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Epidemiological Investigation of Renal Colic and Research on Intervention Measures in a Field Training Troop in Northwest China

Received: 30 September 2021     Accepted: 25 October 2021     Published: 29 October 2021
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Abstract

Background: To understand the incidence of renal colic and pain index scores during field training (summer and autumn) of military personnel, and to formulate intervention measures. Methods: A total of 3,856 people were surveyed in the three foreign training years from 2016 to 2018. An epidemiological survey was conducted on the training time of foreign training troops in summer and autumn, the training environment, temperature changes, dietary structure, age, gender, water consumption, etc.; at the same time; For soldiers with renal colic caused by urolithiasis, the blood uric acid level, blood phosphorus, blood calcium and other biochemical indicators were detected, intervention treatment was carried out, and the stone specimens produced after the treatment were analyzed for the stone composition. Results: 49 cases of renal colic occurred in 3856 people. The average incidence of renal colic was 1.2%, and the visual analog score index of renal colic was average (8.2±1.8). Among them, 47 were males and 2 were females. The average age was (22±2.5) years, the average stone size was (0.6±0.2) cm, the average temperature was (38.5±7.2)°C, and the average water consumption was (2000±300) mL. In 2016, there were 17 cases of 1150 cases, and the incidence of renal colic was 1.4%; in 2017, 12 cases of 1,320 cases, the incidence of renal colic was 0.9%; in 2018, 14 cases of 1386 cases, the incidence of renal colic, 1.1%. The average uric acid level was (282±11) mmol/L, the average blood phosphorus (0.98±0.03) mmol/L, and the average blood calcium (2.63±0.08) mmol/L. 26 cases were cured by conservative treatment, 19 cases were cured by extracorporeal shock wave lithotripsy, and 4 cases were cured by ureteroscopy. Urinary stones are mainly composed of monohydrate and dihydrate calcium oxalate stones. Conclusion: The incidence of renal colic in the field stationed troops in the northwest arid area in summer and autumn and high temperature environment is mainly caused by ureteral stones. The symptoms can be relieved by conservative treatment such as spasmolysis, analgesia, and stone removal; conservative treatment is the main treatment method, ureteroscopy Treatment assistance, no obvious adverse events occurred.

Published in Clinical Medicine Research (Volume 10, Issue 5)
DOI 10.11648/j.cmr.20211005.12
Page(s) 164-168
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Renal Colic, Epidemiological Investigation, Intervention Measures

References
[1] Zhang Hanrong, Gao Qinghe, Yang Zhenyou, et al. Meta-analysis of risk factors related to urinary calculi in Chinese adults [J]. Chinese Journal of Urology, 2018, 39 (12): 935-939.
[2] Guillén R, Ramos C, Ayala R, et al. Lithogenic risk index in urinary lithiasis patients and their evolution after treatment [J]. Arch Esp Urol, 2017, 70 (8): 725-731.
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[4] Xu Li, Shi Runze, Wu Lin, et al. Investigation and analysis of the disease spectrum of hospital officers and soldiers in a hospital in the plateau of Northwest China [J]. Chinese Journal of Preventive Medicine, 2018, 36 (11): 1469-1486.
[5] Yin Xudong, Lu Lin, Tang Bin, et al. Analysis of the main diseases composition of summer plateau training for non-plateau troops and plateau troops [J]. Chinese Journal of Preventive Medicine, 2014, 32 (2): 110.
[6] Lin Feihe, Xie Chunfa, Gao Hailiang, et al. Clinical analysis of 792 cases of urinary calculi [J]. Hainan Medicine, 2010, 21 (7): 80-81.
[7] Zeng Guohua, Mai Zanlin, Xia Shujie, et al. Cross-sectional survey on the prevalence of urolithiasis in Chinese adults [J]. Chinese Journal of Urology, 2015, 36 (7): 528-532.
[8] Zhang Qian, Chen Yudong, Han Yao, et al. Analysis and clinical significance of 236 cases of urinary calculi in garrison soldiers [J]. Medical Journal of Chinese People's Liberation Army, 2013, 25 (2): 75-76.
[9] Ye Ailan, Zhou Fengchang, Cai Xianqiu, et al. Investigation and analysis of the incidence of drinking water and urinary calculi (with a report of 1431 cases) [J]. Chinese Journal of Modern Surgery, 2005, 2 (6): 576-578.
[10] Tian Jing, Guo Hongqian, Sun Xizhao, et al. Preparation and evaluation of a diet-related etiology model of calcium oxalate stones in rats [J]. Journal of Medical Postgraduates, 2012, 25 (5): 555-558.
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[13] Lin Yudong, Wu Dezhu, Wang Jianping, et al. Clinical study of 238 cases of urolithiasis in troops stationed in a certain area in the southeast [J]. Southeastern National Defense Medicine, 2013, 15 (3): 219-220.
[14] Jin Lei, Xu Binxian, Xiang Junji, et al. Investigation and analysis of related factors of urinary calculi in a flying unit stationed in Jiangsu [J]. Southeast National Defense Medicine, 2014, 16 (5): 529-530.
[15] Zhang Tao, Ding Yancai, Jiang Xu, et al. Minimally invasive percutaneous nephroscope holmium laser combined with pneumatic lithotripsy for the treatment of kidney and upper ureteral calculi (report of 1870 cases) [J]. Chinese Journal of Minimally Invasive Surgery, 2013, 13 (06): 513-515.
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    Ding Yancai, Liu Li, Li Feiyu, Yang Tao, Ma Xiaoyun, et al. (2021). Epidemiological Investigation of Renal Colic and Research on Intervention Measures in a Field Training Troop in Northwest China. Clinical Medicine Research, 10(5), 164-168. https://doi.org/10.11648/j.cmr.20211005.12

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    ACS Style

    Ding Yancai; Liu Li; Li Feiyu; Yang Tao; Ma Xiaoyun, et al. Epidemiological Investigation of Renal Colic and Research on Intervention Measures in a Field Training Troop in Northwest China. Clin. Med. Res. 2021, 10(5), 164-168. doi: 10.11648/j.cmr.20211005.12

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    AMA Style

    Ding Yancai, Liu Li, Li Feiyu, Yang Tao, Ma Xiaoyun, et al. Epidemiological Investigation of Renal Colic and Research on Intervention Measures in a Field Training Troop in Northwest China. Clin Med Res. 2021;10(5):164-168. doi: 10.11648/j.cmr.20211005.12

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  • @article{10.11648/j.cmr.20211005.12,
      author = {Ding Yancai and Liu Li and Li Feiyu and Yang Tao and Ma Xiaoyun and Xi Haifeng},
      title = {Epidemiological Investigation of Renal Colic and Research on Intervention Measures in a Field Training Troop in Northwest China},
      journal = {Clinical Medicine Research},
      volume = {10},
      number = {5},
      pages = {164-168},
      doi = {10.11648/j.cmr.20211005.12},
      url = {https://doi.org/10.11648/j.cmr.20211005.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20211005.12},
      abstract = {Background: To understand the incidence of renal colic and pain index scores during field training (summer and autumn) of military personnel, and to formulate intervention measures. Methods: A total of 3,856 people were surveyed in the three foreign training years from 2016 to 2018. An epidemiological survey was conducted on the training time of foreign training troops in summer and autumn, the training environment, temperature changes, dietary structure, age, gender, water consumption, etc.; at the same time; For soldiers with renal colic caused by urolithiasis, the blood uric acid level, blood phosphorus, blood calcium and other biochemical indicators were detected, intervention treatment was carried out, and the stone specimens produced after the treatment were analyzed for the stone composition. Results: 49 cases of renal colic occurred in 3856 people. The average incidence of renal colic was 1.2%, and the visual analog score index of renal colic was average (8.2±1.8). Among them, 47 were males and 2 were females. The average age was (22±2.5) years, the average stone size was (0.6±0.2) cm, the average temperature was (38.5±7.2)°C, and the average water consumption was (2000±300) mL. In 2016, there were 17 cases of 1150 cases, and the incidence of renal colic was 1.4%; in 2017, 12 cases of 1,320 cases, the incidence of renal colic was 0.9%; in 2018, 14 cases of 1386 cases, the incidence of renal colic, 1.1%. The average uric acid level was (282±11) mmol/L, the average blood phosphorus (0.98±0.03) mmol/L, and the average blood calcium (2.63±0.08) mmol/L. 26 cases were cured by conservative treatment, 19 cases were cured by extracorporeal shock wave lithotripsy, and 4 cases were cured by ureteroscopy. Urinary stones are mainly composed of monohydrate and dihydrate calcium oxalate stones. Conclusion: The incidence of renal colic in the field stationed troops in the northwest arid area in summer and autumn and high temperature environment is mainly caused by ureteral stones. The symptoms can be relieved by conservative treatment such as spasmolysis, analgesia, and stone removal; conservative treatment is the main treatment method, ureteroscopy Treatment assistance, no obvious adverse events occurred.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Epidemiological Investigation of Renal Colic and Research on Intervention Measures in a Field Training Troop in Northwest China
    AU  - Ding Yancai
    AU  - Liu Li
    AU  - Li Feiyu
    AU  - Yang Tao
    AU  - Ma Xiaoyun
    AU  - Xi Haifeng
    Y1  - 2021/10/29
    PY  - 2021
    N1  - https://doi.org/10.11648/j.cmr.20211005.12
    DO  - 10.11648/j.cmr.20211005.12
    T2  - Clinical Medicine Research
    JF  - Clinical Medicine Research
    JO  - Clinical Medicine Research
    SP  - 164
    EP  - 168
    PB  - Science Publishing Group
    SN  - 2326-9057
    UR  - https://doi.org/10.11648/j.cmr.20211005.12
    AB  - Background: To understand the incidence of renal colic and pain index scores during field training (summer and autumn) of military personnel, and to formulate intervention measures. Methods: A total of 3,856 people were surveyed in the three foreign training years from 2016 to 2018. An epidemiological survey was conducted on the training time of foreign training troops in summer and autumn, the training environment, temperature changes, dietary structure, age, gender, water consumption, etc.; at the same time; For soldiers with renal colic caused by urolithiasis, the blood uric acid level, blood phosphorus, blood calcium and other biochemical indicators were detected, intervention treatment was carried out, and the stone specimens produced after the treatment were analyzed for the stone composition. Results: 49 cases of renal colic occurred in 3856 people. The average incidence of renal colic was 1.2%, and the visual analog score index of renal colic was average (8.2±1.8). Among them, 47 were males and 2 were females. The average age was (22±2.5) years, the average stone size was (0.6±0.2) cm, the average temperature was (38.5±7.2)°C, and the average water consumption was (2000±300) mL. In 2016, there were 17 cases of 1150 cases, and the incidence of renal colic was 1.4%; in 2017, 12 cases of 1,320 cases, the incidence of renal colic was 0.9%; in 2018, 14 cases of 1386 cases, the incidence of renal colic, 1.1%. The average uric acid level was (282±11) mmol/L, the average blood phosphorus (0.98±0.03) mmol/L, and the average blood calcium (2.63±0.08) mmol/L. 26 cases were cured by conservative treatment, 19 cases were cured by extracorporeal shock wave lithotripsy, and 4 cases were cured by ureteroscopy. Urinary stones are mainly composed of monohydrate and dihydrate calcium oxalate stones. Conclusion: The incidence of renal colic in the field stationed troops in the northwest arid area in summer and autumn and high temperature environment is mainly caused by ureteral stones. The symptoms can be relieved by conservative treatment such as spasmolysis, analgesia, and stone removal; conservative treatment is the main treatment method, ureteroscopy Treatment assistance, no obvious adverse events occurred.
    VL  - 10
    IS  - 5
    ER  - 

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Author Information
  • Department of Urology, 942 Hospital of PLA, Yinchuan, China

  • Department of Urology, 942 Hospital of PLA, Yinchuan, China

  • Department of Urology, 942 Hospital of PLA, Yinchuan, China

  • Department of Urology, 942 Hospital of PLA, Yinchuan, China

  • Department of Urology, 942 Hospital of PLA, Yinchuan, China

  • Department of Urology, 942 Hospital of PLA, Yinchuan, China

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