Detsyk Oryna, Solomchak Dmytro
Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine.
Wiad Lek. 2017;70(1):38-42.
Prevention of urolithiasis occurrence and recurrence is important issue, due to one affects mainly people of the working age and often leads to disability.
To study the impact of harmful habits like smoking, alcohol drinking, and hypodynamics on the risk of urolithiasis occurrence and recurrence.
It was conducted a retrospective epidemiological study of a representative sample of 443 patients with urolithiasis (basic group, 403 - of them without recurrences and 40 - with recurrences) and 203 patients without urolithiasis - control group, at discharge them from urologic in-patient departments of health care facilities of Ivano-Frankivsk region.
It was established widespread of smoking and alcohol consumption among male respondents (31.8% smoke and 42.1% smoked, 43.4% used alcohol weekly or more) and generally low physical activity (53.6% among both sexes). The Odds Ratio was at: smoking - 0.90 (95% CI = 0.64-1.26; p>0.05) for occurrence and 1.43 (0.74-2.74; p>0.05) for recurrence; alcohol drinking - 0.81 (0.56-1.16; p>0.05) and 0.92 (0.43-1.94; p>0.05) respectively; low physical activity - 1.44 (0.81-2.56; p>0.05) and 3.52 (0.47-26.44; p>0.05).
It was received no credible evidence that cigarette smoking, alcohol drinking and hypodynamics influence the occurrence and recurrence of urolithiasis. The research in this approach should continue.
由于尿路结石主要影响工作年龄段的人群且常导致残疾,预防尿路结石的发生和复发是一个重要问题。
研究吸烟、饮酒和缺乏运动等不良习惯对尿路结石发生和复发风险的影响。
对来自伊万诺-弗兰科夫斯克地区医疗机构泌尿外科住院部出院的443例尿路结石患者(基础组,其中403例无复发,40例有复发)和203例无尿路结石患者(对照组)进行了回顾性流行病学研究。
男性受访者中吸烟和饮酒现象普遍(31.8%吸烟,42.1%曾经吸烟,43.4%每周饮酒一次或更多),总体身体活动水平较低(男女均为53.6%)。发生尿路结石的比值比为:吸烟 - 0.90(95%可信区间 = 0.64 - 1.26;p>0.05),复发时为1.43(0.74 - 2.74;p>0.05);饮酒 - 分别为0.81(0.56 - 1.16;p>0.05)和0.92(0.43 - 1.94;p>0.05);缺乏运动 - 1.44(0.81 - 2.56;p>0.05)和3.52(0.47 - 26.44;p>0.05)。
没有得到可靠证据表明吸烟、饮酒和缺乏运动影响尿路结石的发生和复发。应继续采用这种方法进行研究。