一项关于患有单侧和双侧上尿路结石的患者之间生化代谢差异的研究
Zhibin Zheng1,2, Weiguo Hu3, Chaoyue Ji1
1Department of Urology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, 102218, China.
Scientific reports
|December 3, 2024
概括
双边上尿路结石与男性性别和高尿血有关. 增加水摄入量和饮食管理高尿血是预防结石形成的关键.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 生物化学 生化学
背景情况:
- 与单边结石相比,双边上尿路结石对功能构成更大的风险.
- 对于双边上尿路结石的生化和代谢研究有限.
研究的目的:
- 分析单侧和双侧上尿路结石之间的代谢差异.
- 为了确定与双边石块形成相关的风险因素.
主要方法:
- 收集了555名患上尿路上部结石的患者的临床数据.
- 利用CT扫描将患者分类为单边和双边的石头组.
- 采用统计方法和多因素物流回归分析.
主要成果:
- 确定了281个单边和274个双边的石头案件.
- 双边结石显示男性患者和囊结石的患病率更高.
- 在双边组中观察到血尿酸,BUN,肌素和尿液pH值升高,尿液pH值降低.
- 尿量较低是最常见的代谢异常;双边组中超尿血症更为普遍.
结论:
- 在单边和双边上尿路结石之间存在显著的生化和代谢差异.
- 尿量低是尿病患者的主要代谢异常.
- 男性性别和高尿血症被确定为双边结石形成的危险因素.
- 积极的水分和高尿血的饮食管理对于预防至关重要.
更多相关视频
07:45Estimation of Urinary Nanocrystals in Humans using Calcium Fluorophore Labeling and Nanoparticle Tracking Analysis
Published on: February 9, 2021
3.5K
11:47Using 2-Photon Microscopy to Quantify the Effects of Chronic Unilateral Ureteral Obstruction on Glomerular Processes
Published on: March 4, 2022
2.2K
相关概念视频
Physiology of Urine Formation
3.0K
Urine formation is an essential function of the human body. It plays a critical role in maintaining homeostasis by regulating the volume and composition of body fluids. The kidneys, the primary organs involved in this process, filter blood to remove waste products and excess substances, ultimately producing urine.
Glomerular Filtration
The first stage in urine formation is glomerular filtration. Each kidney contains approximately 1 million nephrons, the functional units of filtration, with a...
Glomerular Filtration
The first stage in urine formation is glomerular filtration. Each kidney contains approximately 1 million nephrons, the functional units of filtration, with a...
3.0K
Disorders of the Urinary System
232
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
232
Kidney Structure
68.8K
The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
68.8K
Introduction to Urinary System
2.2K
The urinary system consists of two kidneys, two ureters, the urinary bladder, and the urethra.
The kidneys are bean-shaped organs located in the retroperitoneal space, on either side of the vertebral column, between the T12 and L3 vertebrae. They are partially protected by the rib cage and surrounded by perirenal fat, which provides cushioning. They are responsible for urine formation and play critical roles in regulating blood pressure, electrolyte levels, and hormone production. The ureters...
The kidneys are bean-shaped organs located in the retroperitoneal space, on either side of the vertebral column, between the T12 and L3 vertebrae. They are partially protected by the rib cage and surrounded by perirenal fat, which provides cushioning. They are responsible for urine formation and play critical roles in regulating blood pressure, electrolyte levels, and hormone production. The ureters...
2.2K
Renal Drug Excretion: Tubular Secretion
135
Active tubular secretion is a robust, energy-demanding process that utilizes carrier systems to transport drugs into renal tubules. The active renal secretion systems include the organic anion transporter (OAT) for weak acids and the organic cation transporter (OCT) for weak bases. Structurally similar drugs can compete for the same transporter, potentially leading to drug accumulation and toxicity. However, this principle can be exploited therapeutically. One example is probenecid (Probalan),...
135
Drug Elimination by Renal Route: Tubular Secretion
2.2K
Once the process of glomerular filtration is completed, blood carrying unfiltered drug molecules traverses through efferent arterioles and makes its way into the peritubular capillaries in the proximal tubule. A variety of carriers play a pivotal role in actively secreting drugs from these peritubular capillaries into the tubular fluid. The organic anion transporter transfers acidic drugs, against an electrochemical gradient, from the peritubular capillaries into the renal tubule cells and...
2.2K
