摘要
目的：观察天津市老年健康体检人群血尿酸水平，并探讨老年高尿酸血症的相关危险因素，以阐明老年健康体检中血尿酸检测的重要性。方法选取2011年进行健康体检的老年人共1922例，分别测定血尿酸、空腹血糖、总胆固醇、TG、HDL-C及LDL-C水平，并记录其年龄、性别、身高、腰围、体质量及血压，阐明老年高尿酸血症的相关危险因素。结果天津市老年体检人群高尿酸血症的检出率为12．02％，其中男性为16．69％，女性为3．86％，同年龄组高尿酸血症检出率男性均高于女性，差异有统计学意义（ P＜0．05）；老年男性血尿酸水平与体质指数、腰围、空腹血糖、TG、总胆固醇及LDL-C水平呈正相关，与HDL-C呈负相关（r值分别为0．198，0．217，0．122，0．157，0．135，0．110，-0．147；P＜0．05）；老年女性血尿酸水平与年龄、体质指数、腰围、收缩压及TG水平呈正相关，与HDL-C呈负相关（ r值分别为0．147，0．273，0．251，0．127，0．284，-0．222；P＜0．05）；高尿酸者并存3个及其以上上述因素男性占62．56％，女性占64．30％。结论老年人血尿酸水平与体质量超标、高血压及脂代谢紊乱相关，且上述危险因素在高尿酸血症患者中有聚集倾向。
Objective To explore the level of serum uric acid in the senile population receiving physical examinations and correlated factors of the senile hyperuricemia , and explain the importance of serum uric acid examination in senile population .Methods A total of 1 922 senile cases who had physical examinations in 2011 was selected , whose serum uric acid , fasting blood glucose , total cholesterol , triglyceride ester, high-density lipoprotein cholesterol and low-density lipoprotein cholesterol were tested , recording their＆amp;nbsp;age, gender, height, waist circumference, weight and blood pressure, to illustrate the correlated factors of the senile hyperuricemia.Results The detection rate of hyperuricemia was 12.02%, 16.69% for male, and 3.86%for female.In the same age group, males detection rate was higher than females with a significant difference （P＆lt;0.05）.The senile men serum uric acid level was positively correlated with body mass index , waist circumference,FBG,TG,TC,LDL-C, and was negatively correlated with HDL-C （r=0.198,0.217,0.122, 0.157,0.135,0.110,-0.147,respectively;P＆lt;0.05）; while senile women had positive correlation with age , body mass index,waist circumference,diastolic blood pressure,TG, and negative correlation with HDL-C （r=0.147,0.273,0.251,0.127,0.284,-0.222,respectively;P＆lt;0.05）.For hyperuricemia patients coexisted three and more factors, male accounted for 62.56% and female accounted for 64.30%.Conclusions The senile population serum uric acid level is not only correlated with overweight , high blood pressure , and lipid disorders, but these risk factors have a gathering tendency in patients with hyperuricemia .
出处
《中华现代护理杂志》
2014年第6期646-649,共4页
Chinese Journal of Modern Nursing
基金
基金项目：天津市科技计划项目（11ZCGYSY05700）
关键词
老年人
高尿酸血症
血尿酸
健康体检
影响因素
Senile population
Hyperuricemia
Serum uric acid
Physical examination
Influence factors
