贺州地区患者个体特征对泌尿系结石状况影响研究  

Study on the Influence of Individual Characteristics of Patients in Hezhou Area on the Status of Urinary Tract Stones

作　　者：丘成 张雄伟 黄日红 刘国健 张木华 陈启伟 QIU Cheng;ZHANG Xiongwei;HUANG Rihong;LIU Guojian*;ZHANG Muhua;CHEN Qiwei(Department of Urology,Hezhou People’s Hospital,Hezhou,Guangxi 542800,China)

机构地区：[1]广西贺州市人民医院泌尿外科,广西贺州542800

出　　处：《中国医药指南》2025年第9期6-10,共5页Guide of China Medicine

基　　金：广西壮族自治区卫生健康委科研课题项目“贺州地区患者个体特征对泌尿系结石状况影响研究”(合同编号:Z-J20231748)。

摘　　要：目的探究贺州地区患者个体特征对泌尿系结石状况影响。方法选取2023年7月至2024年11月贺州市人民医院收治的生活在贺州地区的结石患者共200例作为此次研究对象。通过调查问卷及检测等方式,收集整理患者性别、年龄、职业、居住地及肥胖程度等信息,同时整理患者各项临床资料,包括结石部位(肾结石、输尿管结石、膀胱结石、尿道结石)和结石成分(含钙结石、感染性结石、胱氨酸结石、尿酸结石、其他成分)。明确患者性别年龄、职业、居住地及肥胖程度对结石部位及结石成分所产生的影响。结果泌尿系结石成分:在性别方面,男性患者中主要以含钙结石为主,其次为感染性结石,女性患者主要以含钙结石及感染性结石为主,含钙结石在男性群体中的占比高于女性。在年龄方面,40~60岁的中老年群体属于泌尿系结石的高发群体,≤20岁群体泌尿系结石发病率较低,不同类型结石占比因性别、年龄出现差异,尿酸性结石占比随年龄的增加而出现提高,其中>60岁群体尿酸性结石占比最高。在居住地方面,长期居住农村患者主要以含钙结石为主,且高于长期居住城市患者。在肥胖程度方面,存在肥胖的患者主要以含钙结石为主,且肥胖患者尿酸结石占比高于非肥胖患者,差异具有统计学意义(P<0.05)。在职业方面,不同职业间结石成分无统计学意义(P>0.05)。泌尿系结石部位:在性别方面,男性下尿路结石占比高于女性。在年龄方面,不同年龄段中,上尿路结石发生率高于下尿路结石,差异具有统计学意义(P<0.05)。在居住地、肥胖程度及职业方面,差异无统计学意义(P>0.05)。结论患者性别、年龄、居住地、肥胖程度可对泌尿系结石成分产生影响,在泌尿系结石部位患者中,年龄及性别可对其产生影响。结合此类特点,能够在后续针对泌尿系结石患者诊断、治疗及预防工作的过程�Objective To explore the impact of individual characteristics of patients in Hezhou area on the status of urinary tract stones.Methods A total of 200 stone patients living in Hezhou area admitted to Hezhou People’s Hospital from July 2023 to November 2024 were selected as the study subjects.Through survey questionnaires and testing,collect and organize information on patients’gender,age,occupation,place of residence,and obesity level.At the same time,organize various clinical data of patients,including the location of stones(kidney stones,ureteral stones,bladder stones,urethral stones),stone components(including calcium stones,infectious stones,cysteine stones,uric acid stones,etc).Clarify the impact of patient gender,age,occupation,place of residence,and obesity level on the location and composition of stones.Results The composition of urinary tract stones:in terms of gender,calcium containing stones are the main type in male patients,followed by infectious stones,while calcium containing stones and infectious stones are the main types in female patients.The proportion of calcium containing stones in the male population is higher than that in females.In terms of age,the middle-aged and elderly aged 40-60 belong to the high incidence group of urinary calculi.The incidence rate of urinary calculi in the group aged≤20 is low.The proportion of different types of calculi varies with gender and age.The proportion of uric acid calculi increases with age,and the proportion of uric acid calculi in the group aged>60 is the highest.In terms of residence,long-term rural patients mainly have calcium containing stones,which is higher than that of long-term urban patients.In terms of obesity,patients with obesity mainly have calcium containing stones,and the proportion of uric acid stones in obese patients is higher than that in non obese patients,and the difference is statistically significant(P<0.05).In terms of occupation,there was no significant difference in the composition of stones among different occupations,with

关 键 词：泌尿系结石 结石部位 结石成分 个体特征 

分 类 号：R691.4[医药卫生—泌尿科学]