增城市荔城农村老年高尿酸血症现况及危险因素分析
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- 英文论文题名：Prevalence survey and risk factors of hyperuricemia for rural elderly people of Licheng Street in Zengcheng City
- 论文作者：林细明 ; 邹蓉 ; 李协 ; 曾年安
- 英文论文作者：LIN Ximing ; ZOU Rong ; LI Xie ; ZENG Nian'an ; Department of Chronic Non-Communicable Diseases ; Licheng Street Community Health Service Centers of ; Guangdong Province ; Deparment of Vasculocardiology ; the People's Hospital of ; Guangdong Province ; Department of Chronic Non-Communicable Diseases ; Licheng Street Community Health Service Centers of Zengcheng City ; Guangdong Province
- 年：2016
- 作者机构：广东省增城市荔城街社区卫生服务中心慢非科;广东省增城市人民医院心血管内科;
- 论文关键词：高尿酸血症 ; 患病率 ; 危险因素 ; 非条件Logistic回归分析
- 英文论文关键词：Hyperuricemia ; Prevalence ; Risk factors ; Unconditioned Logistic regression analysis
- 会议召开时间：2016-11-29
- 会议录名称：广州市第十届健康教育学术交流会文集
- 语种：中文
- 分类号：R589.7
- 学会代码：SJKS
- 会议名称：广州市第十届健康教育学术交流会
- 会议地点：中国广东广州
- 主办单位：广州市健康教育所、广州市预防医学会健康教育专业委员会
- 学会名称：广州市健康教育所
- 页数：4
- 文件大小：335k
- 原文格式：O
- 会议级别：地方
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)。统计不同年龄组、不同性别人群慢性病患病率。调查时间为2013年1~6月。根据血尿酸结果进行分组,结果大于标准值的作为高尿酸血症组,另外在血尿酸结果正常人群中随机抽取等量的人群作为正常组。结果老年人高尿酸血症患病率达18.3%(190/1036),其中,男患病率为22.5%(86/383);女患病率为15.9%(104/653)。与正常组比较,高尿酸血症组低密度脂蛋白胆固醇(LDL-C)水平升高(P<0.05),血肌酐(Cr)、血尿素氮(BUN)水平明显升高(P<0.01)。非条件Logistic回归分析结果显示,肾功能不全(OR=9.746,95%CI:4.911~19.342)、血脂异常(OR=5.281,95%CI:3.277~8.513)、吸烟(OR=2.035,95%CI:0.989~4.191)、高血压(OR=1.810,95%CI:1.197~2.736)、超重肥胖(OR=1.572,95%C7I:1.103~2.239)及性别(OR=0.661,95%CI:0.456~0.959)均与高尿酸血症相关。结论增城市荔城农村老年人高尿酸血症患病率较广州其他地区低,影响因素可能包括肾功能不全、血脂异常、吸烟、高血压、超重肥胖及性别等。
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 15.9%(104/653) and 22.5%(86/383) respectively.Compared with the normal group,LDL-C level of hyperuricemia group increased(P < 0.05),serum creatinine(Cr),blood urea nitrogen(BUN) levels significantly increased(P < 0.01).Unconditioned Logistic regression analysis showed that renal insufficiency(OR=9.746,95%CI:4.911-19.342),dyslipidemia(OR=5.281,95%CI:3.277-8.513),smoking(OR=2.035,95%CI:0.989-4.191),hypertension(OR=1.810,95%CI:1.197-2.736),overweight and obesity(OR= 1.572,95%CI:1.103-2.239) and gender(OR=0.661,95%CI:0.456-0.959) 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.
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 15.9%(104/653) and 22.5%(86/383) respectively.Compared with the normal group,LDL-C level of hyperuricemia group increased(P < 0.05),serum creatinine(Cr),blood urea nitrogen(BUN) levels significantly increased(P < 0.01).Unconditioned Logistic regression analysis showed that renal insufficiency(OR=9.746,95%CI:4.911-19.342),dyslipidemia(OR=5.281,95%CI:3.277-8.513),smoking(OR=2.035,95%CI:0.989-4.191),hypertension(OR=1.810,95%CI:1.197-2.736),overweight and obesity(OR= 1.572,95%CI:1.103-2.239) and gender(OR=0.661,95%CI:0.456-0.959) 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.
引文
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[2]史宇辉,王培玉.痛风的预防与生活方式管理[J].中华健康管理学杂志,2008,2(5):306-309.
[3]刘湘源,肖玉兰,任索琴,等,老年人高尿酸血症调查及影响因素分析[J].中华风湿病学杂志,2005,9(5):280-283.
[4]吴炜戎,郭阶明,杨薇,等.社区综合防治对痛风和高尿酸血症患病状况的影响[J].实用医技杂志,2008,15(28):3823-3825.
[5]苗志敏,赵世华,王颜刚,等.沿海居民痛风及高尿酸血症流行特点的随机、分层、整群抽样调查[J].中国组织工程研究与临床康复,2007,11(30):6087-6091.
[6]薛冰,丁东新,沈琪,等.老年人高尿酸血症的患病特征调查及相关因素分析[J].中国老年学杂志,2008,28(2):157-158.
[7]侯明辉,向红丁,陈伟,等.不同尿酸水平人群各种代谢综合征指标分析[J].中国慢性病预防与控制,2008,16(4):415-416.
[8]Sundstrom J,Sullivan L,D'Agostino RB,et al.Relations of serum uric acid to longitudinal blood pressure tracking and hypertension incidence[J].Hypertension,2005,45(1):28-33.
[9]Masuo K,Kawaguchi H,Mikami H,et al.Serum uric acid and plasma norepinephrine concentrations predict subsequent weight gain and blood pressure elevation[J].Hypertension,2003,42(4):474-480.
[10]张宁波,张帆,黄星涛,等.中老年人群高尿酸血症发病率及相关影响因素调查研究[J].中国当代医药,2013,20(17):164-165,170.
[11]李秀昕,刘丽平,许晓燕,等.高尿酸血症与冠心病关系的研究[J].中国当代医药,2012,19(30):59,61.