郴州地区尿路结石成分分布及相关影响因素研究  

Discussion on the Composition Distribution of Urinary Calculi and Related Influencing Factors in Chenzhou Area

作　　者：曹士勤 吴炳光 邓红霞 陈振华 Cao Shiqin;Wu Bingguang;Deng Hongxia;Chen Zhenhua(Chenzhou 3rd People’s Hospital,Chenzhou,Hunan 423000)

机构地区：[1]郴州市第三人民医院,湖南郴州423000

出　　处：《科技与健康》2025年第3期153-156,共4页Technology and Health

摘　　要：分析郴州地区尿路结石成分分布情况及结石成分相关影响因素。选取2021年1月—2023年8月在郴州市第三人民医院泌尿科接受治疗的221例尿路结石患者(尿路结石组)以及同期137例接受健康体检者(健康体检组)为研究对象,分析尿路结石基本特征,比较两组研究对象的一般资料并对尿路结石影响因素进行分析。结果显示,35~60岁为尿路结石主要发病年龄段,男性发病率明显更高,结石主要分布于输尿管,结石主要成分为草酸钙。两组性别、年龄、BMI比较,无统计学差异(P>0.05),两组饮水量、经常抽烟、经常饮酒、高油高蛋白饮食以及运动锻炼占比差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,饮水量、经常抽烟、经常饮酒、高油高蛋白饮食及运动锻炼为尿路结石的影响因素(P<0.05)。研究发现,郴州地区尿路结石以男性患者较多,结石成分以草酸钙为主,输尿管结石发病率较高,尿路结石影响因素包括饮水量、经常抽烟、经常饮酒、高油高蛋白饮食及运动锻炼等。This study aims to analyze the composition distribution of urinary calculi in Chenzhou area and the influencing factors related to the composition of urinary calculi.A total of 221 patients with urinary calculi(urinary calculi group)who were treated in the Department of Urology of Chenzhou 3rd People’s Hospital from January 2021 to August 2023 and 137 healthy subjects who underwent physical examinations during the same period(healthy physical examination group)were selected as the research subjects.The basic characteristics of urinary calculi were analyzed,the general data of the two groups of subjects were compared,and the influencing factors of urinary calculi were analyzed.The results showed that the age group of 35 to 60 years old was the main age group for the incidence of urinary calculi,the incidence rate was significantly higher in males,the calculi were mainly distributed in the ureter,and the main component of the calculi was calcium oxalate.There were no significant differences in gender,age,and BMI between the two groups(P>0.05),while there were significant differences in the proportions of water intake,frequent smoking,frequent drinking,high-fat and high-protein diet,and physical exercise between the two groups(P<0.05).The results of multivariate Logistic regression analysis showed that water intake,frequent smoking,frequent drinking,high-fat and high-protein diet,and physical exercise were the influencing factors of urinary calculi(P<0.05).The study found that there are more male patients with urinary calculi in Chenzhou area,the main component of the calculi is calcium oxalate,the incidence rate of ureteral calculi is relatively high,and the influencing factors of urinary calculi include water intake,frequent smoking,frequent drinking,high-fat and high-protein diet,and physical exercise.

关 键 词：郴州地区 尿路结石 结石成分 影响因素 

分 类 号：R691.4[医药卫生—泌尿科学]