甘肃省626名0~6岁藏族儿童尿常规检测结果分析  

Analysis of Urine Routine Test Results of 626 Tibetan Children Aged 0~6 in Gansu Province

作　　者：李艳芬 戚玉佩[3] 魏学全 鲁鑫婷 周永兵 张莉 裴泓波[3] LI Yan-fen;QI Yu-pei;WEI Xue-quan;LU Xin-ting;ZHOU Yong-bing;ZHANG Li;PEI Hong-bo(Second Provincial People’s Hospital of Gansu Lanzhou,Gansu,730000,China;不详)

机构地区：[1]甘肃省第二人民医院,甘肃兰州730000 [2]西北民族大学附属医院,甘肃兰州730000 [3]兰州大学,甘肃兰州730000 [4]临夏州人民医院肾病内科,甘肃临夏731100

出　　处：《中国初级卫生保健》2022年第12期61-64,共4页Chinese Primary Health Care

基　　金：西北民族大学中央高校创新团队项目(31920200023)。

摘　　要：目的:通过分析0~6岁藏族学龄前儿童尿液检测结果,为藏族儿童慢性肾病的早期预防提供参考依据。方法:2017年整群抽取甘南藏族自治州5所托幼机构626名学龄前藏族儿童,提取其健康体检结果中的尿常规数据,对尿常规异常指标检出率进行描述性分析,同时结合儿童家长的问卷调查结果,分析儿童生活环境暴露、饮食、家庭收入、家族肾病史等因素对藏族学龄前儿童尿常规异常指标检出率的影响。结果:626名藏族儿童中,尿液异常指标检出率排名前5位的依次为:尿维生素C 114人(18.21%),尿酮体110人(17.57%),尿隐血47人(7.51%),尿胆原38人(6.07%),尿白细胞37人(5.91%)。长时间在新装修房屋居住为儿童检出尿酮体、尿隐血的危险因素(OR值分别为2.351和18.203),常摄入含铅食品为儿童检出尿白细胞的危险因素(OR=4.342),被动吸烟环境为儿童检出尿维生素C的危险因素(OR=1.919)。与4~6岁儿童相比,1~3岁儿童尿维生素C的检出率更高(OR=3.011)、尿酮体检出率更低(OR=0.394)、尿隐血检出率更低(OR=0.050)。与女童相比,男童尿白细胞检出率更低(OR=0.253)。结论:生理特点、饮食偏好、生活环境状况可能是0~6岁藏族儿童尿常规检查结果异常的影响因素。儿童应合理摄入营养素,避免含铅食品的摄入。应重点关注处于被动吸烟等不良生活环境的儿童、女童泌尿系统的易感染性,倡导儿童积极参加尿常规筛查。OBJECTIVE To provide evidence for early prevention and treatment of chronic kidney disease in Tibetan children by analyzing the urine test results of Tibetan preschool children aged 0~6 years and exploring its influencing factors.METHODS Cluster extraction Gannan Tibetan autonomous prefecture 5 nursery 626 preschool Tibetan children,extract the health examination results of urine routine data,descriptive analysis of urine routine abnormal index detection rate,combined at the same time the quantitative questionnaire results of children’s parents,analysis of living environment exposure,diet,family income,family kidney history and other factors on Tibetan preschool children urine routine abnormal index detection rate.RESULTS The top five detection rates of urinary abnormalities in 626 Tibetan children were urinary vitamin C114 cases(18.21%),urinary ketone body 110 cases(17.57%),urinary occult blood 47 cases(7.51%),urinary biliary 38 cases(6.07%),urinary white blood cells 37 cases(5.91%).Risk factors for urinary ketone body and hidden blood in Tibetan children(OR=2.351 and 18.203,respectively);regular intake of lead-containing food was the risk factor for urinary leukocyte detection(OR=4.342);and passive smoking environment was the risk factor for vitamin C detection in children’s urine(OR=1.919).Compared with children aged 4~6 years old,the urine of children aged 1~3 years old was higher(OR=3.011),lower urinary ketone body(OR=0.394),lower urinary occult blood detection rate(OR=0.050).The detection rate was lower in boys compared with girls(OR=0.253).CONCLUSION Physiological characteristics,dietary preferences,and living environment may be the influencing factors leading to the abnormal routine urine examination results in Tibetan children aged 0~6 years old.Children should consume nutrients reasonably and avoid lead-containing foods.Emphasis should be placed on the susceptibility of the urinary system of children and girls in adverse living environments such as passive smoking,and the children should be encourag

关 键 词：藏族 儿童 尿常规检测 影响因素 

分 类 号：R446.12[医药卫生—诊断学]