宜昌市农村肝胆及泌尿系结石病患病横断面调查  

A cross-sectional survey of the prevalence of the hepatobiliary lithiasis and urolithiasis in a village of Yichang

作　　者：曹亚军[1] 徐勇[1] 潘会明[1] 王蕾[1] 刘晓俊[1] 赵鑫[1] 向安莉[1] 胡池[1] 

机构地区：[1]宜昌市疾病预防控制中心,湖北宜昌443003

出　　处：《热带医学杂志》2013年第10期1279-1282,共4页Journal of Tropical Medicine

摘　　要：目的调查宜昌市农村结石病患病情况、流行特征和影响因素,为预防和控制农村结石病提供科学依据。方法采用调查问卷形式开展横断面调查,用描述流行病学方法对结石病例资料进行统计分析。结果完成2 189名农村居民结石患病情况调查,结石患病人数314人,患病率为14.34%。其中肝胆系结石83人,患病率为3.79%;泌尿系结石231人,患病率为10.55%。男女患病率差异有统计学意义(χ2=5.250,P=0.022)。8个村民组24份水质样本检测结果显示,细菌总数、大肠菌群远超国家生活饮用水标准。参与调查的2 189份问卷中,知晓"泌尿系结石和肝胆系结石临床症状"有1 053人,占48.10%;认为"水质硬度是结石主要原因"的1 511人,占69.02%;知道"饮水量与结石患病关系密切"198人,占9.05%;运动量、饮水、饮食结构和生活习惯等其他结石相关危险因素知识知晓率均较低未超过3%。结论农村居民结石病防治知识欠缺,需加强农村健康知识宣传,倡导健康生活方式,需进一步关注农村生活饮用水卫生和安全。Objective To survey the prevalence, epidemic characteristics and influence factors of the lithiasis in rural areas, in order to provide a scientific basis for control and prevention. Method Cross-sectional survey was done by questionnaires,and descriptive statistics was used to analyze the collected data of lithiasis cases. Results A total of 2 189 patients in the village were investigated. There were 314 people with the lithiasis,with a prevalence rate of 14.34%. There were 83 people with hepatobiliary lithiasis and 231 people with urinary lithiasis,with prevalence rates of 3.79% and 10.55% ,respectively.The prevalence rate for male to female is 16.06% to 12.63% ,the difference has statistical significance （X2=5.250,P=0.022）.The test result for 24 water samples shows total number of bacteria and fecal coliforms are over that of national standard in 8 rural groups.In 2 189 questionnaire forms, 1 053 people know clinical symptoms for hepatic calculus and urinary calculi with rate of 48.10%, 1 511 people know the main cause of lithiasis from water hardness with rate of 69.02%, 198 people know the close relation with lithiasis and drinking water volume with rate of 9.05%,the rate of people who know the danger facts for relation with lithiasis and sports amount, food structure ,life habit is less than 3%. Conduslons Rural residents were lack of the knowledge about lithiasis. The rural health knowledge propaganda should be strengthened to advocate a healthy lifestyle, and pay more attention to the safety of rural drinking water.

关 键 词：结石症 患病率 流行病学 

分 类 号：R575[医药卫生—消化系统] R691.4[医药卫生—内科学]