摘要
目的:了解老年人高尿酸血症危险因素及与中医体质相关性,为高尿酸血症的早期预防提供科学依据。方法:以2019年1—12月在天津市滨海新区杭州道街向阳社区卫生服务中心及社区服务站参与老年查体的8265名居民为研究对象,其中高尿酸血症患者662人,将其纳入高尿酸血症组。同时,按照1∶2的比例,随机抽取尿酸正常者1324人纳入对照组。分析两组老年人中医体质差异及老年人患高尿酸血症的影响因素。结果:老年人高尿酸血症患病率为8.0%,其中男性为14.5%,女性为3.4%。高尿酸血症组血瘀质占比(5.59%)高于尿酸正常组(3.02%),差异有统计学意义(χ^(2)=7.168,P<0.05);痰湿质占比(15.26%)高于尿酸正常组(11.25%),差异有统计学意义(χ^(2)=0.495,P<0.05);阴虚质占比(11.18%)低于尿酸正常组(15.25%),差异有统计学意义(χ^(2)=4.695,P<0.05);阳虚质占比(6.95%)低于尿酸正常组(10.20%),差异有统计学意义(χ^(2)=4.729,P<0.05)。多因素logistic回归分析结果显示,超重和肥胖、高甘油三酯血症、肌酐及尿素氮异常、高血压、心电图结果异常是老年人患高尿酸血症的影响因素。结论:天津市滨海新区杭州道街老年人高尿酸血症患病率与天津市既往研究一致,其影响因素与既往研究类似。基层医疗机构在慢性病管理中应充分发挥中西医结合优势,结合本病中医体质分布情况进行综合防治,以提升管理效果。
OBJECTIVE To Understand the risk factors of hyperuricemia and the correlation with TCM constitution in the elderly.METHODS From January to December 2019,8265 residents who participated in the elderly physical examination in Xiangyang Community Health Service Center and Community Service Station,Hangzhou Dao Street,Binhai New Area,Tianjin,among whom 662 hyperuricemia patients,were included in the hyperuricemia group.According to the ratio of 1:2,1324 people with normal uric acid were randomly selected and included in the control group.TCM physical differences between the two groups were analyzed,and multivariate logistic regression was used to analyze the influencing factors of hyperuricemia in the elderly.RESULTS The prevalence of hyperuricemia was 8.0%,with 14.5%in men and 3.4%in women.The proportion of blood stasis and quality in hyperuricemia group(5.59%)was higher than that in normal uric acid group(3.02%),The difference was statistically significant(χ^(2)=7.168,P<0.05);The proportion of phlegm and wet matter(15.26%)was higher than that of the normal uric acid group(11.25%),The difference was statistically significant(χ^(2)=0.495,P<0.05);The proportion of Yin deficiency mass(11.18%)was lower than that of the normal uric acid group(15.25%),The difference was statistically significant(χ^(2)=4.695,P<0.05);The proportion of Yang deficiency quality(6.95%)was lower than that of the normal uric acid group(10.20%),The difference was statistically significant(χ^(2)=4.729,P<0.05).The results of the multivariate logistic regression analysis showed that overweight and obesity,hypertriglyceridemia,abnormal creatinine and urea nitrogen,hypertension,and abnormal ECG resultswere the influencing factors of hyperuricemia in the elderly.CONCLUSION The prevalence of hyperuricemia in the elderly in Hangzhou Street,Binhai New Area,Tianjin is consistent with previous studies in Tianjin,and the influencing factors are similar to those in previous studies.Grassroots hospitals should give full play to the advantages of integrated traditional Chinese and western medicine in the management of chronic diseases,and carry out comprehensive prevention and treatment combined with the physical distribution of the disease,so as to improve the management effect.
作者
王朝旭
兰阿勇
杨硕
柴蕊
孙宝巍
WANG Zhao-xu;LAN A-yong;YANG Shuo;CHAI Rui;SUN Bao-wei(Xiangyang Community Health Service Center,Hangzhou Road Street,Binhai New Area,Tianjin,300450,China)
出处
《中国初级卫生保健》
2022年第9期52-55,共4页
Chinese Primary Health Care
基金
天津市滨海新区卫生计生委科技项目(2018BWKJ039)。
关键词
老年人
高尿酸血症
影响因素
中医体质
慢性病管理
elderly people
hyperuricemia
influencing factors
traditional Chinese medicine constitution
chronic disease management
