涿州市尿路结石的流行病学现状及危险因素分析

发布时间：2018-03-13 14:10

本文选题：尿路结石　切入点：流行病学　出处：《天津医药》2014年01期 　论文类型：期刊论文

【摘要】：目的分析涿州市尿路结石的流行病学现状及危险因素。方法采用分层整群随机抽样法对19 446例涿州市居民进行调查问卷,内容包括体质量指数(BMI)、日饮水量、甜食、膳食口味、食用油、高蛋白膳食、家族史等7种因素。采用1∶1比例选取与结石组基线资料匹配的正常人群为对照组,比较2组上述7种因素。采用Logistic回归从BMI、饮食习惯、结石家族史等多方面综合分析尿路结石发病的危险因素。结果 17 854份有效问卷中,明确诊断为尿路结石的患者为1 752例(9.8%),男1 125例,女627例,30～岁和40～岁组最多,共843例(48.04%)。发病集中在第2、3季度,以输尿管结石为主。结石组与对照组间BMI、日饮水量、甜食、膳食口味、食用油、高蛋白膳食、尿路结石病家族史比较差异均有统计学意义。Logistic回归分析结果显示,日平均饮水量较多、BMI较低和喜食植物油是尿路结石的保护因素,膳食口味偏咸、喜欢甜食、高蛋白饮食频率较高、有家族史是尿路结石的危险因素。结论尿路结石防治重点措施是控制体质量,多饮水,控制高蛋白、高糖、高盐食物的摄入。
[Abstract]:Objective to analyze the epidemiological status and risk factors of urinary tract stones in Zhuozhou City. Methods 19,446 Zhuozhou residents were investigated by stratified cluster random sampling, including body mass index (BMI), daily drinking water, sweet food and dietary taste. Seven factors, such as edible oil, high protein diet, family history and so on, were used to select the normal population matched with the baseline data of the stone group as the control group by 1: 1 ratio, and to compare the seven factors mentioned above in the two groups. Logistic regression was used to analyze the diet habits of the two groups. Results among 17 854 effective questionnaires, 1 752 cases (1 125 males, 627 females) with urinary calculi were diagnosed as urolithiasis, most of them were aged 30 to 40 years old. A total of 843 cases (48.04) were diagnosed in the second quarter, mainly ureteral calculi. BMIs, daily water intake, sweet food, dietary taste, edible oil, high protein diet were observed between the calculi group and the control group. The family history of urinary tract lithiasis was significantly different. Logistic regression analysis showed that the daily average drinking water and vegetable oil were the protective factors of urinary tract stone. High protein diet frequency, family history is the risk factor of urinary calculi. Conclusion the key measures of urinary calculi prevention and treatment are to control body mass, drinking water, control the intake of high-protein, high-sugar, high-salt foods.
【作者单位】：河北省涿州市医院;
【基金】：河北省卫生厅科技资助项目(项目编号:20110596)
【分类号】：R181.3

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