2020—2021年云浮市云安区尿石症患者发病情况及危险因素分析  

Analysis on Prevalence and Risk Factors of Urolithiasis Patients in Yun'an District of Yunfu City During 2020—2021

作　　者：张华[1] 邱少东[1] 曾子凌 黄志鹏 Zhang Hua;Qiu Shaodong;Zeng Ziling;Huang Zhipeng(Department of Medical Ultrasound,The Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,Guangdong Province,China;Department of Physical Examination,Yunfu City Yun'an District People's Hospital,Yunfu 527527,Guangdong Province,China;Department of Ultrasound,Yunfu City Yun'an District People's Hospital,Yunfu 527527,Guangdong Province,China)

机构地区：[1]广州医科大学附属第二医院医学超声科,广东广州510260 [2]云浮市云安区人民医院体检科,广东云浮527527 [3]云浮市云安区人民医院超声科,广东云浮527527

出　　处：《中国社区医师》2023年第26期146-148,共3页Chinese Community Doctors

摘　　要：目的:分析2020—2021年云浮市云安区尿石症患者发病情况及危险因素。方法:收集2020年1月—2021年12月云安区人民医院全部体检人员信息,将腹部彩超筛查结果示尿路结石阳性的患者作为尿石症组(n=556),随机抽取体检健康者作为对照组(n=200),分析该地区尿石症患者的临床特点,采用Logistic回归分析尿石症的独立危险因素。结果:2020—2021年体检行腹部彩超检查共8184人,检出尿石症556例,患病率为6.8%,平均年龄(45.5±12.2)岁。尿石症组年龄及血肌酐(Cr)、血尿酸(UA)、血糖(Glu)、总胆固醇(TC)、甘油三酯(TG)水平均高于对照组,差异有统计学意义(P<0.05)。男性、高龄、高Cr、高UA、高TC是尿石症发病发病的独立危险因素(P<0.05)。结论:中年男性合并Cr、UA、TC升高者尿石症的发生率较高,需引起重视,以降低尿石症发生率。Objective:To analyze the prevalence and risk factors of urolithiasis patients in Yun'an District of Yunfu City from 2020 to 2021.Methods:The personal information of all physical examiners in Yunfu City Yun'an District People's Hospital from January 2020 to December 2021 were collected.Patients positive for urinary calculi by abdominal color ultrasound screening results were selected as the urolithiasis group(n=556),and healthy people by physical examination were randomly selected as the control group(n=200).The clinical characteristics of urolithiasis patients in this area were analyzed.Logistic regression analysis was performed for the independent risk factors of urolithiasis.Results:From 2020 to 2021,8184 people underwent abdominal color ultrasound examinations,and 556 people were diagnosed with urolithiasis,with a prevalence rate of 6.8%and an average age of(45.5±12.2)years.The age,serum creatinine(Cr),blood uric acid(UA),blood glucose(Glu),total cholesterol(TC),triglycerides(TG)levels in the urolithiasis group were higher than those in the control group,with statistically significant differences(P<0.05).Male,advanced age,high Cr,high UA and high TC were independent risk factors for urolithiasis(P<0.05).Conclusion:Middle aged men with elevated Cr,UA and TC have a higher prevalence of urolithiasis,which should be paid attention to reduce the incidence of urolithiasis.

关 键 词：尿石症 血肌酐 危险因素 

分 类 号：R691.4[医药卫生—泌尿科学]