摘要
目的了解上海市大场社区老年高尿酸血症患者的血尿酸情况,并分析血尿酸水平对血脂水平的影响。方法选取2019年在上海市大场社区管理的老年高尿酸血症患者348例。依据患者血尿酸控制是否达标分为血尿酸不达标组和达标组,再根据患者是否有痛风发作等进-.步将血尿酸达标组和不达标组分为高尿酸f血症组和痛风组两个亚组,观察并比较两个亚组患者的d血尿酸.总胆固醇、甘油三酯.高密度脂蛋白胆固醇和低密度脂蛋白胆固醇水平。结果血尿酸不达标组中。痛风组患者甘油三酯异常率高于高尿酸血症组.差异具有统计学意义(P<0.05)。血尿酸达标组中,高尿酸血症组患者总胆固醇和低密度脂蛋白胆固醇异常率高于痛风组,差异具有统计学意义(P<0.05)。结论全科医生在老年高尿酸血症患者的日常管理中,对于血尿酸控制情况欠佳且有痛风发作的患者,应重点监测其甘油三酯水平,而对于血尿酸控制较好且未发作过痛风的患者,则应注意监测其总胆固醇和低密度脂蛋白胆固醇水平,从而有利f及时发现患者的高脂血症,以便尽早进行临床干预,改善患者预后。
Objective To understand the serum uric acid of elderly patients with hyperuricemia(HUA)in Dachang Community of Shanghai,and to analyze the effect of serum uric acid level on serum lipid level.Methods A total of 348 elderly patients with HUA managed by Dachang Community in Shanghai in 2019 were selected.According to whether the serum uric acid(SUA)control of the patients is up to standard,they are divided into the SUA non-standard group and the SUA standard group.According to whether the patient has gout attacks,the SUA non-standard group and the SUA standard group are further divided into two subgroups,the hyperuricemia group and the gout group.Serum uric acid,total cholesterol,triglycerides,high-density lipoprotein cholesterol,and low-density lipoprotein cholesterol levels of patients in two subgroups were compared.Results In the SUA nonstandard group,the abnormal triglyceride rate of patients in the gout group was significantly higher than that in the hyperuricemia group(P<0.05).In the SUA standard group,the abnormal rate of total cholesterol and low-density lipoprotein cholesterol in the hyperuricemia group was significantly higher than that in the gout group(P<0.05).Conclusion In the daily management of patients with HUA,general practitioners should focus on monitoring their triglyceride levels for patients with poor SUA control and gout attacks,and pay attention to monitoring the levels of total cholesterol and low-density lipoprotein cholesterol for patients who have well controlled serum uric acid and no gout attacks,which is conducive to timely detection of patients with hyperlipidemia,so as to carry out clinical intervention as soon as possible to improve the prognosis of patients.
作者
陶剑文
陈晟
王敬丽
严慧艳
周微
TAO Jianwen;CHEN Sheng;WANG Jingli;YAN Huiyan;ZHOU Wei(Office of Dachang Community Health Service Center,Dachang Town,Baoshan District,Shanghai,Shanghai 200442,China)
出处
《中国实用乡村医生杂志》
2021年第9期47-50,共4页
Chinese Practical Journal of Rural Doctor
关键词
高尿酸血症
社区
上海
老年人
痛风
血尿酸
血脂
影响
分析
Hyperuricemia
Community
Shanghai
Elderly
Gout
Serum Uric Acid
Serum Lipid
Effect
Analysis
