关键词: 泌尿系统, 结石, 肾脏, 输尿管, 代谢异常

Abstract: Objective To analyze the detection status and influencing factors of urinary calculi in physical examination population. Methods Adults who underwent physical examination in a hospital in Jingzhou City from January 2019 to December 2021 were selected as the research subjects, a questionnaire survey was conducted, and the height, blood pressure, blood glucose, blood lipid and urinary system examination results in the physical examination results were collected. Descriptive epidemiological analysis method was used to analyze the detection of urinary calculi among physical examination population, and univariate and multivariate analysis methods were used to analyze the influencing factors of urinary calculi. Results A total of 17 882 subjects were included, among them, 763 patients with urinary calculi were detected, with a detection rate of 4.27%. There were 613 cases of single stones, accounting for 80.34%, and 150 cases of multiple stones, accounting for 19.66%. Multivariate analysis showed that male （OR=2.768）, education level of junior high school （OR=2.787） and primary school or below （OR=3.183）, history of urinary disease （OR=3.811）, water intake of 1 000-1 999 mL/d （OR=0.640） and >2 000 mL/d （OR=0.569）, dyslipidemia （OR=2.910）, and hypertension （OR=1.508） were the influencing factors of urinary calculi. Conclusion The prevalence rate of urinary calculi among physical examination population in Jingzhou is relatively low, and there are many influencing factors leading to the occurrence of urinary calculi. The controllable factors need to be intervened accordingly.

Key words: Urinary system, Calculus, Kidney, Ureter, Metabolic abnormality