海南省农垦系统肾结石流行病学调查

Epidemiological characteristics of renal calculus in Hainan state farms

目的研究海南省农垦系统肾结石的流行病学特征。方法采取整群随机抽样方法,对海南省农垦系统职工和家属进行肾结石的流行病学调查,包括性别、年龄、工作岗位、文化程度和地域以及泌尿系超声检查等。结果 18 445例人群中,肾结石1 404例,发病率为7.61%。男9 205人,肾结石874例,发病率为9.49%;女9 240人,肾结石530例,发病率为5.74%,男女比例为1.65∶1。肾结石发病率与年龄呈正相关,与文化水平呈负相关。一线工作者的肾结石发病率高于机关员工,热带地区的肾结石发病率高于亚热带地区。结论海南省农垦系统中,中老年男性、低文化程度者及热带地区居住人群为肾结石易患人群,需对该类人群加强宣教,以减少肾结石的发生。

Objective To study the epidemiological characteristics of renal calculus in Hainan state farms. Methods Random cluster sampling was employed to study the prevalence of renal calculus in 18 445 persons in Hainan state farms, whose items including age, gender, work type, education and ultrasonographic examination of urological system. Results The incidence of renal calculus was 7.61%（1 404/18 445） in clusters, 9.49% （874/9 205） in males, 5.74% （530/9 240） in females with a ratio of 1.65∶1 between males and females. The prevalence of renal calculus increased with age, and was correlated negatively with education. Renal calculus was more prevalent in tropical zone than subtropical zone, and more prevalent in farmers and workers than official staff. Conclusion The predisposing population, including farmers, workers, tropical residents and lowly educated population, ought be taught on health education to reduce the incidence of renal calculus.