老年退休人员高尿酸血症的患病率及影响因素分析.pdf

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1、·1142·中华老年心脑血管病杂志2013年n月第15卷第u期ChinJGeriatrHeartBrainVesselDis，Nov2013，Vol15，No．11．临床研究．{老年退休人员高尿酸血症的患病率及影响因素分析屈炯堂，刘本坚，梁美玲摘要：目的调查老年退休人群高尿酸血症的患病情况，并对其相关危险因素进行分析。方法选择健康体检的5412例老年退休人员，分别进行高尿酸血症及相关危险因素的问卷调查、体格检查和血液检测，根据血尿酸水平分为高尿酸血症组1581例，血尿酸正常组3831例，采用非条件logistic回归分析高尿酸血症的影响因素。结果5412例受检者中，高尿酸血症患病

2、率为29．21，男性和女性患病率分别为37．87和24．98(P一0．000)，高尿酸血症组超重、血糖异常、肾功能下降、血尿素升高、天冬氨酸转氨酶升高、高TG血症、高TC血症、低HDI一C血症、高LDL—C血症的患病率较血尿酸正常组明显升高(P

3、enceofhyperuricemiaanditsinfluencingfactorsinmiddle—agedandelderlyretireesQUJiong—tang，LIUBewjian，LIANGMei—ling(ZhongshanXiaolanCenterforDiseaseControlandPrevention，Zhongshan528415，C~angdongProvince，China)Abstract：ObjectiveToanalyzetherelatedriskfactorsforhyperuricemiabyinvestigatingitsinci～d

4、enceinmiddle—agedandelderlyretirees．MethodsAtotalof5412middle—agedandelderlyretir—eesundergoinghealthcheckwereincludedinthisstudy．Hyperuricemiaanditsrelatedriskfactorswereinvestigatedwithquestionnaires．Thepatientsundergingphysicalexaminationandbiochemi—caltestsweredividedintohyperurieemiagrou

5、p(一1581)andnormaluricacidgroup(n一3831)．Influencingfactorsforhyperuricemiawereanalyzedbyunconditionallogisticregressionanalysis．ResultsTheincidenceofhyperuricemiawas29．21inthe5412retireesundergoingphysicalex—aminationandhigherinmalesthaninfemales(37．87WS24．98，P一0．000)．Theincidenceofoverweight，

6、abnormalbloodglucose，renalinsufficiency，hypercholesterolemiaandhypertriglyceri—demia，andtheserumlevelsofbloodureanitrogen，AST，HDL—CandLDL—Cweresignificantlyhigherinhyperuricemiagroupthaninnormaluricacidgroup(P

7、iency，hypercholesterolemia，hyper—triglyceridemiaandelevatedserumbloodureanitrogenlevelweretheriskfactorsforhyperurice—mia(P<0．01)．ConclusionTheincidenceofhyperuricemiaisratherhighinmiddle—agedandeld—erlyretireeswhoshouldthusreceivecombinedtre