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目的调查火车司机对高尿酸血症(HUA)的认知情况及相关危险因素。方法测定474名电力机车司机的体重指数(BMI)、血尿酸、血糖、血压、血脂谱、腹部超声等指标,根据血尿酸水平分为HUA组和尿酸正常组,比较二组间各项指标的差异,分析血尿酸与其他指标的相关性。并对HUA者进行问卷调查,了解其工作强度、生活习惯及对HUA的认知情况。结果 HUA组的超重率、高血压患病率、血脂异常率、脂肪肝检出率高于尿酸正常组(P分别为<0.01、<0.05、<0.01、<0.01)。多因素logistic回归分析显示,超重和血脂异常是HUA的危险因素,OR值分别为3.88(1.66~9.07)、2.24(1.04~4.82)。调查问卷显示HUA组多有吸烟饮酒习惯。结论火车司机对HUA认知程度尚不足。HUA与超重、高血压、血脂异常等因素有关,应加强对HUA的健康教育。
Objective To investigate the train driver cognition of hyperuricemia (HUA) and related risk factors. Methods The BMI, blood uric acid, blood glucose, blood pressure, blood lipid profile, abdominal ultrasound and other indexes of 474 electric locomotive drivers were determined and divided into HUA group and normal uric acid group according to the level of serum uric acid. Differences, analysis of serum uric acid and other indicators of relevance. And HUA who conducted a survey to understand the intensity of their work, lifestyle and knowledge of the HUA. Results The rates of overweight, hypertension, dyslipidemia and fatty liver in HUA group were higher than those in normal uric acid group (P <0.01, <0.05, <0.01, <0.01). Multivariate logistic regression analysis showed that overweight and dyslipidemia were risk factors for HUA, with OR values of 3.88 (1.66-9.07) and 2.24 (1.04-4.82), respectively. The questionnaire showed that the HUA group had more alcohol drinking habits. Conclusion Train drivers are not well aware of HUA. HUA and overweight, hypertension, dyslipidemia and other factors, should strengthen the health education HUA.