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目的研究肾结石的发生和性别,年龄,左、右、双肾及8种因素的关系。方法用描述流行病学方法分析十堰市某国有企业2012年健康检查的3 361名已做B超和抽血检查的员工资料。结果肾结石患病率为26.7%,男女患病率分别为30.1%和19.6%,随年龄增加肾结石患病率而上升。男女双肾结石患病率最高,右肾最低,男女双、左、右肾结石患病呈3∶2∶1下阶梯式分布。随着体重指数、甘油三酯、尿素氮、尿酸、血糖和低密度脂蛋白胆固醇(BMI和TG、BUN、UA、GLU、LDL-C)生化指标的逐步升高,肾结石患病率逐渐上升,但随着高密度脂蛋白胆固醇(HDL-C)逐步上升,肾结石患病率逐渐下降。结论 BMI和TG、BUN、UA、GLU、LDL-C增加,是肾结石的危险因素,HDL-C增加对肾结石有抑制作用。
Objective To study the incidence of kidney stones and sex, age, left, right, kidney and eight kinds of factors. Methods Descriptive epidemiological methods were used to analyze the data of 3 361 employees who had undergone B-mode ultrasound and blood tests in a 2012 state-owned health check of a state-owned enterprise in Shiyan City. Results The prevalence of kidney stones was 26.7%. The prevalence rates of male and female were 30.1% and 19.6% respectively, rising with the increasing prevalence of kidney stones. Male and female double the highest prevalence of kidney stones, the lowest right kidney, male and female double, left and right kidney stone disease was 3: 2: 1 under the ladder-type distribution. With the gradual increase of biochemical indexes of body mass index, triglyceride, urea nitrogen, uric acid, blood sugar and low density lipoprotein cholesterol (BMI and TG, BUN, UA, GLU and LDL-C), the prevalence of kidney stones gradually increased , But with the gradual rise of high-density lipoprotein cholesterol (HDL-C), the prevalence of kidney stones gradually decreased. Conclusions BMI and the increase of TG, BUN, UA, GLU and LDL-C are the risk factors of kidney stones. The increase of HDL-C has an inhibitory effect on kidney stones.