摘要
目的探讨行为生活方式对泌尿系结石患者CT值的影响及其与体外冲击波碎石(extracorporeal shock wave lithotripsy,ESWL)治疗效果的关系。方法选取2019年1月至2023年6月在济宁医学院附属医院行ESWL治疗的泌尿系结石患者265例,根据结石CT值将其分为高CT值组(CT值>1000 HU,n=106)和低CT值组(CT值≤1000 HU,n=159)。回顾性调查患者的行为生活方式,并比较两组患者的一般资料、CT值、碎石次数、碎石时间、碎石效率、并发症发生率等指标。使用SPSS 22.0软件进行统计分析。组间比较采用χ^(2)检验、t检验,结石CT值与不同行为方式间的关系采用Pearson相关分析。结果高CT值组患者的日均饮水量[(1242±347)mL比(1784±376)mL]、日均新鲜水果摄入量[(135±43)g比(196±51)g]、日均运动时间[(18±12)min比(32±14)min]均低于低CT值组(t=-11.850,-9.926,-8.434,均P<0.01),而日均盐摄入量[(8.3±2.2)g比(6.5±1.7)g]、日均动物蛋白摄入量[(72±18)g比(54±16)g]均高于低CT值组(t=7.495,8.531,均P<0.01)。高CT值组患者的碎石次数、碎石时间均高于低CT值组(t=6.192,7.507,均P<0.01),而碎石效果低于低CT值组(χ^(2)=33.181,P<0.01)。高CT值组患者的并发症发生率高于低CT值组(χ^(2)=3.915,P=0.048)。结论合理的饮水、饮食和运动习惯有利于降低结石的CT值,提高ESWL的治疗效果,减少并发症的发生。
Objective To investigate the effect of behavioral lifestyle on the CT values of urinary tract stones,as well as the relationship between behavioral lifestyle and the therapeutic effect of extracorporeal shock wave lithotripsy(ESWL).Methods A total of 265 patients with urinary tract stones who underwent ESWL treatment at Affiliated Hospital of Jining Medical University from January 2019 to June 2023 were selected.According to the CT values of the stones,the subjects were divided into high CT value group(CT value>1000 HU,n=106)and low CT value group(CT value≤1000 HU,n=159).A retrospective survey was conducted to assess the patients'behavioral lifestyles,and general data,CT values,number of lithotripsy sessions,lithotripsy time,lithotripsy efficiency,and incidence of complications were compared between the two groups.SPSS 22.0 software was used for statistical analysis.Theχ^(2)test and t-test were used for group comparisons,and Pearson correlation analysis was used to examine the relationship between stone CT values and different behavioral lifestyles.Results The high CT value group had lower average daily water intake((1242±347)mL vs(1784±376)mL),average daily fresh fruit intake((135±43)g vs(196±51)g),and average daily exercise time((18±12)min vs(32±14)min)compared with the low CT value group(t=-11.850,-9.926,-8.434,all P<0.01).In contrast,the high CT value group had higher average daily salt intake((8.3±2.2)g vs(6.5±1.7)g)and average daily animal protein intake((72±18)g vs(54±16)g)compared with the low CT value group(t=7.495,8.531,both P<0.01).The high CT value group required more lithotripsy sessions and longer lithotripsy time than the low CT value group(t=6.192,7.507,both P<0.05),while lithotripsy efficiency was lower than the low CT value group(χ^(2)=33.181,P<0.01).The incidence of complications was higher in the high CT value group compared to the low CT value group(χ^(2)=3.915,P=0.048),with statistically significant differences.Conclusion Appropriate water intake,diet,and exercise habits are beneficial in reducing stone CT values,improving the efficacy of ESWL treatment,and decreasing the incidence of complications.
作者
杜敏
陈安强
党娜
赵亚波
毛亮
李美芹
陈月芹
Du Min;Chen Anqiang;Dang Na;Zhao Yabo;Mao Liang;Li Meiqin;Chen Yueqin(Department of Medical Imaging,Affiliated Hospital of Jining Medical University,Jining Key Laboratory of Cardio-Cerebrovascular Imaging,Jining 272000,China;Department of Ultrasound,Affiliated Hospital of Jining Medical University,Jining 272000,China)
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2024年第9期833-837,共5页
Chinese Journal of Behavioral Medicine and Brain Science
基金
济宁市重点研发项目(2022YXNS036)。
关键词
生活方式
泌尿系结石
行为
CT值
体外冲击波碎石
Lifestyle
Urinary tract stone
Behavior
CT value
Extracorporeal shock wave lithotripsy
