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尿路结石的危险因素:一项基于医院的回顾性研究。

Risk factors of urolithiasis: A hospital-based retrospective study.

作者信息

Paluchamy Thenmozhi, Rani N Dilli, Bhuvaneswari G, Tamilselvi S

机构信息

Department of Medical Surgical Nursing, Saveetha College of Nursing, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India.

Department of Community Health Nursing, Saveetha College of Nursing, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India.

出版信息

J Family Med Prim Care. 2024 Sep;13(9):3902-3905. doi: 10.4103/jfmpc.jfmpc_353_24. Epub 2024 Sep 11.

DOI:10.4103/jfmpc.jfmpc_353_24
PMID:39464976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11504827/
Abstract

AIM

Urolithiasis is the most prevalent urinary tract disease, posing a global public health concern. The escalating prevalence and recurrence rates of urolithiasis are attributed to lifestyle modifications, such as reduced physical activity and dietary habits. This retrospective study aims to explore the risk factors associated with urolithiasis among individuals diagnosed with this condition.

METHOD

A retrospective hospital-based study involving 60 participants meeting the inclusion criteria was conducted. The participants were selected through convenience sampling from the urology, nephrology, and medical wards at Saveetha Medical College and Hospital. Demographic variables were collected, and the risk factors were assessed using a checklist on one-to-one interviews.

RESULTS

The study unveiled that most participants (68%) were male. Eighty percent of participants had the risk factor of decreased water intake, 74% consumed excess tomatoes, 56% had a history of recurrent urinary tract infections, 64% consumed an excessive amount of salt daily, 72% experienced a decreased urine output, 53% had a habit of alcohol consumption, and 45% included milk and milk products in their daily diet. A small percentage (5%) had a family history of urolithiasis. Additionally, 6% were undergoing Siddha treatment.

CONCLUSION

The findings from this study underscore the significant factors contributing to urolithiasis. They can inform public health campaigns to raise awareness about lifestyle modifications, dietary changes, and hydration protocols contributing to kidney stone formation.

摘要

目的

尿路结石是最常见的泌尿系统疾病,引起全球公共卫生关注。尿路结石患病率和复发率不断上升归因于生活方式的改变,如体力活动减少和饮食习惯。这项回顾性研究旨在探讨尿路结石患者中与尿路结石相关的危险因素。

方法

进行了一项基于医院的回顾性研究,纳入60名符合纳入标准的参与者。参与者通过便利抽样从萨维塔医学院和医院的泌尿外科、肾内科和内科病房选取。收集人口统计学变量,并通过一对一访谈使用清单评估危险因素。

结果

研究发现,大多数参与者(68%)为男性。80%的参与者存在饮水减少的危险因素,74%的人食用过量番茄,56%的人有复发性尿路感染病史,64%的人每天摄入过量盐分,72%的人尿量减少,53%的人有饮酒习惯,45%的人日常饮食中包含牛奶和奶制品。一小部分(5%)有尿路结石家族史。此外,6%的人正在接受悉达医疗法治疗。

结论

本研究结果强调了导致尿路结石的重要因素。它们可为公共卫生运动提供信息,以提高人们对有助于肾结石形成的生活方式改变、饮食变化和补水方案的认识。

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本文引用的文献

1
Insights into risk factors for urolithiasis: a mendelian randomization study.对肾结石风险因素的深入了解:一项基于孟德尔随机化的研究。
BMC Urol. 2023 Apr 28;23(1):76. doi: 10.1186/s12894-023-01243-4.
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Risk factors of kidney stone disease: a cross-sectional study in the southeast of Iran.肾结石病的风险因素:伊朗东南部的一项横断面研究。
BMC Urol. 2021 Oct 8;21(1):141. doi: 10.1186/s12894-021-00905-5.
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Kidney Stone Disease: An Update on Current Concepts.肾结石病:当前概念的最新进展
Adv Urol. 2018 Feb 4;2018:3068365. doi: 10.1155/2018/3068365. eCollection 2018.
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Kidney stone composition in the Kingdom of Saudi Arabia
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Urinary stones in Eastern Saudi Arabia.沙特阿拉伯东部的尿路结石
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Nat Rev Urol. 2015 Oct;12(10):543-57. doi: 10.1038/nrurol.2015.208. Epub 2015 Sep 1.
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Risk of chronic and end stage kidney disease in patients with nephrolithiasis.肾结石患者患慢性肾脏病和终末期肾病的风险。
J Urol. 2014 Nov;192(5):1440-5. doi: 10.1016/j.juro.2014.05.117. Epub 2014 Jun 11.
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