桂东及粤西地区尿路结石影响因素分析及防控策略

Analysis of Influencing Factors and Prevention and Control Strategies of Urinary Calculi in East Guangxi and West Guangdong

目的 探究桂东及粤西地区尿路结石的影响因素,为尿路结石患者的综合防控提供依据。方法 选取2021年5月—2022年6月在广西桂东人民医院泌尿外科住院的桂东及粤西地区尿路结石患者共90例作为病例组,并以1∶2比例随机选取无尿路结石的患者家属(共同生活)共180例作对照组,采用Logistic回归方程分析导致尿路结石形成的影响因素。结果 二元Logistic回归分析显示,性别(OR=2.476,P=0.032)、年龄(OR=1.032,P=0.027)、BMI(OR=1.554,P<0.001)、日常喝茶(OR=6.034,P=0.005)、饮酒(OR=6.869,P=0.002)、家族史(OR=6.280,P<0.001)、日饮水量(OR=0.998,P=0.016)、喜甜食(OR=74.693,P<0.001)、高蛋白饮食(OR=3.354,P=0.027)、高盐饮食(OR=4.542,P=0.012)是尿路结石的影响因素。结论 桂东及粤西地区尿路结石的形成与性别、年龄、BMI、日常喝茶、饮酒、家族史、日饮水量、是否喜甜食、高蛋白饮食、高盐饮食等因素相关,临床需要根据相关致病因素拟定预防策略,有效控制尿路结石的发生和发展。

Objective To explore the influencing factors of urinary calculi in east Guangxi and west Guangdong,and to provide a basis for comprehensive prevention and control of urinary calculi patients.Methods A total of ninety pa‐tients with urinary calculi from eastern Guangxi and western Guangdong who were hospitalized in the Department of Urology of Guidong People´s Hospital from May 2021 to June 2022 were selected as the case group,and one hundred and eighty family members of patients without urinary calculi(living together)were randomly selected as the control group at a ratio of 1∶2.Logistic regression equation was used to analyze the factors leading to the formation of urinary calculi.Results Binary Logistic regression analysis showed that gender(OR=2.476,P=0.032),age(OR=1.032,P=0.027),BMI(OR=1.554,P<0.001),daily drinking tea(OR=6.034,P=0.005),alcohol consumption(OR=6.869,P=0.002),family history(OR=6.280,P<0.001),daily water intake(OR=0.998,P=0.016),preference for sweets(OR=74.693,P<0.001),high protein diet(OR=3.354,P=0.027),high salt diet(OR=4.542,P=0.012)were the influential fac‐tors of urinary calculus.Conclusion The formation of urinary calculi in east Guangxi and west Guangdong areas is re‐lated to gender,age,BMI,daily drinking of tea,alcohol consumption,family history,daily drinking amount,sweet food preference,high-protein diet,high-salt diet and other factors.Clinical prevention strategies need to be formulated ac‐cording to relevant pathogenic factors to effectively control the occurrence and development of urinary calculi.