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[尿石症门诊患者的饮食控制]

[Dietary control for out-patients in urinary stone clinic].

作者信息

Kato T, Yanagawa M, Hioki T, Sakurai M, Yamakawa K, Araki T, Yamamoto I, Arima K, Tochigi H, Kawamura J

机构信息

Department of Urology, Mie University School of Medicine.

出版信息

Hinyokika Kiyo. 1993 Jul;39(7):593-8.

PMID:8362676
Abstract

We studied the dietary habits of 113 upper urinary tract stone formers and 24-h urine specimens before and after dietary control. Protein intake was decreased in male patients after dietary control but urinary risk factors were not changed significantly. The excretion of urinary risk factors (calcium, uric acid and oxalate) was decreased in the patients who had calcium excretion of more than 250 mg per day or uric acid excretion more than 650 mg per day or oxalate excretion more than 45 mg per day before the control. The daily protein intake was significantly correlated to urinary uric acid, calcium, and phosphate excretion and the daily vitamin C intake to urinary citrate excretion. There was a negative correlation between the daily calcium intake and urinary oxalate. The mean stone episode rate of these patients was significantly decreased from 0.174 to 0.059 stones per year by dietary control (p < 0.005).

摘要

我们研究了113例上尿路结石患者的饮食习惯以及饮食控制前后的24小时尿液样本。饮食控制后男性患者的蛋白质摄入量减少,但尿液风险因素无显著变化。对于控制前每天钙排泄量超过250毫克、尿酸排泄量超过650毫克或草酸盐排泄量超过45毫克的患者,尿液风险因素(钙、尿酸和草酸盐)的排泄量有所减少。每日蛋白质摄入量与尿尿酸、钙和磷酸盐排泄量显著相关,每日维生素C摄入量与尿枸橼酸盐排泄量显著相关。每日钙摄入量与尿草酸盐之间存在负相关。通过饮食控制,这些患者的平均结石发作率从每年0.174次显著降至0.059次(p < 0.005)。

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