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目的了解湖北省咸宁市机关企事业单位职工代谢综合征(metabolic syndrome,MS)和高尿酸血症(hyperuricemia,HUA)的患病率,探讨HUA与MS的关系。方法采用随机整群的抽样方法,以咸宁市的机关企事业单位为基本抽样单位,共选取4 338名职工为研究对象,对研究对象进行问卷调查、体格检查和实验室检查。运用SPSS 18.0统计软件进行数据分析,采用χ~2检验和多因素非条件Logistic回归分析不同尿酸水平对代谢综合征患病的影响。结果 HUA、MS、HUA合并MS的患病率分别为8.55%,24.00%,4.38%,男性的患病率均高于女性(P<0.05);随着尿酸水平的上升,代谢综合征的患病率逐渐升高,代谢综合征的患病风险进行性增加。结论咸宁市机关企事业单位职工的高尿酸血症、代谢综合征、高尿酸血症合并代谢综合征患病率较高,HUA与MS之间关系密切,高尿酸血症是代谢综合征的危险因素,在流行病学相关调查中,应该将血尿酸水平作为重要的检查指标。
Objective To understand the prevalence of metabolic syndrome (MS) and hyperuricemia (HUA) among government agencies and public institutions in Xianning City, Hubei Province, and to explore the relationship between HUA and MS. Methods A random cluster sampling method was used, and agencies and public institutions in Xianning were selected as the basic sampling units. A total of 4 338 workers were selected as research subjects, and questionnaires, physical examination and laboratory tests were conducted on the subjects. SPSS 18.0 software was used to analyze the data, andχ ~ 2 test and multivariate non-conditional logistic regression analysis were used to analyze the influence of different uric acid levels on the prevalence of metabolic syndrome. Results The prevalences of MS with HUA, MS and HUA were 8.55%, 24.00% and 4.38%, respectively. The prevalence of male was higher than that of female (P <0.05). With the increase of uric acid level, the prevalence of metabolic syndrome The disease rate gradually increased, the risk of metabolic syndrome increased progressively. Conclusion The prevalence rates of hyperuricemia, metabolic syndrome and hyperuricemia with metabolic syndrome are higher in workers and staffs of enterprises and public institutions in Xianning City. There is a close relationship between HUA and MS, and hyperuricemia is the risk of metabolic syndrome Factors in the epidemiological investigation, the level of serum uric acid should be an important test indicators.