赣州市尿石症的社会环境危险因素调查研究  

Investigation on Social Risk Factors of Urolithiasis in Population of Ganzhou City

作　　者：高艳芳[1] 郭有[1] 黄凌 杨军[2] 钟辛[2] 邹丽君[1] 张娟[1] 邱伟[1] GAO Yan fang;GUO You;HUANG Ling;YANG Jun;ZHONG Xin;ZOU Li jun;ZHANG Juan;QIU Wei(Dept. of Prevent Medicine, Gannan Medical University, Ganzhou, Jiangxi 341000;The First Affiliated Hospital, Gannan Medical University, Ganzhou, Jiangxi 341000)

机构地区：[1]赣南医学院预防医学系,江西赣州341000 [2]赣南医学院第一附属医院,江西赣州341000

出　　处：《赣南医学院学报》2017年第5期831-834,共4页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：江西省自然科学基金项目(编号:20142BAB215013)

摘　　要：目的:揭示相关社会环境对赣州市尿石症流行风险的影响,为尿石症的防治提供科学依据。方法:选择2015年3~4月赣州市人民医院、赣南医学院第一附属医院、赣州市立医院尿石症患者和非尿石症患者进行1∶1病例对照研究,采用问卷调查的形式将收集到的数据录入Excel 2003制定成数据库,将数据库导入SPSS 14.0软件行t、χ~2检验,多因素logistic回归分析。结果:对140例尿石症患者和140例非尿石症患者进行对照研究。病例组男女比75∶65,平均年龄48.61岁。对照组男女比为90∶50,平均年龄48.49岁。单因素分析结果揭示职业、文化程度、体质指数、尿路感染病史、补水情况、每日饮水量、工作环境温度与尿石症显著相关。多因素分析表明尿路感染病史(OR=9.22,95%CI:3.36~25.29)、补水不足(OR=2.95,95%CI:1.03~8.47)、单日饮水量少(OR=2.50,95%CI:1.01~6.21)、肥胖(OR=2.19,95%CI:1.12~4.27)增加了我市尿石症流行风险。结论:尿路感染、饮水与补水不足、肥胖等社会因素增加赣州市尿石症流行的风险,提示健康行为干预措施可有效降低尿石症流行风险。Objective:To reveal contributors derived from the social factors to the epidemic of urolithiasis and provide references for the prevention of urolithiasis.Methods:A1∶1case control study was performed with urolithiasis patients and non urolithiasis patients treated in Ganzhou Municipal People's Hospital,Gannan Medical College First Affiliated Hospital and Ganzhou Municipal Hospital from March to April,2015.Data were collected with a self designed questionnaire by trained investigators,and loaded into the database after verifying.SPSS14.0statistical software was adopted for T test,χ2test,and multi factor Logistic regression analysis.Results:140cases of urolithiasis and140cases of non urolithiasis patients were compared.The sex ratio of the case group was75to65,with an average age of48.61years.The control group was90∶50,with an average age of48.49years.Univariate analysis revealed occupational,educational,body mass index,history of urinary tract infection,replenishment,daily drinking water,and the temperature of working environment were significantly correlated with Urinary calculus.Multivariate analyses suggested that the history of urinary tract infects(OR=9.22,95%CI:3.36~25.29),insufficience of water intake(OR=2.50,95%CI:1.01~6.21),daily drinking less(OR=2.50,95%CI:1.01~6.21),and obesity(OR=2.19,95%CI:1.12~4.27)increased the epidemic risk of urolithiasis in our city.Conclusion:Social factors like urinary tract infection,water intake,obesity increase the prevalence of urolithiasis in Ganzhou City,suggesting that health behavior intervention measures can effectively reduce the prevalence of urolithiasis.

关 键 词：社会因素 尿石症 流行风险 

分 类 号：R195.4[医药卫生—卫生统计学]