7536例海船员肾结石/结晶的单中心调查分析  

Single-center survey analysis of renal stones/crystals in 7536 seafarers

作　　者：康惠铭 康德 梁绍聪 KANG Huiming;KANG De;LIANG Shaocong(Monash University Malaysia,Bandar Sunway,Selangor Darul Ehsan,47500,Malaysia;不详)

机构地区：[1]莫纳什大学马来西亚校区,雪兰莪州双威47500,马来西亚 [2]上海航道医院体检中心,上海200082

出　　处：《中国临床研究》2025年第4期597-599,共3页Chinese Journal of Clinical Research

摘　　要：目的 回顾性调查海船员泌尿系统结石/结晶的发生情况及可能的影响因素。方法 随机选取2022年5月至2023年10月上海航道医院体检中心男性海船员健康体检者7 536名,均进行泌尿系统超声检查,统计海船员年龄、工作岗位、每天饮水量,研究它们与肾结石/结晶之间的关系。结果 7 536例海船员中发现肾结石/结晶1 907例,占25.31%;其中肾结石832例,占11.04%;肾结晶1 075例,占14.26%。机舱工作人员结石/结晶检出率高于甲板工作人员(32.89%vs 19.10%,χ^(2)=187.58,P<0.05)。随着年龄增加,海船员肾结石/结晶患病率逐渐升高(趋势χ^(2)=268.02,P<0.05)。随着饮水量增加,海船员肾结石/结晶患病率逐渐降低(趋势χ^(2)=106.20,P<0.05)。结论 加强对海船员卫生宣教,改善生活方式,改善工作环境,减少职业危害因素等,有助于减少海船员泌尿系统结石/结晶的发生。Objective To retrospectively investigate the incidence and potential influencing factors of urinary tract stones/crystals among seafarers.Methods A total of 7536 male seafarers who underwent health examinations at the Physical Examination Center of Shanghai Channel Hospital from May 2022 to October 2023 were randomly selected.All participants underwent ultrasound examination of the urinary tract.The age,job position,and daily water intake of the seafarers were recorded,and their relationships with kidney stones/crystals were studied.Results Among the 7536 seafarers,1907 cases of kidney stones/crystals were found,accounting for 25.31%;among them,832 cases were kidney stones,accounting for 11.04%,and 1075 cases were kidney crystals,accounting for 14.26%.The detection rate of stones/crystals was higher among engine room staff than among deck staff(32.89%vs 19.10%,χ^(2)=187.58,P<0.05).The prevalence of renal stones/crystals among seafarers gradually increased with age(trendχ^(2)=268.02,P<0.05).As daily water intake increased,the prevalence of kidney stones/crystals among seafarers gradually decreased(trendχ^(2)=106.20,P<0.05).Conclusion Strengthening health education for seafarers,improving lifestyles and work environments,and reducing occupational hazards can help reduce the incidence of urinary tract stones/crystals among seafarers.

关 键 词：肾结石 肾结晶 海船员 生活方式 

分 类 号：R692.4[医药卫生—泌尿科学]