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.
Highlights
Urinary calculi is a common disease in urology, and its specific mechanism and related risk factors are still unclear
For soldiers with renal colic caused by urolithiasis, the blood uric acid, blood phosphorus, blood calcium and other biochemical indicators are tested in our hospital for intervention and treatment
The results showed that the average prevalence rate of urolithiasis among adults in my country was 6.06%, the highest in Guangdong (11.63%)
Summary
Urinary calculi is a common disease in urology, and its specific mechanism and related risk factors are still unclear. It is generally believed that age, gender, race, genetics, environmental factors, eating habits, and occupation are related to the formation of stones [1,2]. Renal colic is often the main first symptom, which has the characteristics of rapid onset and severe illness. There is currently no research report on the epidemiological investigation of renal colic and preventive intervention measures during military field training. Clinical Medicine Research 2021; 10(5): 164-168 this study The epidemiological survey of renal colic in military personnel in foreign training troops, to understand the incidence of renal colic in foreign training troops, to improve rapid diagnosis and to study reasonable emergency treatment methods, is reported as follows
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