我国农村地区成年居民尿石症相关因素分析  

Associated factors of urolithiasis for adult residents in rural areas of China

作　　者：陈思[1] 麦赞林[1] 吴文起[1] 赵志健[1] 刘旸[1] 曾涛[1] 麦新[1] 曾国华[1] 

机构地区：[1]广州医科大学附属第一医院泌尿外科广州泌尿外科研究所广东省泌尿外科重点实验室,广州510320

出　　处：《临床泌尿外科杂志》2017年第6期429-432,共4页Journal of Clinical Urology

基　　金：广东省科技计划项目(编号2014A020209085);国际自然科学基金项目(编号81670643;81370804);广州市科技计划项目(编号201604020001)

摘　　要：目的:分析我国农村地区成年居民尿石症的相关因素。方法:总结2013年5月~2014年7月在我国进行的中国成年人群尿石症横断面调查资料,包括泌尿系超声检查、问卷调查及血、尿常规和血液生化检查,用二分类Logistic回归分析我国农村地区成年居民尿石症的患病相关因素。结果:农村地区共抽样6 614人,其中有效样本4 837人,有效应答率为73.13%,包括男2 012人(41.60%),女2 825人(58.40%),平均年龄(50.23±15.72)(18~95)岁。诊断尿石症患者385例,患病率7.96%,其中男性患病率为8.35%(168/2 012),女性患病率为7.68%(217/2 825)。二分类Logistic行多因素分析显示,年龄增长,肉类及动物内脏类摄入增加,结石家族史和血胆固醇升高是尿石症的危险因素。收入增加,食醋及豆类制品摄入增加是尿石症的保护因素。结论:尿石症是我国农村地区成年居民常见疾病,目前影响约十分之一的农村人口。一些饮食习惯包括食醋及豆类制品摄入增加可降低尿石症患病风险。Objective：To investigate the associated factors of urolithiasis among adult rural residents in China.Method：A nationwide cross-sectional survey was conducted among persons aged 18 and older across China from May 2013 to July 2014.Participants underwent urinary tract ultrasonographic examinations,questionnaires,and provided blood and urine samples to analyze.We analyzed the data of rural residents and used logistic regression to estimate the associated factors of urolithiasis.Result：A total of 6614 individuals were selected,and 4873individuals（41.60% men）with an average age of（50.23±15.72）（range,18-95）years old were included in the final analysis,with a response rate of 73.13%.Overall 385 participants were found with urolithiasis.The prevalence rate of urolithiasis was 7.96%for rural residents in China,8.35%（168/2012）for men and 7.68%（217/2825）for women.Binary logistic regression analysis showed that age,increased consumption of meat and animal viscera,family history of urinary stones and higher level of cholesterol were all statistical significantly associated with a greater risk of urinary stones.By contrast,higher monthly income,consumed more legume and fermented vinegar were statistical significantly associated with decreased risk of urolithiasis formationConclusion：Urinary stones are common among Chinese rural individuals and about one in ten adults are affected currently.Some Chinese dietary habits may lower risk of urinary stones formation.

关 键 词：农村地区 尿石症 相关因素 

分 类 号：R691.4[医药卫生—泌尿科学]