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目的:分析我国农村地区成年居民尿石症的相关因素。方法:总结2013年5月~2014年7月在我国进行的中国成年人群尿石症横断面调查资料,包括泌尿系超声检查、问卷调查及血、尿常规和血液生化检查,用二分类Logistic回归分析我国农村地区成年居民尿石症的患病相关因素。结果:农村地区共抽样6 614人,其中有效样本4 837人,有效应答率为73.13%,包括男2 012人(41.60%),女2 825人(58.40%),平均年龄(50.23±15.72)(18~95)岁。诊断尿石症患者385例,患病率7.96%,其中男性患病率为8.35%(168/2 012),女性患病率为7.68%(217/2 825)。二分类Logistic行多因素分析显示,年龄增长,肉类及动物内脏类摄入增加,结石家族史和血胆固醇升高是尿石症的危险因素。收入增加,食醋及豆类制品摄入增加是尿石症的保护因素。结论:尿石症是我国农村地区成年居民常见疾病,目前影响约十分之一的农村人口。一些饮食习惯包括食醋及豆类制品摄入增加可降低尿石症患病风险。
Objective: To analyze the related factors of urolithiasis in adult residents in rural areas in China. Methods: The data of cross-sectional survey of urolithiasis in Chinese adults from May 2013 to July 2014 were summarized, including urological ultrasonography, questionnaires, blood and urine tests and blood biochemical tests. Logistic regression To analyze the prevalence of urolithiasis among adult residents in rural areas in China. Results: A total of 6 614 people were sampled in rural areas, of which 4883 were valid samples. The effective response rate was 73.13%, including 2 012 (41.60%) males, 2 825 females (58.40%) females and an average age of 50.23 ± 15.72 (18 ~ 95) years old. 385 cases of urolithiasis were diagnosed with a prevalence of 7.96%, of which the prevalence was 8.35% (168/2 012) in males and 7.68% (217/2 825) in females. Two-class Logistic Multivariate analysis showed that age, meat and animal offal increased intake, family history of stones and elevated serum cholesterol levels are risk factors for urolithiasis. Increased income, vinegar and legumes increased intake of urolithiasis protective factors. Conclusions: Urolithiasis is a common disease among adult residents in rural areas of our country and currently affects about one-tenth of the rural population. Some dietary habits include increased intake of vinegar and legumes can reduce the risk of urolithiasis.