嘉兴社区高龄老人高尿酸血症状况分析

Investigation on Incidence Status of Hyperuricemia in Senile Elderly of Jiaxing Community

目的分析嘉兴社区高龄老人高尿酸血症的患病现状及相关因素,探索社区综合防治措施。方法采用社区体检方法,对社区1075名80岁以上老人进行健康体检。结果 27.72%(298/1075)80岁以上老人血尿酸高于正常,其中24.07%(97/403)男性和29.91%(201/672)女性血尿酸高于正常;60.82%(59/97)男性伴肾功能异常,女性仅19.90%(40/201);38.14%(37/97)男性伴高脂血症,女性高达72.14%(145/201),这两项相关因素男女性别比差异均有统计学意义(P<0.05);40.00%(121/298)伴高血压;12.42%(37/298)伴糖尿病;18.14%(55/298)伴肥胖。结论高龄老人血尿酸增高女性略高于男性。肾功能异常、高血压病、糖尿病、高脂血症、肥胖等危险因素占有相当比例。根据现状,提倡定期健康体检,加强相关疾病的健康教育,重视无症状高尿酸血症的防治。

Objective To analyze the prevalence and related factors of hyperuricemia in senile elderly of Jiaxing Community and to explore effective community comprehensive prevention measures. Methods Basic physical examination was detected in 1 075 elders aged 80 and above through undergoing community physical examination. Results Among them, the rate of the elder- ly with high level BUA was 27.72% （298/1 075 ）, in which males accounted for 24.07% （97/403）and females for 29.91% （201/672） ;the number of patients with renal dysfunction was 60.82% （59/97） in males and only 19.90% （40/201） in females;the number of patients with hyperlipidemia was 38.14% （37/97） in males and high as 72.14% （ 145/201 ） in females. Two related faetors in sex ratio marked divergence in the statistics（P 〈 0.05 ）. The elderly patients ,whose BUA level was above normal, with hypertension and with obesity were 40.00% （121/298） and 12.42% （37/298） ,respectively. Conclusion The rate of female elderly patients with high level BUA is higher than that of males in Jiaxing Community. Renal dysfunction, hypertension, diabetic, hyperlipidemia and obesity accounted for a considerable proportion of the risk factors. We should encourage the elderly to have regular health examination, reinforce the health education of correlated diseases and pay attentions to the prevention of asymptomatic hyperuricemia.