摘要
目的:探讨尿路结石成分与代谢综合征的相关性。方法:回顾性分析我科2015年1月-2016年12月收集的尿路结石患者的结石标本共898例,进行红外光谱结石成分分析,筛选出单一结石成分342例,根据是否诊断为代谢综合征将患者分为两组,比较两组患者之间结石成分的差异。结果:代谢综合征组尿酸结石患者发生率明显高于非代谢综合征组,差异有统计学意义(P<0.05),而两组患者其他几种单一结石成分的差异无统计学意义。采用多因素logistic回归对性别和年龄进行校正后,显示代谢综合征是尿酸结石形成的独立危险因素(OR=2.221,95%CI:1.278~3.013,P=0.009),差异有统计学意义。结论:推荐将控制血压、血糖、血脂、体重作为尿酸结石预防的指导原则。
Objective：To investigate the correlation between urinary calculi compositions and metabolic syndrome. Methods：We retrospectively used infrared spectrum method to analyze the urinary calculi compositions of 898 patients who were diagnosed as urinary calculi. There were 342 patients with a single urinary calculi composition, Based on the diagnosis of metabolic syndrome （MS） , 342 patients were divided into two groups （MS group vs. Non-MS group ）, and the differences in urinary calculi composition between the two groups were compared. Results： The incidence of uric acid calculi in MS group was higher than that in Non-MS group, the difference was statistically significant （P〈0.05）, but there was no significant difference between the two groups in the other single calculi compositions. Multivariate logistic regression with gender and age adjusted revealed that metabolic syndrome is an independent risk factor of uric acid calculi （0R=2.221, 95%CI： 1.278-3.013, P=0.009） , and the difference was statistically significant. Conclusion： Reducing blood pressure, blood glucose, blood lipids, and body weight were recommended for the prevention of uric acid calculi.
作者
胡明
伍仲秀
徐勋
张湛英
石明
HU Ming1, WU Zhongxiu2, XU Xun1, ZHANG Zhanying1, SHI Ming1(1.Department of Urology, Southern Medical University Affiliated Nanhai Hospital, Guang Dong 528200; 2. Operating Room, Southern Medical University Affiliated Nanhai Hospital, Guang Doa)
出处
《岭南急诊医学杂志》
2018年第2期139-141,共3页
Lingnan Journal of Emergency Medicine
基金
广东省佛山市科技局科技攻关项目资助(2016AB000722)
关键词
尿路结石
结石成分分析
代谢综合征
urinary calculi
composition analysis of calculi
metabolic syndrome
