Abstract:Objective To detectthe incidence and analyze the composition of urinary calculi and related risk factors in Yang Zhou,and provide a basis for prevention of recurrence. Methods A total of 3895 Yangzhou residents who underwent physical examination in our hospital from June 2019 to June 2021,the clinical data and physical examination results were collected, and statistics of the disease of stones of its urinary system.Residents with stones detected is as a stone group,the physical examination personnel without urinary calculi were randomly selected as the control group,to analyze the relevant data , explore the risk factors and analyze the composition of the stones by infrared spectroscopy. Result Urinary calculi was detected in 305 of 3895 people in Yangzhou area, the incidence was 7.84%. There were 221 male patients,which was 2.6 times of female patients,the prevalence rate of 40-60 years old was the highes.The incidence of upper and lower urinary calculi was 74.8% and 25.2% respectively,there was significant difference (P< 0.05).There were significant differences in uric acid, urinary tract infection, and BMI between experimental group and control group (P<0.05),and no significant difference in hypertension index (P>0.05).Analysis of stones in 58 of them,the composition was mainly mixed, accounting for 79.3%.There was a significant difference in the detection rate of calcium phosphate stones between male and female patients (P<0.05). Conclusion The incidence of urinary calculi in Yangzhou is high,the main position was upper urinary calculi,risk factors are uric acid, BMI, and infection. and the main ingredient is calcium oxalate,which can provide individualized treatment and prevention programs.
Sorokin I, Mamoulakis C, Miyazawa K, et al.Epidemiology of stone disease across the world[J]. World J Urol,2017, 35(9): 1301-1320.
[3]
Kittanamougkalchai W, Vaughan L E, Enders F T,et al. The Changing incidence and presentation of urinary stonesover 3 decades[J]. Mayo Clin Proc, 2018, 93(3): 291-299.
Prochaska M,Taylor E N,Curhan G.Menopause and risk of kindy stones[J].J Urol,2018,200(4):823-828.
[9]
Taylor E N,Stampfer M J,Curhan G C.Dietary factors and the risk of incident kindy stones in men:new insights after 14 years of follow-up[J].Jam Soc Nephrol,2004, 15(12):3223-3225.