中国中西医结合外科杂志
中國中西醫結閤外科雜誌
중국중서의결합외과잡지
CHINESE JOURNAL OF SURGERY OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2015年
3期
246-248
,共3页
结石分析%饮食指导%草酸盐结石
結石分析%飲食指導%草痠鹽結石
결석분석%음식지도%초산염결석
Calculi analysis%dietary instruction%calcium oxalate urolithiasis
目的：探讨结石成分分析在草酸盐结石患者饮食指导中的作用。方法：分析746例经结石成分分析确定为草酸盐结石的患者，给予相应的饮食指导。结果：746例草酸钙结石中单纯草酸钙结石(包括一水草酸钙和二水草酸钙)占28.7%，混合性结石564例占71.3%，主要为草酸钙与碳酸磷灰石的混合成分占64.5％；平均随访11个月（3~24个月），草酸钙结石患者无复发者674例(90.3%)，其中遵循饮食指导的484例(71.8%)，复发者未遵循饮食指导的57例(79.2%)。结论：草酸盐结石复发与饮食指导关系密切，依据结石成分分析结果，采用针对性的饮食指导对草酸盐结石的预防有重要的作用。
目的：探討結石成分分析在草痠鹽結石患者飲食指導中的作用。方法：分析746例經結石成分分析確定為草痠鹽結石的患者，給予相應的飲食指導。結果：746例草痠鈣結石中單純草痠鈣結石(包括一水草痠鈣和二水草痠鈣)佔28.7%，混閤性結石564例佔71.3%，主要為草痠鈣與碳痠燐灰石的混閤成分佔64.5％；平均隨訪11箇月（3~24箇月），草痠鈣結石患者無複髮者674例(90.3%)，其中遵循飲食指導的484例(71.8%)，複髮者未遵循飲食指導的57例(79.2%)。結論：草痠鹽結石複髮與飲食指導關繫密切，依據結石成分分析結果，採用針對性的飲食指導對草痠鹽結石的預防有重要的作用。
목적：탐토결석성분분석재초산염결석환자음식지도중적작용。방법：분석746례경결석성분분석학정위초산염결석적환자，급여상응적음식지도。결과：746례초산개결석중단순초산개결석(포괄일수초산개화이수초산개)점28.7%，혼합성결석564례점71.3%，주요위초산개여탄산린회석적혼합성분점64.5％；평균수방11개월（3~24개월），초산개결석환자무복발자674례(90.3%)，기중준순음식지도적484례(71.8%)，복발자미준순음식지도적57례(79.2%)。결론：초산염결석복발여음식지도관계밀절，의거결석성분분석결과，채용침대성적음식지도대초산염결석적예방유중요적작용。
Objectives To investigate the effect for dietary guidance on calcium oxalate urolithiasis calculi ingredient analysis. Methods Seven hundred and 46 patients with calcium oxalate urolithiasis were analyzed by infrared spectrophotometry were given dietary instruction according to their respective calculi ingredients. Results Among 746 calcium oxalate urolithiasis cases, single component accounted for 28.7% (calcuim oxa?late monohydrate+calcium oxalate dihydrate).Calculi with mixed components accounted for 71.3%,mainly were calcium oxalate and carbonate apatite mixture components(64.5%). The average period of patient follow up was 11 months (3~24months).Among the 674(90.3%) calcium oxalate urolithiasis cases without recurrence,484 (71.8%) patients were followed and 190(28.2%) patients not followed our dietary instruction. While among the 72 (9.7%) cases with recurrence, there were 15(20.8%) patients followed and 57(79.2%) patients not followed our di?etary instruction. Conclusion The recurrence of calcium oxalate urolithiasis is closely related to dietary in?struction. After stone composition analysis, the pertinent dietary instruction has important clinical significance for finding the prevention of calcium oxalate urolithiasis.
