湛江市公务员高尿酸血症及相关性疾病的调查分析(1)
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[摘要] 目的：探讨高尿酸血症(HUA)在公务员中的分布特点及相关疾病的检出率，为心脑血管疾病和代谢性疾病的一级预防提供科学依据。方法：对2008年1月~2010年12月湛江市7 943例公务员HUA及相关性疾病(超体重、高血压、脂肪肝、血糖、血脂异常等)资料进行回顾性分析。结果：湛江市公务员HUA检出率为22.01%(1 748/7 943)，男性公务员HUA检出率(29.24%，1 654/5 657)显著高于女性公务员(4.11%，94/2 286)，差异有高度统计学意义(P<0.001)，且男性HUA主要分布在30~49岁年龄组。HUA患者组的超体重、高血压、脂肪肝、血糖、血脂异常检出率(45.65%、24.54%、70.42%、12.87%、50.69%)明显高于尿酸正常组(24.44%、15.37%、42.11%、9.35%和31.25%)，差异均有统计学意义(均P<0.01)。结论：公务员HUA检出率较高，HUA与年龄、性别等因素有关，HUA人群心脑血管疾病和代谢性疾病的检出率性高于正常人群。
[关键词] 高尿酸血症；检出率；调查；心脑血管疾病；公务员
[中图分类号] R589.7 [文献标识码] C [文章编号] 1673-7210(2011)12(a)-153-02
Investigation and analysis of hyperuricemia and related diseases in civil servants of Zhanjiang city
LIAO Mei, LIANG Qiaoying
Health Medical Center, Zhanjiang Central People's Hospital, Guangdong Province, Zhanjiang 524000, China
[Abstract] Objective: To investigate the distribution of hyperuricemia (HUA) and the relevance ratio of related diseases in civil servants, in order to provide scientific basis for primary prevention of cardiovascular diseases and metabolic diseases. Methods: The data of HUA and related diseases (overweight, hypertension, fatty liver, hyperglycemia, dyslipidemia) in 7 943 civil servants of Zhanjiang city from January 2008 to December 2010 were analyzed retrospectively. Results: The incidence of HUA in the civil servants of Zhanjiang city was 22.01% (1 748/7 943). The incidence of HUA in the male civil servants (29.24%, 1 654/5 657) was significantly higher than that in the female civil servants (4.11%, 94/2 286) (P<0.001), and HUA mainly occured in 30 to 49 age group of male civil servants. Relevance ratio of overweight, hypertension, fatty liver, hyperglycemia, dyslipidemia of HUA group (45.65%, 24.54%, 70.42%, 12.87% and 50.69% respectively) were significantly higher than those of normal uric acid group (24.44%, 15.37%, 42.11%, 9.35% and 31.25% respectively) (all P<0.01). Conclusion: The incidence of HUA in civil servants is high. The prevalence of HUA is associated with factors of age and gender. The relevance ratio of cardiovascular disease and metabolic disease of HUA group is higher than normal group ......
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