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Urolithiasis in male patients: A pilot study on the ethnic differences and clinical profile

机译:男性患者尿石症:种族差异和临床特征的初步研究

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Background Ethnicity play a role in the occurrence of urinary stones, probably related to climatic, environmental and dietary factors in ethnic groups. The association between ethnicity, age, clinical profile, stone size with type of ureteric stones among males with urolithiasis was studied. Materials and Methods Male patients (>18 years) with lower ureteral stones size <10mm attending outpatient department of Urology, at a private hospital, Ajman over a period of one year were included. Ethics approval was obtained from Institutional Ethics Committee. Data was retrieved from the case records which included socio-demographic variables (age, ethnicity), clinical profile (ureteric colic, duration of pain, other complaints), and laboratory investigations (type of stone, stone size). Descriptive and inferential statistics were performed with SPSS-20 and p values <0.05 considered significant. Results 185 male patients were included. Mean age was 41.5 (7.3) years, range (22-71) years. Out of the total, 81 (43.8%) patients were Asians, 81(43.8%) Arabs and 23 (12.4%) were of other ethnicity. Most patients (95.1%) presented with ureteric pain. 49 (26.5%) had family history of stone disease where calcium oxalate monohydrate and uric acid stones were common, with majority being first degree relation. Data on stone type was available for 90 patients; of which, 21 were calcium oxalate monohydrate, 33-calcium oxalate dehydrate, 24-uric acid and remaining 12 other form of stones. Average age for different types of stone was 38.3, 41.6, 39.4 and 42.8 years for calcium oxalate monohydrate, calcium oxalate dehydrate, uric acid and other types respectively. Conclusion Uric acid stones were more prevalent among Asians and calcium oxalate-dehydrate stones among Arabs. Future studies can be conducted among multiethnic population focusing on dietary pattern and stone analysis.DOI: http://dx.doi.org/10.3126je.v4i4.11359 Nepal Journal of Epidemiology 2014; 4(4):393-98
机译:背景种族在尿结石的发生中起一定作用,这可能与种族中的气候,环境和饮食因素有关。研究了男性尿路结石患者的种族,年龄,临床特征,结石大小与输尿管结石类型之间的关系。材料和方法包括在阿治曼一家私立医院的泌尿外科门诊就诊的,年龄小于18mm的输尿管结石尺寸小于10mm的男性患者(超过18年)。道德规范已从机构道德委员会获得批准。从病例记录中检索数据,包括社会人口统计学变量(年龄,种族),临床特征(输尿管绞痛,疼痛持续时间,其他不适)以及实验室检查(结石类型,结石大小)。使用SPSS-20进行描述性和推论性统计,p值<0.05被认为是显着的。结果纳入185例男性患者。平均年龄为41.5(7.3)岁,范围(22-71)岁。在总数中,亚洲人81例(43.8%),阿拉伯人81例(43.8%),其他种族23例(12.4%)。大多数患者(95.1%)表现为输尿管疼痛。 49名(26.5%)的人有结石病家族史,其中草酸钙一水合物和尿酸结石很常见,大多数是一级关系。有90例患者可获得结石类型的数据。其中21种是草酸钙一水合物,33种草酸钙无水物,24种尿酸和其余12种其他形式的结石。草酸钙一水合物,草酸钙无水物,尿酸和其他类型的石子的平均年龄分别为38.3、41.6、39.4和42.8岁。结论尿酸结石在亚洲人中更普遍,草酸钙脱水结石在阿拉伯人中更为普遍。今后可以在多民族人群中进行饮食结构和结石分析的进一步研究。DOI:http://dx.doi.org/10.3126je.v4i4.11359 Nepal流行病学杂志2014; 4(4):393-98

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