摘要
目的分析体检人群泌尿系统结石检出情况及其影响因素。方法以2019年1月至2021年12月在荆州市某医院进行健康体检的成年人为研究对象,进行问卷调查,并收集体检结果中的身高、血压、血糖、血脂及泌尿系统检测结果,采用描述流行病学分析方法对健康体检者泌尿系统结石检出情况进行分析,并采用单、多因素分析方法对结石检出影响因素进行分析。结果共纳入17882名研究对象。检出763例泌尿系统结石患者,检出率为4.27%。单发性结石613例,占80.34%,多发性结石150例,占19.66%。多因素分析结果显示,男性(OR=2.768)、文化程度为初中(OR=2.787)、小学及以下(OR=3.183)、泌尿系统病病史(OR=3.811)、饮水量为1000~1999 mL/d(OR=0.640)、>2000 mL/d(OR=0.569)、血脂异常(OR=2.910)、高血压(OR=1.508)为泌尿系统结石检出的影响因素。结论荆州市健康体检者的泌尿系统结石患病率相对较低,导致该人群发生泌尿系统结石的影响因素较多,对于其中可以控制的因素需进行相应的干预。
Objective To analyze the detection status and influencing factors of urinary calculi in physical examination population.MethodsAdults who underwent physical examination in a hospital in Jingzhou City from January 2019to December 2021 were selected as the research subjects,a questionnaire survey was conducted,and the height,blood pressure,blood glucose,blood lipid and urinary system examination results in the physical examination results were collected.Descriptive epidemiological analysis method was used to analyze the detection of urinary calculi among physical examination population,and univariate and multivariate analysis methods were used to analyze the influencing factors of urinary calculi.ResultsA total of 17882 subjects were included,among them,763 patients with urinary calculi were detected,with a detection rate of 4.27%.There were 613 cases of single stones,accounting for 80.34%,and 150 cases of multiple stones,accounting for 19.66%.Multivariate analysis showed that male(OR=2.768),education level of junior high school(OR=2.787)and primary school or below(OR=3.183),history of urinary disease(OR=3.811),water intake of 1000-1999 mL/d(OR=0.640)and>2000 mL/d(OR=0.569),dyslipidemia(OR=2.910),and hypertension(OR=1.508)were the influencing factors of urinary calculi.Conclusion physical examination population in Jingzhou is relatively low,and there are many influencing factors leading to the occurrence of urinary calculi.The controllable factors need to be intervened accordingly.
作者
周晓清
张丽
陶立蓉
ZHOU Xiao-qing;ZHANG Li;TAO Li-rong(Jingzhou Second Peopled Hospital,Jingzhou 434000,China)
出处
《华南预防医学》
2022年第2期186-189,194,共5页
South China Journal of Preventive Medicine
关键词
泌尿系统
结石
肾脏
输尿管
代谢异常
Urinary system
Calculus
Kidney
Ureter
Metabolic abnormality
