2015-2016年宿州市肾结石患病现况调查及危险因素分析

Kidney Stones in Suzhou City during 2015 to 2016:Prevalence Investigation and Risk Factors Analysis

目的:分析2015-2016年安徽省宿州市肾结石患病情况,并分析该地区肾结石患病的危险因素,为肾结石的防治提供依据。方法:选择2015年1月~2016年12月间于我院就诊的肾结石患者110例作为研究组,选择同期本院体检的健康志愿者110例作为对照组。调查两组基本信息、临床资料、饮食习惯等,并应用单因素和多因素Logistic回归分析分析肾结石患病的危险因素。结果:108名肾结石患者年龄18~75岁,45~55岁所占比例最高,占34.04%,其次是35~44岁,占25.53%,55~64岁,占17.02%。单因素分析显示,宿州市肾结石患者发病与吸烟指数、饮酒指数、饮食习惯、每日饮水量、直系亲属肾结石史、尿路感染史、BMI有关(P<0.05),与文化程度、月收入无关(P>0.05)。多因素Logistic回归分析结果显示饮酒指数≥200、喜食肉蛋、喜食海鲜、每日饮水量<1000 mL、直系亲属有肾结石史、有尿路感染史、体质量指数(BMI)>24 kg/m^2是宿州市肾结石患者发病的危险因素(P<0.05)。结论:宿州市肾结石患者发病年龄多集中于45~55岁,且该地区发病的危险因素包括饮酒指数≥200、喜食肉蛋、喜食海鲜、每日饮水量<1000 mL、直系亲属有肾结石史、有尿路感染史、BMI>24 kg/m^2,可作为防治肾结石的参考依据。

Objective： To analyze the prevalence of kidney stones in Suzhou city of Anhui province during 2015 to 2016, and to analyze the risk factors of kidney stones in this region, and to provide basis for the prevention and treatment of kidney stones. Methods： A total of 110 patients with kidney stones, who were treated in Suzhou Municipal Hospital from January 2015 to December 2016, were selected as study group, and 110 healthy people were selected as control group in the same period. The basic information, clinical data and dietary habits of the two groups were investigated, and the risk factors of kidney stones were analyzed by single factor and multiple factor Logistic regression analysis. Results： Among 108 patients aged 18-75 years with kidney stones, the highest proportion was 45-55 years old, accounting for 34.04%, followed by 35-45 years old, accounting for 25.53%, and the age of 55-65 years old was accounted for 17.02%.Univariate analysis showed that the incidence of kidney stones in Suzhou city was related to smoking index, drinking index, dietary habits, daily drinking water, history of kidney stones in direct relatives, urinary tract infection and body mass index （BMI） （P〈0. 05）,but it was not related to educational level and monthly income （P〉0.05）. Multivariate Logistic regression analysis results showed that drinking indexa 200, eating meat and eggs, eating seafood, daily drinking water 〈1000 mL, having history of kidney stones in direct relatives, having history of urinary tract infection, BMI〉24 kg/m^2 were risk factors of patients with kidney stones in Suzhou city （P〈0.05）. Conclusion： The age of patients with kidney stones in Suzhou city is mainly concentrated in 45-55 years old, and the risk factors of incidence in this region, including drinking index〉 200, eating meat and eggs, eating seafood, daily drinking water 〈1000 mL, having history of kidney stones in direct relatives, having history of urinary tract infection, and BMI〉24 kg/m^2, can be used as a reference for the prevention and treatment of kidney stones.