摘要
目的分析广西恭城瑶族自治县瑶族成年人肾结石的患病状况及其影响因素。方法采用整群分层随机抽样方法,于2012年10—12月选取广西恭城瑶族自治县7个社区、31个村屯共3 475例常住瑶族人为调查对象。采用自行设计的调查问卷,调查研究对象人口学资料、生活饮食习惯、疾病史。并采用肾脏B超确诊肾结石患者。采用单因素分析和多因素Logistic回归分析肾结石的影响因素。结果 3 475例调查对象中肾结石患者418例,患病率为12.0%(418/3 475)。不同性别、年龄、职业、文化程度、婚姻状况、年收入、体质指数(BMI)者肾结石患病率比较,差异有统计学意义(P<0.05)。是否吸烟、是否饮酒、不同饮用水源、睡前是否饮水、饮用水是否煮沸及不同频率食用新鲜绿色蔬菜、豆类制品、柿子、动物内脏者肾结石患病率比较,差异均有统计学意义(P<0.05)。既往是否有胆结石、肾炎、泌尿系结石者肾结石患病率比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示:年龄、性别、职业、文化程度、年收入、饮用水源、饮用水煮沸、食柿子、食新鲜绿色蔬菜、食豆类制品、食动物内脏及既往有肾炎、泌尿系结石史是肾结石的影响因素(P<0.05)。结论该地区瑶族成年人肾结石患病率较高,与饮食等多种因素有关,应针对高危因素开展肾结石的防治工作。
Objective To investigate the prevalence of renal calculi in adult Yao population in Gongcheng Yao Autonomous County of Guangxi and its influencing factors. Methods By using stratified cluster random sampling method,we enrolled 3 475 Yao permanent residents from 7 communities and 31 villages of Gongcheng County from October to December in 2012. A self - designed questionnaire was employed to investigate on demographic data,life habit,dietary condition and history of diseases. Renal calculus was diagnosed by renal ultrasound. Univariate analyses and multivariate Logistic regression analyses were conducted on the influencing factors for renal calculi. Results Among 3 475 subjects,418 were diagnosed with renal calculi with a prevalence rate of 12. 0% （418 / 3 475）. The prevalence rate of renal calculi was significantly different（ P〈0. 05）among populations with different genders,ages,occupations,education degrees,marital status,yearly income and BMI. The prevalence of renal calculus was significantly different（ P 〈 0. 05） among subjects with regard to smoking or not, alcohol consumption,the source of drinking water,drinking before sleep or not,drinking water being boiled or not and the frequency of eating fresh green vegetables,bean products,persimmon and animal giblets. The prevalence of renal calculus was also significantly different（P 〈 0. 05） among subjects as regards the history of gall stone,nephritis and urinary calculi. The multivariate Logistic regression analyses showed that age,gender,occupation,education degree,yearly income,the source of drinking water,drinking water being boiled or not,the intake of persimmon,fresh green vegetables,bean products and animal giblets,history of nephritis and the family history of urinary stone were influencing factors（ P 〈 0. 05） for renal calculi. Conclusion The prevalence of renal calculi in adult Yao people in Gongcheng Yao Autonomous County is relatively higher and is related with diet and other various factors. The precaution of renal calculi should be carried out with the high risk factors as the focus.
出处
《中国全科医学》
CAS
CSCD
北大核心
2015年第14期1691-1694,共4页
Chinese General Practice
基金
广西壮族自治区卫生厅计划课题项目(Z2011518)
关键词
肾结石
流行病学
广西
瑶族
成年人
影响因素分析
Renal calculi
Epidemiology
Guangxi
Yao nationality
Adult
Root cause analysis
作者简介
通信作者：汤宗源，542500广西桂林市恭城瑶族自治县中医医院泌尿外科；E—mail：gczyytzy@163．com
