玉林市三聚氰胺污染奶粉喂养婴幼儿致肾结石调查

Investigation of infant and young children's renal calculus caused by melamine milk in Yulin city

目的:调查食用含三聚氰胺奶粉致婴幼儿肾结石疾病的发生与性别、年龄、奶粉食用时间及奶粉三聚氰胺含量的关系。方法:采用分层整群随机抽样方法对玉林市7876例婴幼儿进行肾脏B超检查和性别、年龄、食用时间、奶粉三聚氰胺含量等问卷调查。结果:婴幼儿肾结石总患病率为6.12%,男性为7.37%,女性为4.76%。年龄越小,婴幼儿肾结石患病危险性越大(χ2=128.482,P<0.001);在0～岁及1～岁2个年龄段,男性均比女性高发(χ2=8.973,P=0.003;χ2=23.287,P<0.001);奶粉食用时间在"0.5～a"时间段肾结石患病率最高(P<0.05);奶粉三聚氰胺含量(mg/kg)在"2000～"段婴幼儿肾结石患病率最高(P<0.05)。结论:婴幼儿肾结石防治重点人群是年龄小、男性、食用时间为"0.5～a"时间段、食用奶粉三聚氰胺含量(mg/kg)在"2000～"段的婴幼儿。

Aim ： To investigate infant and young children＇ s renal calculus caused by melamine milk. Methods ：A total of 7 876 children were surveyed. The items in the questionnaire included gender, age, eating time, and melamine content. Results： The incidence of renal calculus was 6.12% ,7.37% in male and 4.76% in female. The incidence of the infants and young children＇s renal calculus was higher as the age reduced（x2 = 128. 482, P 〈 0. 001 ） and in the male population of 0 - and 1 - years old（χ2 = 8. 973, P = 0. 003 ;χ2 = 23. 287 ,P 〈 0. 001 ）. The incidence of renal calculs was higher with milk consumption time ＂six months＂ （P 〈 0.05 ） and melamine content ＂2 000 - mg/kg＂ （ P 〈 0.05）. Conclusion. Prevention and cure for infant renal calculus should focus on the younger, male, milk consumption time of ＂six months - ＂ , the milk consumption of melamine content （mg/kg） of ＂2 000 - ＂.