CAJ | 학술논문

目的：探讨汕头地区在职人员肾结石发病率及分析其病因。方法：对汕头地区7个行政区的18岁~60岁的政府机关、学校、企事业单位、私人企业等职员通过泌尿系B超筛查,统计肾结石的发病率。结果：共有11715例在职人员参与调查,男7399例,有658例发现肾结石,占8.89%,女4316例中227例发现肾结石,占5.26%,合计当地在职人员中肾结石的发病率为7.55%。 Logistic回归分析提示,血钙水平(OR=29.559,95%CI 1.426~612.682,P=0.029)、年龄(OR=1.028,95%CI 1.003~1.054,P=0.028)是肾结石发生的危险因素,而高密度脂蛋白( OR=0.302,95%CI 0.092~0.999,P=0.049)是肾结石发生的保护因素。结论：汕头地区在职人员存在较高的肾结石发病率,与传统的认为当地高尿酸结石高发的观点不同,当地肾结石的病因仍是含钙结石为主。
목적：탐토산두지구재직인원신결석발병솔급분석기병인。방법：대산두지구7개행정구적18세~60세적정부궤관、학교、기사업단위、사인기업등직원통과비뇨계B초사사,통계신결석적발병솔。결과：공유11715례재직인원삼여조사,남7399례,유658례발현신결석,점8.89%,녀4316례중227례발현신결석,점5.26%,합계당지재직인원중신결석적발병솔위7.55%。 Logistic회귀분석제시,혈개수평(OR=29.559,95%CI 1.426~612.682,P=0.029)、년령(OR=1.028,95%CI 1.003~1.054,P=0.028)시신결석발생적위험인소,이고밀도지단백( OR=0.302,95%CI 0.092~0.999,P=0.049)시신결석발생적보호인소。결론：산두지구재직인원존재교고적신결석발병솔,여전통적인위당지고뇨산결석고발적관점불동,당지신결석적병인잉시함개결석위주。
Objective:To investigate the prevalence of the nephrolithiasis and risk factors in occupational populations in Shantou, a coastal city in Guangdong province. Methods:A questionnaire survey, clinical and B ultrasonic examination were conduc-ted among 11 715 staffs, aged 18 ~60, work in government offices, school, state enterprise and private enterprise of 7 disticts in Shantou, logistic regression was used to model the relationship between kidney stone and various factors. Results:Totally 11 715 pe-pole finish the study, including 7 399 men, 4 316 women, kidney stones were 8. 89% in men, 5. 26% in women, overall incidence was 7. 55%. Logistic regression analysis showed that blood calcium level, age were significantly independent risk factor, high density lipoprotein cholesterol was protective factor. Conclusion:The prevalence of kidney stones in occupational populations in Shantou are as same as higher than those of other city in China, the base of kidney stones in Shantou is calcic.