鄂西山区1592例成人泌尿系统疾病(USD)调查分析

A Investigation And Analysis On The constitu ent Ratio of 1592 Adult inpatients With Urinary Systemic Diseases(USD) of Exj prefecture

本文对鄂西自治州一市二县三所医院近八年来(1980年元月～1987年12月)成人USD住院患者1592例的构成比作了回顾性调查分析.结果表明:USD患者占同期住院总人数的3.90%,其常见病种依次为尿路结石,尿路感染,慢性肾炎.急性肾炎、肾结核,慢性肾衰和肾病综合征;上尿路结石病人数有逐年上升趋势,且右侧显著高于左侧(P<0.001);慢性肾衰的病人数每隔1～2年有突然增高现象,1987年比1980年增加了四倍;急性肾炎和肾结核占有较大比例,肾结核为慢性肾衰病因的第三位.这些均为本组USD的临床流行病学特点.作者对各常见病种的特点进行了讨论.

The Constituent ratio of 1592 adult, patients 'With USD admitted into three hospitals in one city and two counties of Exi Prefecture from 1980 to 1987 were investigated and analysed. The results showed that the const i tuent ratio of USD was 3.90%. The common diseases were urinary lithia -sis, urinary infection, chronic nephritis, acute nephritis, renal tuberculosis, chronic renal failure and nephrotic syndrome in proper order ; The incidence of renal ureteral lithiasis showed a tendency to rise year after year and the incidence of.the right lithiasis was a good deal higher than one of the lef t ( P<0.001 ) ; The incidence of chronic renal failure showed a phenomenon to rise every two to three years and the incidence in 1987 was foure times higher than in 1980 In addition, the incidence of acute nephritis and renal tuberculosis were tairly high too and the latter ranked in the pathogeny of chronic renal failure. The above these results were the properties of clinical epidemiology of USD in this group. The patho-genetic properties of the common diseases were discussed. A few of them were riot yet clarified. They would await further study.