增城市荔城农村老年高尿酸血症现况及危险因素剖析.docVIP

增城市荔城农村老年高尿酸血症现况及危险因素剖析 　　[摘要] 目的 探讨增城市荔城农村老年高尿酸血症流行现状及相关危险因素，探索社区综合防治措施。 方法 采用分阶段系统随机抽样，抽取荔城街农村60岁以上老人1036名，进行问卷调查、常规体检（包括血压、身高、体重、腰围、臀围）及实验室检测（包括血尿酸、血糖、血脂、肝功能、肾功能等）。[关键词] 高尿酸血症；患病率；危险因素；非条件Logistic回归分析 　　[中图分类号] R587 [文献标识码] A [文章编号] 1673-7210（2014）04（b）-0101-04 　　[Abstract] Objective To survey and analyze the hyperuricemia prevalence of rural elderly people and related risk factors， and explore community comprehensive prevention and control measures in Licheng Street of Zengcheng City. Methods Systematic random sampling was used， 1036 residents aged over 60 were selected to conduct questionnaire survey， routine checkups （including blood pressure， height， weight， waist， hip） and laboratory tests （including blood uric acid， glucose， lipids， liver function， kidney function， etc）. Statistics for prevalence of chronic diseases of different age groups， different gender groups. The survey was conducted from January to June 2013. According to the results of blood uric acid， residents with blood uric acid higher than standard values were divided into the hyperuricemia group， while， randomly selected the same amount of people with normal blood uric acid level as the control group. Results The hyperuricemia prevalence in total was 18.3% （190/1036）， which in female and male were associated with hyperuricemia. Conclusion The hyperuricemia prevalence rate of rural senile in Licheng Street of Zengcheng City is significantly lower than other parts of Guangzhou City. Factors may include renal insufficiency， dyslipidemia， smoking， high blood pressure， overweight， obesity and gender. 　　[Key words] Hyperuricemia； Prevalence； Risk factors； Unconditioned Logistic regression analysis 　　老年患者的糖代谢、脂代谢异常及高血压的发病率近年来明显增加，常合并尿酸代谢异常。高尿酸血症与高血压、血脂代谢异常等密切相关，并共同成为痛风的高危因素[1]。调查资料显示，高尿酸血症发病率呈逐年上升趋势[2]。研究表明，血尿酸与冠心病多种危险因素相关。增城市农村近年来冠心病发病率呈逐年增高的趋势，急性心血管事件如急性心肌梗死呈年轻化趋势，同时增城市农村也是肾结石的高发区，为了解增城市农村居民血尿酸水平，并进行干预治疗，本研究对随机抽取增城市荔城农村60岁以上老人进行了调查 　　3 讨论 　　高尿酸血症是由于各种原因引起体内尿酸升高或排泄减少而导致的一种代谢性疾病，高尿酸是心血管系统疾病的独