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结石成分分析与饮食干预预防泌尿系结石的临床意义分析 被引量:14

The clinical significance of stone composition analysis and diet intervention in preventing from urolithiasis
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摘要 目的:探讨结石成分分析与饮食干预预防泌尿系结石的临床意义。方法:选取2013年9月-2015年12月在我院确诊的1633例泌尿系结石患者作为研究对象,使用红外光谱自动分析系统对所有患者的结石成分进行分析。随机分组将患者分为试验组和对照组,试验组803例患者,对照组830例患者。试验组患者是通过医务人员根据每位泌尿系结石患者的结石成分的分析结果制订饮食干预计划表,而对照组患者则除了注意多饮水外,不做特殊饮食计划,比较两组患者出院后3个月以及6个月时病情复发概率。结果:两组患者经过干预治疗后,试验组中有691例患者没有复发,112例患者复发,复发率为13.9%。对照组中有648例患者没有复发,182例患者复发,复发率为21.9%,观察组患者出院后的复发率明显低于对照组患者,两组结果对比差异性显著(P<0.05),具有统计学意义。结论:对泌尿系结石患者实施手术之后,根据其结石情况制订相应的饮食计划,通过控制含钙盐食物的摄入量,减缓泌尿系统结石的形成,这样一来患者在出院后的结石复发率也会大幅下降,有利于保证患者远期康复疗效,值得在临床施治过程中推广使用。 Objective:To investigate the clinical significance of stone composition analysis and diet intervention in preventing from urolithiasis.Methods:A total of1633patients with urolithiasis diagnosed in our hospital from September2013to December2015were selected as the research subjects.Infrared spectroscopy automatic analysis system was used to analyze the stone components of all the patients.Patients were randomly divided into the experimental group and the control group,with803patients in the experimental group and830patients in the control group.In the experimental group,the diet intervention plan was made by the medical staff based on the analysis results of the stone components of each urolithiasis patient.In the control group,the special diet plan was not used except for drinking more water.The probability of disease recurrence of two groups3months and6months after discharge was compared.Results:After the intervention in both groups,691patients in the experimental group did not relapse and112patients relapsed,the recurrence rate was13.9%.In the control group,648patients did not relapse and182patients relapsed,the recurrence rate was21.9%.The recurrence rate in the observation group was significantly lower than the control group after discharge(P<0.05).Conclusion:After the operation of urolithiasis,appropriate diet plan should be made according to the stone situation to reduce the formation of urinary stones by controlling the intake ofcalcium-containing foods,so that the recurrence rate would drop significantly after discharge,which would help to ensure the long-termrecovery of patients,and was worthy of promotion in the clinical treatment process.
机构地区 高州市人民医院
出处 《中医临床研究》 2018年第3期42-44,共3页 Clinical Journal Of Chinese Medicine
关键词 泌尿系结石 红外光谱结石分析仪 饮食干预 预防复发 Urinary stones Infrared spectroscopy stone analyzer Diet intervention Prevention of relapse
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