惠水地区泌尿系结石患者结石成分分析和代谢评估

doi:10.3760/cma.j.issn.1007-1245.2024.23.027

国际医药卫生导报 ›› 2024, Vol. 30 ›› Issue (23): 4015-4018.DOI: 10.3760/cma.j.issn.1007-1245.2024.23.027

惠水地区泌尿系结石患者结石成分分析和代谢评估

高伟王如江项平杨丽杜贤良杨瑞骥罗祥陈龙

惠水县人民医院泌尿外科，南布依族苗族自治州　550699

收稿日期:2024-10-19 出版日期:2024-12-01 发布日期:2024-12-16
通讯作者: 高伟，Email：gaowei0608@yeah.net
基金资助:
2022年贵州省卫生健康委科学技术基金（gzwkj2022-355）

Component analysis and metabolic evaluation of patients with urinary calculi in Huishui area

Gao Wei, Wang Rujiang, Xiang Ping, Yang Li, Du Xianliang, Yang Ruiji, Luo Xiang, Chen Long

Department of Urology, People's Hospital of Huishui County, Qiannan Buyi and Miao Autonomous Prefecture 550699, China

Received:2024-10-19 Online:2024-12-01 Published:2024-12-16
Contact: Gao Wei, Email: gaowei0608@yeah.net
Supported by:
Scientific and Technological Fund of Guizhou Health Commission in 2022 (gzwkj2022-355)

摘要/Abstract

摘要：

目的　分析惠水地区泌尿系结石患者结石成分和代谢评估。方法　分析2023年1月至2024年7月惠水地区226例泌尿系结石患者结石成分及24 h尿液分析结果。226例患者中，男148例，女78例，年龄（48.7±6.9）岁。采用χ²检验进行统计分析。结果　216例结石成分分析中，草酸钙结石74例（34.26%），尿酸结石17例（7.87%），磷酸钙结石4例（1.85%），各类混合性结石121例（56.02%）。226例24 h尿液分析检测中，220例（97.35%）存在代谢异常；其中，高钙尿20例（8.85%），低镁尿179例（79.20%），高钠尿35例（15.49%），高尿酸尿12例（5.31%），高磷尿1例（0.44%），低尿量76例（33.63%）；单纯1种代谢异常94例（41.59%），合并2种71例（31.42%），合并3种7例（3.10%），合并4种3例（1.33%）。结论　惠水地区泌尿系结石发病率与区域环境、水质以及代谢异常相关。

关键词:

泌尿系结石, 结石成分分析, 代谢评估

Abstract:

Objective　To analyze the components of calculi and metabolic evaluation of patients with urinary calculi in Huishui area. Methods　From January 2023 to July 2024, the components of calculi and 24-hour urine analysis results of 226 patients with urinary calculi in Huishui area were analyzed. Among the 226 patients, there were 148 males and 78 females; they were (48.7±6.9) years old. The χ² test was used for the statistical analysis. Results　Among the 216 cases who took component analysis, 74 cases (34.26%) were identified as calcium oxalate calculi, 17 cases (7.87%) uric acid calculi, and 4 cases (1.85%) calcium phosphate calculi; a total of 121 cases (56.02%) presented various types of mixed calculi. Among the 226 cases who took 24-hour urine analysis, 220 cases (97.35%) had abnormal metabolism; there were 20 cases (8.85%) of hypercalciuria, 179 cases (79.20%) of hypomagnesuria, 35 cases (15.49%) of hypernatriuria, 12 cases (5.31%) of hyperuricosuria, 1 case (0.44%) of hyperphosphaturia, and 76 cases of low urine volume; 94 cases (41.59%) had 1 abnormal metabolism, 71 cases (31.42%) 2, 7 cases (3.10%) 3, and 3 cases (1.33%) 4. Conclusion　The prevalence of urinary calculi in Huishui area is associated with the local environment, water quality, and metabolic disorders.

Key words:

Urinary calculi, Component analysis, Metabolic evaluation

高伟王如江项平杨丽杜贤良杨瑞骥罗祥陈龙.

惠水地区泌尿系结石患者结石成分分析和代谢评估 [J]. 国际医药卫生导报, 2024, 30(23): 4015-4018.

Gao Wei, Wang Rujiang, Xiang Ping, Yang Li, Du Xianliang, Yang Ruiji, Luo Xiang, Chen Long.

Component analysis and metabolic evaluation of patients with urinary calculi in Huishui area [J]. International Medicine and Health Guidance News, 2024, 30(23): 4015-4018.

参考文献

[1] 石华. 贵州地区708例患者尿路结石成分分析[D]. 重庆:第三军医大学,2013.
[2] Zhu W, Liu Y, Lan Y, et al. Dietary vinegar prevents kidney stone recurrence via epigenetic regulations [J]. EBioMedicine, 2019, 45: 231-250. DOI: 10.1016/j.ebiom.2019.06.004.
[3] Skolarikos A, Somani B, Neisius A, et al. Metabolic evaluation and recurrence prevention for urinary stone patients: an EAU guidelines update [J]. Eur Urol, 2024, 86(4): 343-363. DOI: 10.1016/j.eururo.2024.05.029.
[4] Qaseem A, Dallas P, Forciea MA, et al. Dietary and pharmacologic management to prevent recurrent nephrolithiasis in adults: a clinical practice guideline from the American College of Physicians [J]. Ann Intern Med, 2014, 161(9): 659-667. DOI: 10.7326/M13-2908.
[5] 张九乐,刘棚越,徐国良,等. 豫东地区泌尿系结石成分与尿液代谢异常及饮用水水质的相关性研究[J]. 社区医学杂志,2024,22(12):404-409. DOI: 10.19790/j.cnki.JCM.2024.12.02.
[6] Moslemi MK, Saghafi H, Joorabchin SM. Evaluation of biochemical urinary stone composition and its relationship to tap water hardness in Qom province, central Iran [J]. Int J Nephrol Renovasc Dis, 2011, 4: 145-148. DOI: 10.2147/IJNRD.S25006.
[7] 陈勋,杨继旭,高萍. 青岛沿海地区泌尿系结石患者人群特点及饮食行为干预效果分析[J]. 国际医药卫生导报,2019,25(19):3217-3219. DOI: 10.3760/cma.j.issn.1007-1245. 2019.19.009.
[8] 金名初,贾洪涛,罗茂华,等. 十堰地区引起泌尿系结石的危险因素分析[J/CD]. 现代医学与健康研究(电子版),2024,8(13):114-116. DOI:10.3969/j.issn.2096-3718. 2024.13.037.
[9] 徐建强,胡健,刘川. 饮食与泌尿系结石形成的相关性研究进展[J]. 重庆医学,2022,51(9):1590-1595. DOI:10.3969/j.issn.1671-8348.2022.09.030.
[10] 李杰,刘春雨,解海杰.代谢综合征与泌尿系结石关系的研究进展[J].天津医科大学学报,2017,23(6):576-578.

惠水地区泌尿系结石患者结石成分分析和代谢评估

Component analysis and metabolic evaluation of patients with urinary calculi in Huishui area

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