Application of component analysis of urinary calculi in Pingshan area

doi:2022001982

Abstract

Abstract:

Objective　To analyze the composition of urinary calculi in Pingshan area. Methods　The retrospective analysis selected 200 adult patients with urinary calculi in Pingshan District People's Hospital from December 2019 to April 2021 as the research objects. The patients were divided into an observation group and a control group according to the random number table method with 100 cases in each group. There were 58 males and 42 females in the observation group, with an age of (55.56±10.33) years old; they were treated with lithotripsy (extracorporeal lithotripsy, ureteroscopic lithotripsy, and percutaneous nephroscopic lithotripsy), and the calculi were collected for calculus composition analysis and dietary guidance after lithotripsy. There were 60 males and 40 females in the control group, with an age of (56.14±10.57) years old; they only received lithotripsy (extracorporeal lithotripsy, ureteroscopic lithotripsy, and percutaneous nephroscopic lithotripsy) and regular follow-up observation after surgery. The postoperative recurrence rate, mastery degree of health knowledge, and quality of life of the two groups were counted, and the calculus composition of the observation group was analyzed. Independent sample t test and χ² test were used to compare the measurement data and count data between groups. Results　The postoperative recurrence rate of the observation group was 4.0% (4/100), lower than that of the control group [18.0% (18/100)], with a statistically significant difference between the two groups (χ²=10.010, P=0.002). The scores of pathogenesis, dietary status, disease recurrence, and knowledge of complications in the observation group were (92.85±3.69) points, (93.16±4.15) points, (94.15±3.85) points, and (95.10±3.99) points, respectively, higher than those in the control group [(83.18±4.15) points, (84.65±5.22) points, (85.67±4.11) points, and (86.34±4.62) points], with statistically significant differences (all P<0.05). The scores of social function, emotional function, psychological function, and physiological function in the observation group were (94.15±4.11) points, (94.26±4.00) points, (95.10±3.95) points, and (94.97±4.10) points, respectively, higher than those in the control group [(85.67±3.97) points, (86.15±3.97) points, (84.67±4.96) points, and (85.16±4.99) points], with statistically significant differences (all P<0.05). Analysis of stone components in the observation group showed that there were many types of stone components, including 20 cases of simple stone and 80 cases of mixed stone. In the observation group, the detection rates of calcium oxalate stones, infectious stones, uric acid stones, and other stones in male patients were 69.70% (46/66), 75.00% (15/20), 87.50% (7/8), and 100.00% (6/6), respectively, higher than those in female patients [30.30% (20/66), 25.00% (5/20), 12.50% (1/8), and 0.00% (0/6)], with statistically significant differences (all P<0.05). The age in patients with calcium oxalate stones was (53.54±13.54) years old, lower than that in patients with non-calcium oxalate stones [(62.57±13.91) years old], and the age in patients with uric acid stones was (62.32±13.57) years old, higher than that in patients with non-uric acid stones [(50.95±13.15) years old], with statistically significant differences (both P<0.05). Conclusions　The clinical characteristics of patients with urinary calculi in Pingshan area were analyzed, and targeted treatment was given. After treatment, in order to prevent the recurrence, the composition of calculi was analyzed, and the dietary guidance was provided, which played a positive role in reducing the postoperative recurrence rate, improving patients' health knowledge and quality of life, and was worthy of promotion.

Key words: Pingshan area, Urinary calculi, Calculus composition, Analysis

摘要： 目的　分析坪山地区泌尿系结石成分。方法　回顾性分析，选取2019年12月至2021年4月深圳市坪山区人民医院收治的坪山地区成人泌尿系结石患者200例作为研究对象，按照随机数字表法分为两组，每组各100例。观察组男58例、女42例，年龄（55.56±10.33）岁，实施碎石治疗（体外碎石、输尿管镜碎石、经皮肾镜碎石），碎石后留取结石行结石成分分析、饮食指导；对照组男60例、女40例，年龄（56.14±10.57）岁，患者只实施碎石治疗（体外碎石、输尿管镜碎石、经皮肾镜碎石），术后只开展定时随访观察。统计两组患者泌尿系结石碎石术后复发率、健康知识掌握程度、生活质量，分析观察组患者的结石成分。计量资料组间比较采用独立样本t检验，计数资料采用χ²检验。结果　观察组术后复发率为4.0%（4/100），低于对照组18.0%（18/100）；组间比较差异有统计学意义（χ²=10.010，P=0.002）。观察组发病机制、饮食状态、疾病复发、并发症知识掌握程度评分分别为（92.85±3.69）分、（93.16±4.15）分、（94.15±3.85）分、（95.10±3.99）分，均高于对照组的（83.18±4.15）分、（84.65±5.22）分、（85.67±4.11）分、（86.34±4.62）分，差异均有统计学意义（均P<0.05）。观察组社会功能、情感功能、心理功能、生理功能评分分别为（94.15±4.11）分、（94.26±4.00）分、（95.10±3.95）分、（94.97±4.10）分，均高于对照组的（85.67±3.97）分、（86.15±3.97）分、（84.67±4.96）分、（85.16±4.99）分，差异均有统计学意义（均P<0.05）。分析观察组患者的结石成分，发现结石成分类型较多，其中单纯结石20例，混合性结石80例。观察组男性患者草酸钙结石、感染性结石、尿酸结石、其他结石者检出率分别为69.70%（46/66）、75.00%（15/20）、87.50%（7/8）、100.00%（6/6），均高于女性患者的30.30%（20/66）、25.00%（5/20）、12.50%（1/8）、0.00%（0/6），差异均有统计学意义（均P<0.05）。草酸钙结石患者年龄为（53.54±13.54）岁，低于非草酸钙结石患者的（62.57±13.91）岁，尿酸结石患者年龄为（62.32±13.57）岁，高于非尿酸结石患者（50.95±13.15）岁，差异均有统计学意义（均P<0.05）。结论　对坪山地区泌尿系结石患者的临床特征进行分析，并给予针对性治疗，在治疗后为了预防复发，特对结石成分进行分析，并配合饮食指导，对减少术后复发率、提高患者健康知识掌握程度与生活质量具有积极作用，值得推广。

关键词: 坪山地区, 泌尿系结石, 结石成分, 分析

Luo Linbin, Zhu Bin, Zhao Meixiang. Application of component analysis of urinary calculi in Pingshan area[J]. International Medicine and Health Guidance News, 2022, 28(6): 788-791.

罗林斌, 朱斌, 赵梅香. 坪山地区泌尿系结石成分分析的应用研究[J]. 国际医药卫生导报, 2022, 28(6): 788-791.

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