔族17例(19%),汉族38例(48%),汉族患者尿钙明显高于维吾尔族患者(χ2=15.79,P<0.001);血脂各项维吾尔族和汉族亦有差异,其中总胆固醇和载脂蛋白A1明显高于汉族,而高密度脂蛋白明显低于汉族,两族之间均有显著性差异(P<0.001)。结论:维、汉两民族泌尿系结石患者有着不同的代谢水平,这可能是两民族有着不同的遗传背景、生活环境和饮食习惯有关。Objective：To study the m etabolic disturbance between China sout h uygur and han urinary stone patients.Methods ：170 urinary stone patients who had undergone analysis of ntire blood biochemistry results,24 h urine analysi s results and stone composition were evaluated in Akesu of XinJiang.Results：Ca lcium oxalate stones were found by 90.2% in uygur,but 84.6% in han patients.Am ong the 170 patients,hypercalciuria occurred in 17 cases in uygur（19%）,but 38 i n han patient（48%）.There were significant differences between the two group s,χ～2= 15.79,P0.001.Lipid metabolism were different in China uygur and han pati ent too.There were significant differrences of cholesterol,high density lipopr otein and low density lipoprotein between the two groups（P0.01）.Conclusi on：There are different metabolism in China south uygur and han urinary stone patie nts.The resuls may be they hare different genetic factors,living environment and livi ng habits.

关 键 词：尿路结石/病因学 泌尿系疾病/病因学 尿分析 

分 类 号：R696.5[医药卫生—泌尿科学]