中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2014年
4期
264-267
,共4页
超声检查%身高%体重%体表面积%肾脏大小
超聲檢查%身高%體重%體錶麵積%腎髒大小
초성검사%신고%체중%체표면적%신장대소
Ultrasonography%Body height%Body weight%Body surface area%Renal size
目的 探讨健康人群肾脏的大小与性别、年龄、身高、体重、腹围的关系,得出肾脏大小的估算公式.方法 2012年12月至2013年4月在天津医科大学总医院健康体检中心查体1 000人,其中男462例,女538例,年龄21~78岁.均无高血压、糖尿病、冠状动脉粥样硬化性心脏病等疾病.血尿素氮、肌酐、空腹血糖、血尿酸、尿常规正常.所有受检者测身高、体重、腹围.清晨空腹仰卧位测量双肾大小(测量双肾长径、横径及厚径,每个径线均为3次测量后取其平均值),超声仪采用PhilipiU22,C5-1,3.5 MHz凸阵探头,由同一技术熟练者操作.结果 男女双侧肾脏长度均与身高有显著相关性(右侧r=0.845,左侧r=0.876,P<0.01).多元回归分析,身高、体重、体表面积对肾脏大小的影响显著(R2>0.5).与身高相关的肾脏长径(cm)的估算公式(身高单位:cm):(1)男性:右侧肾脏长径=0.059×身高+0.144,左侧肾脏长径=0.061×身高+0.287;(2)女性:右侧肾脏长径=0.039×身高+3.679,左侧肾脏长径=0.035×身高+4.454;(3)如果不分性别,身高与左侧肾脏长径的拟合度更好,左侧肾脏长径=0.052×身高+0.721;(4)不分性别,与身高、体重、体表面积相关的左肾长径估算公式(单位:身高:cm,体重:kg,体表面积:m2):左侧肾脏长径=0.114×身高+0.139×体重-10.287×体表面积+2.112.结论 身高与肾脏长径的相关性最好.身高、体重、体表面积对肾脏大小影响较大.
目的 探討健康人群腎髒的大小與性彆、年齡、身高、體重、腹圍的關繫,得齣腎髒大小的估算公式.方法 2012年12月至2013年4月在天津醫科大學總醫院健康體檢中心查體1 000人,其中男462例,女538例,年齡21~78歲.均無高血壓、糖尿病、冠狀動脈粥樣硬化性心髒病等疾病.血尿素氮、肌酐、空腹血糖、血尿痠、尿常規正常.所有受檢者測身高、體重、腹圍.清晨空腹仰臥位測量雙腎大小(測量雙腎長徑、橫徑及厚徑,每箇徑線均為3次測量後取其平均值),超聲儀採用PhilipiU22,C5-1,3.5 MHz凸陣探頭,由同一技術熟練者操作.結果 男女雙側腎髒長度均與身高有顯著相關性(右側r=0.845,左側r=0.876,P<0.01).多元迴歸分析,身高、體重、體錶麵積對腎髒大小的影響顯著(R2>0.5).與身高相關的腎髒長徑(cm)的估算公式(身高單位:cm):(1)男性:右側腎髒長徑=0.059×身高+0.144,左側腎髒長徑=0.061×身高+0.287;(2)女性:右側腎髒長徑=0.039×身高+3.679,左側腎髒長徑=0.035×身高+4.454;(3)如果不分性彆,身高與左側腎髒長徑的擬閤度更好,左側腎髒長徑=0.052×身高+0.721;(4)不分性彆,與身高、體重、體錶麵積相關的左腎長徑估算公式(單位:身高:cm,體重:kg,體錶麵積:m2):左側腎髒長徑=0.114×身高+0.139×體重-10.287×體錶麵積+2.112.結論 身高與腎髒長徑的相關性最好.身高、體重、體錶麵積對腎髒大小影響較大.
목적 탐토건강인군신장적대소여성별、년령、신고、체중、복위적관계,득출신장대소적고산공식.방법 2012년12월지2013년4월재천진의과대학총의원건강체검중심사체1 000인,기중남462례,녀538례,년령21~78세.균무고혈압、당뇨병、관상동맥죽양경화성심장병등질병.혈뇨소담、기항、공복혈당、혈뇨산、뇨상규정상.소유수검자측신고、체중、복위.청신공복앙와위측량쌍신대소(측량쌍신장경、횡경급후경,매개경선균위3차측량후취기평균치),초성의채용PhilipiU22,C5-1,3.5 MHz철진탐두,유동일기술숙련자조작.결과 남녀쌍측신장장도균여신고유현저상관성(우측r=0.845,좌측r=0.876,P<0.01).다원회귀분석,신고、체중、체표면적대신장대소적영향현저(R2>0.5).여신고상관적신장장경(cm)적고산공식(신고단위:cm):(1)남성:우측신장장경=0.059×신고+0.144,좌측신장장경=0.061×신고+0.287;(2)녀성:우측신장장경=0.039×신고+3.679,좌측신장장경=0.035×신고+4.454;(3)여과불분성별,신고여좌측신장장경적의합도경호,좌측신장장경=0.052×신고+0.721;(4)불분성별,여신고、체중、체표면적상관적좌신장경고산공식(단위:신고:cm,체중:kg,체표면적:m2):좌측신장장경=0.114×신고+0.139×체중-10.287×체표면적+2.112.결론 신고여신장장경적상관성최호.신고、체중、체표면적대신장대소영향교대.
Objective To explore the relationship between the size of the kidney and gender,age,height,weight,waist circumference then derive an estimation formula of a normal kidney size for different people.Methods We investigated 1 000 normal cases who accepted the examination in Tianjin Medical University General Hospital from December 2011 to April 2012,including 462 males,538 females,aged 21-78 years.All the investigated subjects were healthy except for hypertension,diabetes,coronary heart disease.Blood urea nitrogen (BUN) and creatinine (Cr),fasting glucose,uric acid,routine urine test were all in the normal range.Height,weight,and waist circumference were measured for all the subjects.The renal length and transverse diameter in supine coronal sections,anteroposterior diameter in vertical cross-section of the renal hilum were measured by the same technical experts with Philip iU22 C5-1,3.5 MHz convex array probe.Results The right and left kidney size both are significantly related to height (right r=0.845,left r=0.876,P<0.01).By multiple regression analysis,there was a significant association between height,weight,body surface area and kidney size (R2>0.5).Linear regression formula for the kidney length and the height(H,cm):Kidney length of men:right 0.059×H+0.144; left:0.061 ×H+0.287.Kidney length of women:right 0.039×H+3.679; left:0.035×H+4.454.Regardless of gender,the formula of left kidney length:0.052× H+0.721.Linear regression formula about the left kidney length and the height,body weight and body surface area (unit:H cm,W kg,BSA m2):0.114×H+0.139×W-10.287×BSA+2.112.Conclusion There is the best correlation between kidney length and height.Height,weight,body surface area have great influence on kidney size.