Department of Pediatrics, Maulana Azad Medical College and associated Lok Nayak Hospital and Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, University of Delhi, New Delhi.
Department of Biochemistry, Maulana Azad Medical College and associated Lok Nayak Hospital and Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, University of Delhi, New Delhi.
Indian Pediatr. 2022 Sep 15;59(9):719-721. doi: 10.1007/s13312-022-2603-5. Epub 2022 Aug 10.
We performed a cross-sectional study on 25 children (17 boys) with urolithiasis with normal glomerular functions at a tertiary care teaching hospital between March, 2018 to March, 2019. Dietary assessment showed that caloric intake was below recommended dietary allowance (RDA) in 68% patients while the median protein intake was 34.3% more. The fluid intake was below the recommended standards in 56%, and 48% of the children had urine output below 1.5 mL/kg/hour. The urinary sodium was elevated in 96% of the children, urinary potassium was low in 40%, and hypercalciuria was seen in 28%. While metabolic causes predominate in childhood urolithiasis, other factors like dietary changes, liberal fluid and low sodium intake are advised for prevention of recurrences as they have a contributory role too.
我们在 2018 年 3 月至 2019 年 3 月期间在一家三级教学医院对 25 名（男 17 名）具有正常肾小球功能的结石患儿进行了横断面研究。饮食评估显示，68%的患儿热量摄入低于推荐膳食摄入量（RDA），而中位数蛋白摄入量则多 34.3%。56%的患儿液体摄入量低于推荐标准，48%的患儿每小时尿量低于 1.5 毫升/公斤。96%的患儿尿钠升高，40%的患儿尿钾降低，28%的患儿出现高钙尿症。虽然代谢原因在儿童结石中占主导地位，但其他因素如饮食变化、自由液体和低钠摄入也被建议用于预防复发，因为它们也有一定的作用。
