广东地区中老年人群尿常规主要指标比较分析研究  

Comparative analysis of key urinalysis indicators in middle-aged and elderly populations in Guangdong

作　　者：张明 史明萱 吴婧宇 洪昱 王福兴 何灿铠 唐锦华 林秋仪 尹杰 ZHANG Ming;SHI Ming-xuan;WU Jing-yu;HONG Yu;WANG Fu-xing;HE Can-kai;TANG Jin-hua;LIN Qiu-yi;YIN Jie(School of Yunkang Medicine and Health,Nanfang College,Guangzhou 510970,Guangdong,China)

机构地区：[1]广州南方学院云康医学与健康学院,广东广州510970 [2]广州达安临床检验中心有限公司中心实验室,广东广州510700

出　　处：《广东医学》2024年第7期855-859,共5页Guangdong Medical Journal

基　　金：广州市科技计划项目(202201010021);广东省普通高校特色创新类项目(2023KTSCX202)。

摘　　要：目的根据广东地区送往广州达安临床检验中心中老年人群体检监测情况,比较分析不同性别和年龄人群尿常规主要指标检测结果,探讨指标变化特点,及时了解尿常规主要指标对中老年人群的健康影响。方法随机抽取2017年5月至2022年4月广东地区12450名中老年体检人群尿常规检测数据,选取pH、亚硝酸盐、白细胞、尿隐血和尿葡萄糖5项指标,比较分析不同年龄段和性别间各指标分布差异。结果性别差异对亚硝酸盐、白细胞和尿隐血3项指标阳性率总体影响较大(P<0.01),同年龄段的女性均高于男性。年龄段差异对pH值(P<0.01)和亚硝酸盐阳性率(P<0.05)指标总体影响较大,同性别的中年人pH指标均高于老年人,亚硝酸盐阳性率均低于老年人。中年男性的尿隐血和尿葡萄糖阳性率显著高于老年男性(P<0.05)。结论在广东地区中老年人群中,女性尿常规检测中亚硝酸盐、白细胞和隐血指标异常率要高于男性,中年男性的尿隐血和尿葡萄糖异常率要高于老年男性.Objective To conduct a comparative analysis of key urinalysis indicators across different gender and age groups among middle-aged and elderly individuals in Guangdong,based on routine health check-up data from the Guangzhou Daan Clinical Testing Center.The study aims to explore the characteristics of indicator changes and understand their impact on the health of this demographic.Methods Data from urinalysis of 12,450 middle-aged and elderly individuals from Guangdong,collected between May 2017 and April 2022,were randomly selected.Five key indicators-pH,nitrite,leukocytes,occult blood,and glucose-were analyzed to compare distribution differences across different age groups and genders.Results Gender differences significantly influenced the positive rates of nitrite,leukocytes,and occult blood indicators(P<0.01),with females showing higher rates than males in the same age group.Age differences significantly impacted the overall pH values(P<0.01)and nitrite positive rates(P<0.05),with middle-aged individuals of the same gender having higher pH values and lower nitrite positive rates compared to elderly individuals.Middle-aged males exhibited significantly higher positive rates of occult blood and glucose compared to elderly males(P<0.05).Conclusion In middle-aged and elderly populations in Guangdong,the abnormal rates of nitrite,leukocytes,and occult blood in urinalysis in females are higher than those in males.The abnormal rates of occult blood and glucose in urinalysis in middle-aged males are higher than those in elderly males.

关 键 词：尿常规 中老年人 比较分析 

分 类 号：R195.1[医药卫生—卫生统计学] R446.12[医药卫生—卫生事业管理]