国际医药卫生导报2024,Vol.30Issue(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

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

高伟 王如江 项平 杨丽 杜贤良 杨瑞骥 罗祥 陈龙
国际医药卫生导报2024,Vol.30Issue(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

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

高伟 1王如江 1项平 1杨丽 1杜贤良 1杨瑞骥 1罗祥 1陈龙1
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作者信息

  • 1. 惠水县人民医院泌尿外科,南布依族苗族自治州 550699
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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x2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.

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 x2 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.

关键词

泌尿系结石/结石成分分析/代谢评估

Key words

Urinary calculi/Component analysis/Metabolic evaluation

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出版年

2024
国际医药卫生导报
中华医学会,国际医药卫生导报社

国际医药卫生导报

影响因子:0.781
ISSN:1007-1245
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