试析泌尿系结石病患者中代谢综合征与结石复发的关联  

Association of metabolic syndrome with recurrence of calculi in patients with urolithiasis

作　　者：徐乾坤[1] 曾凡超 林军[1] 郑攀丰 张志炎[1] Xu Qiankun;Zeng Fanchao;Lin Jun;Zheng Panfeng;Zhang Zhiyan(The People＇s Hospital of Gongan County,Jingzhou City Hubei Province 43430)

机构地区：[1]湖北省荆州市公安县人民医院,434300

出　　处：《中国社区医师》2018年第14期64-65,共2页Chinese Community Doctors

摘　　要：目的:探讨泌尿系结石病患者中代谢综合征与结石复发的关联。方法:收治泌尿系结石病患者200例,有代谢综合征患者100例为试验组,没有代谢综合征患者100例为对照组,比较两组临床资料。结果:(1)两组收缩压、舒张压、体重指数、空腹血糖、甘油三酯及高密度脂蛋白胆固醇之间差异有统计学意义(P<0.05);两组患者在总胆固醇及低密度脂蛋白胆固醇之间差异无统计学意义(P>0.05)。(2)试验组复发率低于对照组(P<0.05)。(3)泌尿系结石复发与代谢综合征有直接关系(P<0.05);性别、年龄及就诊时是否复发与泌尿系结石没有关系(P>0.05)。结论:代谢综合征为泌尿系结石复发的一种独立性危险因素,对于合并代谢综合征患者除及时、有效的治疗外,应及时对其实施纠正和控制措施,降低结石病复发率。Objective：To explore the association of metabolic syndrome with recurrence of calculi in patients with urolithiasis.Methods：200 patients with urolithiasis were selected.100 patients with metabolic syndrome were selected as the experimental group.100 patients without metabolic syndrome were selected as the control group.We compared the clinical data of two groups.Results：（1） The differences of systolic pressure,diastolic pressure,body mass index,fasting blood glucose,three acylglycerol and high lipoprotein cholesterol in the two groups were statistically significant（P〈0.05）.There was no significant difference between groups of total cholesterol and low fat protein cholesterol（P〈0.05）.（2）The recurrence rate of the experimental group was lower than that of the control group（P〈0.05）.（3）The recurrence of urinary calculi was directly related to the metabolic syndrome（P〈0.05）.There was no relationship between sex,age,with or without recurrence at visit and urinary calculi（P〈0.05）.Conclusion：Metabolic syndrome was an independent risk factor for the recurrence of urinary calculi.In addition to timely and effective treatment for patients with metabolic syndrome,we should take corrective and control measures in time to reduce the recurrence rate.

关 键 词：泌尿系结石病 代谢综合征 结石复发 

分 类 号：R589[医药卫生—内分泌] R691.4[医药卫生—内科学]