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印度东北部城市尿路结石患病率的初步研究。

Preliminary study of prevalence of urolithiasis in North-Eastern city of India.

作者信息

Faridi Mohammad Shazib, Singh Khumukchum Somarendra

机构信息

Department of Urology & Renal Transplant, Atal Bihari Vajpayee Institute of Medical Sciences & Dr Ram Manohar Lohia Hospital, Connaught Place, New Delhi, India.

Department of Urology, Regional Institute of Medical Sciences, Imphal, Manipur, India.

出版信息

J Family Med Prim Care. 2020 Dec 31;9(12):5939-5943. doi: 10.4103/jfmpc.jfmpc_1522_20. eCollection 2020 Dec.

Abstract

INTRODUCTION

Urinary tract stone is one of the major urological problems globally and has changed significantly in the last few decades. The epidemiology differs according to geography, socioeconomic status, and diet. The primary care physicians are initially consulted rather than urologists because of increase in the prevalence of urolithiasis and saturation of health facilities.

OBJECTIVES

To study the prevalence of urolithiasis in the urology department of a tertiary care centre, Manipur, India.

METHODS

A total 621 patients of urolithiasis were studied. After history and physical examination of each patient, urolithiasis was confirmed by X-ray Kidney Ureter Bladder (KUB) or Ultrasound (USG) KUB.

RESULTS

The male to female ratio was 1.01:1. 30.8% patients came from Imphal West district. 63.1% of studied population had single stone and commonly seen in the 31-40 years of age, whereas multiple stones ( = 59) were found most commonly in the 41-50 years of age group. The difference of number of stones according to age group was statistically significant ( = 0.000). The most common location of stones was in kidneys (67.4%) and stones in urethra were the least common ( = 0.000).

CONCLUSION

In this preliminary study, we report the prevalence of urolithiasis in Manipur, India. The better understanding of the epidemiology of urolithiasis is important to plan the effective treatment and prevention strategies in general practice. There is a shift in gender distribution of urolithiasis. Aging demographics, number of stones, obesity; all were associated with increased prevalence of urolithiasis.

摘要

引言

尿路结石是全球主要的泌尿系统问题之一,在过去几十年中发生了显著变化。其流行病学因地理位置、社会经济地位和饮食的不同而有所差异。由于尿石症患病率上升以及医疗设施饱和,患者最初会咨询初级保健医生而非泌尿科医生。

目的

研究印度曼尼普尔邦一家三级护理中心泌尿科的尿石症患病率。

方法

共研究了621例尿石症患者。在对每位患者进行病史和体格检查后,通过腹部平片(KUB)或超声(USG)KUB确诊尿石症。

结果

男女比例为1.01:1。30.8%的患者来自西因帕尔地区。63.1%的研究人群患有单发性结石,最常见于31 - 40岁年龄段,而多发性结石(n = 59)最常见于41 - 50岁年龄组。根据年龄组划分的结石数量差异具有统计学意义(p = 0.000)。结石最常见的部位是肾脏(67.4%),尿道结石最不常见(p = 0.000)。

结论

在这项初步研究中,我们报告了印度曼尼普尔邦尿石症的患病率。更好地了解尿石症的流行病学对于在一般实践中制定有效的治疗和预防策略非常重要。尿石症的性别分布出现了变化。人口老龄化、结石数量、肥胖等都与尿石症患病率增加有关。

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