摘要
目的探讨尿路结石成分构成情况及其对临床防治结石的意义。方法收集祁阳县人民医院泌尿外科2013年6月至2014年5月收治的住院患者结石标本326例,采用红外光谱自动分析系统对结石标本进行成分分析。结果326例患者尿路结石成分以混合结石占多数,为87.73%(286/326),含一水草酸钙及二水草酸钙最多,占96.32%(314/326),其次是含碳酸磷灰石,占61.04%(199/326),再次为磷酸铵镁,占27.91%(91/326),尿酸类结石不多见,占3.68%(12/326)。上尿路结石各成分占比[84.36%(275/326)]均高于下尿路结石[16.56%(54/326)],且男性结石患者[71.17%(232/326)]高于女性[28.83%(94/326)],而女性患者合并含磷酸铵镁构成比[71.43%(65/91)]高于男性[40.66%(37/91)],差异均有统计学意义(P<0.05)。结论应用红外光谱自动分析系统检测泌尿系结石,对患者饮水,饮食,生活习惯及药物治疗具有指导意义。
Objective To approach the chemical composition of urinary calculus for its clinical prevention and treatment.Methods The 326 samples of the inpatients with stone were included in this study in Qiyang People′s Hospital from June 2013 to May 2014. The infrared spectrum analysis system were adopted to analyze stone samples. Results The mixed urinary stones prevailed in the urinary calculus,accounting for 87.73%（286/326）,in which,the most component was the calcium oxalate and calcium oxalate monohydrate,accounting for 96.32%（314/326）,followed by carbonate apatite,accounting for 61.04%（199/326）,magnesium ammonium phosphate in the third place,accounting for 27.91%（91/326）,uric acid stones in the last,hardly occurred,accounting for 3.68%（12/326）. The component proportion[84.36%（275/326）] of the upper urinary calculi were more than that in the lower urinary stones[16.56%（54/326）]. The male patients with stone was more than that of the females[71.17%（232/326）,28.83%（94/326）]. The magnesium ammonium phosphate proportion for the female patients[71.43%（65/91）] was significantly higher than that of the male[40.66%（37/91）]. Conclusion The application of infrared spectrum in detection of urinary calculus is benefit to guiding the drink,diet,living customs and medicine treatment for the patiemts.
出处
《现代医药卫生》
2015年第1期6-8,共3页
Journal of Modern Medicine & Health
关键词
尿路结石/化学
化学
分析
草酸钙
磷灰石
尿酸
红外线
标本
Urinary calculi/chemistry
Chemistry
analytical
Calcium oxalate
Apatites
Uric acid
Infrared rays
Superficiality ＆ origin
