Effect of behavioral lifestyle on urinary tract stone density and analysis of extracorporeal shock wave lithotripsy treatment efficacy
10.3760/cma.j.cn371468-20240711-00324
- VernacularTitle:行为生活方式对泌尿系结石密度的影响及体外冲击波碎石治疗效果分析
- Author:
Min DU
1
;
Anqiang CHEN
;
Na DANG
;
Yabo ZHAO
;
Liang MAO
;
Meiqin LI
;
Yueqin CHEN
Author Information
1. 济宁医学院附属医院医学影像科，济宁市心脑血管影像重点实验室，济宁 272000
- Keywords:
Lifestyle;
Urinary tract stone;
Behavior;
CT value;
Extracorporeal shock wave lithotripsy
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2024;33(9):833-837
- CountryChina
- Language:Chinese
-
Abstract:
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 > 1 000 HU, n=106) and low CT value group (CT value ≤ 1 000 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. The χ2 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((1 242±347)mL vs (1 784±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 ( χ2=33.181, P<0.01). The incidence of complications was higher in the high CT value group compared to the low CT value group ( χ2=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.
