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目的了解新疆博尔塔拉地区4个民族(汉族、维吾尔族、哈萨克族、蒙古族)18岁以上居民的血尿酸水平及高尿酸血症患病率。方法从新疆博尔塔拉地区内采用分层整群随机抽样的方法抽取18岁以上的居民2042名,检测一般身体指标及尿酸水平,分析不同民族尿酸水平、高尿酸血症患病率。结果 (1)新疆博尔塔拉地区4个民族血尿酸水平差异有统计学意义(F=16.42,P﹤0.001)。(2)不同民族之间的高尿酸患病率差异有统计学意义(χ2=22.21,P﹤0.001)。男性患病率高于女性。(3)不同年龄段患病率差异有统计学意义(χ2=22.214,P﹤0.001)。(4)女性、不饮酒是该地区人群高尿酸血症的保护因素,而喝奶茶、甘油三酯、肌酐、血糖、体重指数是高尿酸血症的危险因素。结论新疆博尔塔拉地区血尿酸处于较高水平,高尿酸血症患病率较高;该地区高尿酸血症的防治应以汉族、男性、中老年人为重点,倡导健康的生活方式。
Objective To understand the prevalence of uric acid and the prevalence of hyperuricemia in four ethnic groups (Han, Uygur, Kazak and Mongolian) over 18 years old in Bortala, Xinjiang. Methods Totally 2,042 inhabitants over the age of 18 were sampled by stratified cluster sampling method from the Bortala region of Xinjiang. The general physical indexes and uric acid levels were measured. The prevalence of uric acid and hyperuricemia were analyzed. Results (1) There were significant differences in serum uric acid levels among four ethnic groups in Bortala, Xinjiang (F = 16.42, P <0.001). (2) The prevalence of high uric acid among different ethnic groups was statistically different (χ2 = 22.21, P <0.001). The prevalence of males is higher than that of females. (3) The prevalence of different age groups was statistically significant (χ2 = 22.214, P <0.001). (4) women, do not drink alcohol is the protective factor of hyperuricemia in the population, while drinking tea, triglyceride, creatinine, blood sugar and body mass index are the risk factors of hyperuricemia. Conclusion The prevalence of serum uric acid is high in Bortala region of Xinjiang, and the prevalence of hyperuricemia is high. The prevention and treatment of hyperuricemia in this area should focus on the Han nationality, male and middle-aged and elderly people, advocating a healthy life style.