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Objective To retrospectively analyze metabolism associated risk factors of hypocitrateuria in kidney stone patients. Methods Totally 92 kidney stone patients with qualified data from metabolic evaluation database of Peking Union Medical College Hospital from May 2020 to January 2021 were included in this retrospective analysis . With hypocitrateuria as dependent variable, and gender, age and metabolic factors, including body mass index, hypertension, diabetes mellitus, hyperlipidemia and hyperuricemia, as independent variables,binary Logistic regression was used to analyze metabolism associated risk factors of hypocitraturia. Results In kidney stone patients, hypertension was risk factors of hypocitrateuria (OR=4.48,95% CI:1.58～12.70,P＜0.05), and other factors were not found to be associated with hypocitrateuria. Conclusions In kidney stone patients, hypertension is a risk factor of hypocitrateuria.