Effect of behavioral lifestyle on urinary tract stone density and analysis of extracorporeal shock wave lithotripsy treatment efficacy
Objective To investigate the effect of behavioral lifestyle on the CT values of urinary tract stones,as well as the relationship between behavioral lifestyle and the therapeutic effect of extracorporeal shock wave lithotripsy(ESWL).Methods A total of 265 patients with urinary tract stones who underwent ESWL treatment at Affiliated Hospital of Jining Medical University from January 2019 to June 2023 were se-lected.According to the CT values of the stones,the subjects were divided into high CT value group(CT val-ue＞1 000 HU,n=106)and low CT value group(CT value≤1 000 HU,n=159).A retrospective survey was conducted to assess the patients'behavioral lifestyles,and general data,CT values,number of lithotripsy sessions,lithotripsy time,lithotripsy efficiency,and incidence of complications were compared between the two groups.SPSS 22.0 software was used for statistical analysis.The x2 test and t-test were used for group comparisons,and Pearson correlation analysis was used to examine the relationship between stone CT values and different behavioral lifestyles.Results The high CT value group had lower average daily water intake((1 242±347)mL vs(1 784±376)mL),average daily fresh fruit intake((135±43)g vs(196±51)g),and average daily exercise time((18±12)min vs(32±14)min)compared with the low CT value group(t=-11.850,-9.926,-8.434,all P＜0.01).In contrast,the high CT value group had higher average daily salt intake((8.3±2.2)g vs(6.5±1.7)g)and average daily animal protein intake((72±18)g vs(54±16)g)compared with the low CT value group(t=7.495,8.531,both P＜0.01).The high CT value group required more lithotripsy sessions and longer lithotripsy time than the low CT value group(t=6.192,7.507,both P＜0.05),while lithotripsy efficiency was lower than the low CT value group(x2=33.181,P＜0.01).The inci-dence of complications was higher in the high CT value group compared to the low CT value group(x2=3.915,P=0.048),with statistically significant differences.Conclusion Appropriate water intake,diet,and exercise habits are beneficial in reducing stone CT values,improving the efficacy of ESWL treatment,and de-creasing the incidence of complications.
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