舟山海岛地区肾结石发病情况及影响因素分析

A survey on nephrolithiasis and its influencing factors in Zhoushan island district

目的:分析舟山地区肾结石的发病情况,揭示海岛地区肾结石形成的影响因素。方法:采用整群分层随机抽样方法对舟山市年龄15岁以上、在本地居住5年以上(含5年)的5915名居民进行肾脏B超检查和有效问卷调查,用SPSS11.5软件包进行x2检验和非条件Logistic多因素回归分析。结果:经单因素分析和多因素非条件logistic回归分析,最终进入模型的变量有性别(OR=0.543,95%CI:0.454-0.649),文化程度(OR=1.253,95%CI:1.151-1.364),饮食习惯(OR=0.882,95%CI:0.823-0.944),BMI分级(OR=1.274,95%CI:1.142-0.1.421)和尿路感染病史(OR=2.126,95%CI:1.663-2.718)。结论:男性、高文化程度者、肥胖者以及高蛋白、海鲜饮食、尿路感染病史等是肾结石的危险因素,蔬菜类饮食是保护性因素。

Objective： To study the epidemiological characters and risk factors of nephrolithiasis in Zhoushan island district. Methods： 5915 residents with the age above 15 and have been living in Zhoushandistrict for over 5 years （containing 5 years） were surveyed, which were sampled byrandomcluster and strata method. Ultrasound examination was used to diagnose nephrolithiasis, direct examination investigation was done by the investigator. By means of SPSS software, X^2 tendency test and non-condition Logistic regression were conducted. Results： After single factor analysis and multi-factor analysis, the factors entered the model finally were sex （0R=0.543, 95%CI： 0.454-0.649）, education status （0R=1.253, 95%CI： 1.151-1.364）, dietary habit （0R=0.882, 95%CI： 0.823-0.944）, BMI （0R=-1.274, 95%CI： 1.142-0.1. 421）, urinary tract infection （0R=2.126, 95%CI： 1.663-2.718）. Conclusion： Hazard factors of nephrolithiasis are male, dietary habit, education status, urinary tract infection, etc. The vegetables are the protection factor.