探討飲食攝取對尿路結石復發之研究

The Effects of Dietary Intake on The Recurrence of Urinary Calculus

郭詩伶(Shih-Ling　Kuo)

指導教授 ： 張承晋

台南應用科技大學/生活科技學院/生活應用科學研究所/碩士(2010年)

摘要

本研究目地在探討個人特質及飲食攝取對尿路結石之復發及其影響因素。研究方法採回溯性相關研究設計，在95年12月以結構式問卷針對92年~93年間台南地區某醫學中心曾罹患尿路結石患者為母群，分為初次結石與多次結石患者兩組進行資料收集，並以健康者為對照組，共發出1708份問卷，有效問卷回收有570份(回收率33.4％)。以多元迴歸分析進行尿路結石患者飲食攝取頻率對結石復發之影響因素。研究結果發現，個人特質分布來看，尿路結石患者男生多於女生，30~50歲居多；排尿量少於健康者，抽煙頻率高，有痛風體質比率高。五個飲食構面對尿路結石的影響，尤其以肉類攝取為最大、其次為烹調方式。增加尿路結石發生的飲食危險因子，包括沙茶醬油、豬肉、深海魚、起司、奶酪、鈣片；而有助於結石預防的飲食則有雞肉、淡水魚、牛奶、飲水量。此外，國人對於手調飲料及茶類飲料的需求量大，但結石患者不宜過量飲用。因此，了解飲食對於結石之影響，將有助於提供正確的飲食方式及選擇。本研究結論，針對尿路結石高復發族群，依據結石特性給與飲食衛教，並採取定期主動性追蹤。

關鍵字

尿路結石 ； 草酸鈣 ； 飲食攝取 ； 復發

並列摘要

The aim of study was to investigate the personal and dietary intakes on the recurrence of urinary calculus. The study was carried out by constrictive questionnaire survey. A total 1,708 questionnaire as distributed to urinary calculus patients from Medical center hospitals in Tainan area during 2003-2004. A total of the 570 questionnaire copies (33.4%) was recruited. The data was analyzed by multi-variables regression method. Carry on the patient's diet of way calculus of urine and absorb the influence factor that frequency recurs to the calculus. The finding of study reveals that based on the distribution of idiosyncrasy, the number of male patients, in particular in 30~50 years old, caused calculus of urine way is more than that of the female patients. In addition, the rate of gout physique is higher when patients whose urinating is less and frequency of smoking is higher than that of healthy people rate. The most important impact of five diet construct on Urinary calculus is assimilation of meat in particular and the second is the cooking way. The dangerous factors of increasing the urine way calculus of diet include the sand tea soy sauce, pork, deep-sea fish, cheese, cheese, and calcium tablet while those contribute to prevent the calculus are chicken, fresh-water, fish, milk, and the amount of drinking water. Furthermore, the demand of beverages shaken by hands is higher. However, the calculus patient should not drink excessively. Hence the understanding of the influence on the calculus of diet is beneficial to provide the correct diet way. The conclusion of this research reveals that patients, who are recurred the urine way calculus highly, should be administrated teaching of the diet according to the characteristic of calculus and adoption of regular initiative investigation.

並列關鍵字

Urinary calculus ； Calcium Oxalate ； Dietary Intake ； Recurrence

參考文獻

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