高原部队患者尿石症结石成分分析

目的 分析驻高原部队患者尿石成分及分布特征,为制定有针对性预防措施提供依据.方法 采用红外光谱定性定量方法,对驻日喀则某高原部队中检出的86例尿石样品进行化学成分分析.结果 本组86例的尿结石成分以含钙尿结石为主,其中草酸钙结石52例（60.47%）;单一成分结石55例（63.95%）,其中草酸钙21例,尿酸34例,混合型尿结石31例（36.05%）.混合型尿结石中,以草酸钙和磷酸钙的混合结石最常见共26例（30.23%）,其他是草酸钙＋碳酸钙及草酸钙＋尿酸5例（5.81%）.结论 驻高原部队的尿结石仍然以草酸钙结石及含草酸钙的混合结石为主,应进一步探索其成因,采取针对性的防治措施,切实降低尿结石病对高原部队官兵健康的影响.

Component analysis of urinary calculi in patients from high altitude troops

Objective To analyze the chemical composition and distribution of urinary calculi in patients from high altitude troops, and to provide basis for the formulation of targeted prevention measures. Methods The chemical composition of the urinary stones from 86 military patients from one high altitude unit in Rikaze was analyzed by infrared spectrometry qualitative and quantitative method. Results Calcium was the main component of the urinary stones in the 86 cases. There were 52 cases （60.47%） of calcium oxalate stones,55 ones （63.95%） of single component stones （21 cases with calcium oxalate stones and 34 ones with uric acid tones）, and 31 （ 36.05 % ） ones of mixed components stones. In the mixed components stones, the most common ones were calcium oxalate mixed with calcium phosphate stones （26 cases ,30.23% ）. The others were calcium oxalate mixed with calcium phosphate and calcium oxalate mixed with uric acid stones （5 eases,5.81% ）. Conclusion The main components of urinary calculi in patients from high altitude troops are calcium oxalate and mixed stones mainly containing calcium oxalate. The formation causes should be further studied, and argeted prevention measures should be taken in order to reduce the influence of urinary calculi on the health of soldiers in high altitude troops.