临床荟萃 ›› 2023, Vol. 38 ›› Issue (8): 702-705.doi: 10.3969/j.issn.1004-583X.2023.08.004

• 论著 • 上一篇    下一篇

扬州地区1973名学生尿常规筛查结果分析

吴伟君1, 陈晓1, 王少丹1, 步来俊2, 务新超3, 严晨阳4, 董改琴1(), 蒋丽军1, 魏文凭1   

  1. 1.扬州大学附属医院 儿科,江苏 扬州 225001
    2.仪征大仪中心卫生院 全科,江苏 仪征 211400
    3.杭集社区卫生服务中心 全科,江苏 扬州 225111
    4.头桥社区卫生服务中心 全科,江苏 扬州 225001
  • 收稿日期:2023-05-23 出版日期:2023-08-20 发布日期:2023-09-27
  • 通讯作者: 董改琴 E-mail:donggaiqin@126.com
  • 基金资助:
    江苏妇幼健康科研项目资助项目——基于医疗联合体的基层医院儿科抗菌药物合理应用管理模式研究(F201858)

Analysis of screening data of urinalysis in 1973 students in Yangzhou

Wu Weijun1, Chen Xiao1, Wang Shaodan1, Bu Laijun2, Wu Xinchao3, Yan Chenyang4, Dong Gaiqin1(), Jiang Lijun1, Wei Wenping1   

  1. 1. Department of Pediatrics, Affliated Hospital of Yangzhou University, Yangzhou 225001, China
    2. Department of General Medicine, Yizheng Dayi Central Health Center, Yizheng 211400, China
    3. Department of General Medicine, Hangji Community Health Service Center, Yangzhou 225111, China
    4. Department of General Medicine, Touqiao Community Health Service Center, Yangzhou 225111, China
  • Received:2023-05-23 Online:2023-08-20 Published:2023-09-27
  • Contact: Dong Gaiqin E-mail:donggaiqin@126.com

摘要:

目的 调查分析扬州市在校学生尿液筛查结果特点,为扬州地区儿童尿检异常提供基础数据,对异常尿常规者进行规范管理随访。方法 选取2021年扬州地区部分幼儿园及中小学儿童1973名,年龄6~14岁在校学生,采用尿液分析仪法进行尿常规检测,并对异常结果进行尿液分析仪及尿沉渣复测,分析尿液常规筛查及复检结果。结果 此次尿常规筛查结果:尿隐血初筛阳性率9.22%,复检血尿阳性率0.61%,尿蛋白初筛6.08%,复检0.76%,尿白细胞酯酶阳性初筛5.58%,复测白细胞增多者1.93%,还有少部分其他异常。结论 在校中小学生尿常规异常以儿童尿隐血最为常见,尿蛋白以少量蛋白尿为主,泌尿道感染以女性儿童为多;尿液筛查可以早期发现无症状尿检异常患儿, 提供早期干预的时机。

关键词: 儿童, 尿常规, 普查, 血尿, 蛋白尿, 泌尿道感染

Abstract:

Objective To investigate the characteristics of screening data of urinalysis in school students in Yangzhou, thus providing basic data for abnormal urinalysis data in the local area and offering standardized management and follow-up. Methods In 2021, a total of 1973 school students aged 6-14 years old in Yangzhou were selected for urinalysis using a urine analyzer. Those with abnormal findings were re-examined for urinalysis and urinary sediment. Screening data of urinalysis and re-examined data were analyzed. Results Screening data showed that the positive rate of urinary occult blood was 9.22%, and the positive rate of re-examined hematuria was 0.61%. The positive rate of urinary protein in the initial examination and re-examination was 6.08%, and 0.76%, respectively. The positive rate of urinary leukocyte esterase was 5.58%, and that of leukocytosis in the re-examination was 1.93%. There were a few other abnormalities detected in the urinalysis. Conclusion The most common abnormal urinalysis findings in primary and middle school students in Yangzhou is occult blood, and a small amount of proteinuria. Urinary tract infection is mostly found in female children. Screening of urinalysis contributes to identify children with asymptomatic abnormalities in urinalysis, thus providing early interventions.

Key words: children, routine urine, mass screening, hematuria, proteinuria, urinary tract infection

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