CAJ | 학술논문

目的：了解高原部队尿石症的流行病学特征及其影响因素。方法采用随机整群抽样方法，选择日喀则军分区2个单位共计728人为调查对象，对2013年8月的尿石症患病情况进行横断面流行病学调查。现场对每个受检对象进行泌尿系统 B 超检查和问卷调查。以诊断为尿石症者的86例作为病例组，另选健康者100人为对照组，进行相关实验室检查。结果驻高原部队尿石症患病率为11.81％，高于平原部队；病例组血钙升高者（46.5％）和尿酸升高者构成比例（51.2％）均高于对照组（P ﹤0.05）；病例组日饮水量少于对照组（P ﹤0.05）。结论驻日喀则高原部队尿石症发病率偏高，应注意监测尿石症患者血尿酸情况，加强健康教育，改善饮食结构，必要时采取治疗干预措施，降低高原部队尿石症的发病率。
목적：료해고원부대뇨석증적류행병학특정급기영향인소。방법채용수궤정군추양방법，선택일객칙군분구2개단위공계728인위조사대상，대2013년8월적뇨석증환병정황진행횡단면류행병학조사。현장대매개수검대상진행비뇨계통 B 초검사화문권조사。이진단위뇨석증자적86례작위병례조，령선건강자100인위대조조，진행상관실험실검사。결과주고원부대뇨석증환병솔위11.81％，고우평원부대；병례조혈개승고자（46.5％）화뇨산승고자구성비례（51.2％）균고우대조조（P ﹤0.05）；병례조일음수량소우대조조（P ﹤0.05）。결론주일객칙고원부대뇨석증발병솔편고，응주의감측뇨석증환자혈뇨산정황，가강건강교육，개선음식결구，필요시채취치료간예조시，강저고원부대뇨석증적발병솔。
Objective To analyze the epidemiological characteristics and the influencing factors of urolithiasis in soldiers of high altitude troops. Methods 728 soldier were selected out from 2 units in Rikaze by random cluster sampling and they received B ultrasound examination and questionnaire;86 cases with the diagnosis of urolithiasis were included in case group and 100 normal healths in control group;correlated lab tests were performed in the 2 groups. Results The prevalence of urolithiasis in high altitude troops was 11. 81% ,higher than that in plain troops;the proportions of high calcium(46. 5% )and high uric acid(51. 2% )in case group were higher than those in control group(P ﹤ 0. 05);daily drinking amount of the water in case group was smaller than that in control group (P ﹤ 0. 05). Conclusions The prevalence of urolithiasis in high altitude troops in Rikaze is higher;attention should be paid to the monitoring of uric acid;the prevalence of urolithiasis in high altitude troops should be controlled by means of strengthening health education,improving diet structure and providing medical interference when necessary.