Cevik Yunsur, Corbacioglu Seref Kerem, Cikrikci Gulsah, Oncul Veysel, Emektar Emine
Dr. Yunsur Cevik, Associate Professor of Emergency Medicine, Kecioren Training and Research Hospital, Emergency Medicine Department, Ankara / Turkey.
Dr. Seref Kerem Corbacioglu Emergency Medicine Specialist, Kecioren Training and Research Hospital, Emergency Medicine Department, Ankara / Turkey.
Pak J Med Sci. 2016 Jan-Feb;32(1):18-21. doi: 10.12669/pjms.321.8248.
The effects of fluid and diet restriction strictly during the long hours in Ramadan on the number of colic visits and biochemical factors of stone formation are controversial in the literature. The aim of this study was to assess the effects of Ramadan fasting on the number of renal colic visits and laboratory results of patients with renal colic.
This was a prospective observational study, which was conducted with patients who were admitted to our emergency department with renal colic. The study period was divided into two parts: Before Ramadan and Ramadan. All laboratory results of patients and daily air temperature values were recorded. p<0.05 was considered statistically significant for all tests.
Total 176 patients (n:89 in before Ramadan, n:87 in Ramadan) with renal colic were enrolled into the study. During Ramadan, 49 (73.1%) of 67 patients were admitted in the first half of the month and 20 patients (26.9%) were admitted in the second half of the month. Only urine density and white blood cell values in Ramadan and non-Ramadan period were significantly different (p=0.004 and p=0.001). Hemoglobin, general crystal, and triple phosphate crystal values in the first and the second half of Ramadan were significantly different (p=0.04, p=0.03, and p=0.03).
This study has shown that fasting in Ramadan does not change the number of renal colic visits. In addition, although fasting causes some changes in urinary metabolites, there is not enough evidence that these changes increase urinary calculus formation.
斋月期间长时间严格的液体和饮食限制对肾绞痛就诊次数及结石形成生化因素的影响在文献中存在争议。本研究旨在评估斋月禁食对肾绞痛患者肾绞痛就诊次数及实验室检查结果的影响。
这是一项前瞻性观察性研究，对因肾绞痛入住我院急诊科的患者进行。研究期分为两个部分：斋月前和斋月期间。记录患者的所有实验室检查结果及每日气温值。所有检验以p<0.05为有统计学意义。
共176例肾绞痛患者纳入研究（斋月前89例，斋月期间87例）。斋月期间，67例患者中有49例（73.1%）在上半月入院，20例患者（26.9%）在下半月入院。仅斋月期间和非斋月期间的尿比重及白细胞值有显著差异（p=0.004和p=0.001）。斋月上半月和下半月的血红蛋白、一般晶体及三联磷酸盐晶体值有显著差异（p=0.04、p=0.03和p=0.03）。
本研究表明斋月禁食不会改变肾绞痛就诊次数。此外，尽管禁食会导致尿液代谢产物出现一些变化，但尚无足够证据表明这些变化会增加尿路结石形成。
