广东省部分运动员血尿酸水平分析

Serum Uric Acid Levels Analysis of Some Athletes in Guangdong Province

【目的】了解广东省部分运动员血尿酸（SUA）水平及高尿酸血症（HUA）发病率，为运动员健康指标监测和合理膳食结构提供依据。【方法】采用简单随机抽样法，在广东省体育训练中心简单随机抽样400名运动员（最终检测378人），其中分男性组251人，女性组127人；9～14岁少年组42人，15～25岁青年组336人；水上项目组122人，陆上项目组256人；以SUA和尿液pH的测定结果进行统计分析，计数资料应用X^2检验。【结果】男性组平均SUA水平为（7．45±1．27）mg／dL（普通男性正常值4～6mg／dL），女性组平均SUA水平为（5．86±0．95）mg／dL（普通女性正常值3～5mg／dL），两组运动员的平均值都高于普通正常值；男性组的高尿酸血症（HUA）发病率为55．37％，女性组HUA发病率为40．15％，两组有显著性差异（X^2=7．81，P〈0．01）；少年组高尿酸血症发病率为26．20％，青年分组高尿酸血症发病率为53．27％，两组有显著性差异（xz=10．95，P〈0．001）；水上项目组HUA发病率58．19％，陆上项目组HUA的发病率46．48％，两组有显著性差异（X^2=4．53，P〈0．05）。【结论】广东省运动员的HUA的发病率远高于国内外的平均水平，与性别、年龄及不同运动训练项目密切相关，提示我们要密切关注运动员的SUA监测，加强合理的饮食结构和生活方式指导，预防和减少HUA的发生，进而减少痛风的发生，消除运动伤病的隐患。

[Objective] To understand the level of Serum Uric Acid （SUA） and the Hyperuricemia （HUA） incidence of athletes in Guangdong province, and provide basis of health indicators monitoring and dietary structure for athletes. [ Methods ] Using simple random sampling method, a simple random sample of 400 athletes from sports training center in Guangdong Province （finally testing of 378 people）, the male athletes group is 251 people, and the female athletes group is 127 people; the 9 - 14 years old athletes group is 42 people, and the 15 - 25 years old athletes group is336 people; the aquatic sports group is 122 people, and the land sports group is 256 people. The SUA and the urine pH of athletes were analyzed by using X^2- test. [Results] The SUA levels average of male athletes group were （7.45 ± 1.27）mg/dL （the normal value of ordinary male is 4 - 6 mg/dL）, and the SUA levels average of the female group were （5.86 ± 0.95 ）mg/dL （the normal value ofordinary female is 4 - 6 mg/dL）, showing that the SUA levels of both male and female athletes were higher than that of ordinary people. The HUA （SUA ≥7.00 mg/dL） incidence of male athletes was 55.37%, and the HUA （SUA ≥ 6.00 mg/dL） incidence of female athletes was 40.15%, showing that there was significant difference between these two groups（X^2 = 7.81 ,P 〈 0.01 ）. The HUA incidence of young athletes group was 26.20%, and the HUA incidence of elder young athletes group was 53.27% ,showing that there was significant difference between these two groups （X^2 = 10.95,P 〈 0.001 ）. The HUA incidence of the aquatic sports group was 58.19%, and the HUA incidence of the land sports group was 46.48%,showing that there was significant difference between these two groups （X^2 = 4.53,P 〈 0.05）. [ Conclusion] The HUA incidence of athletes in Guangdong province is higher than that of ordinary people, related to gender, age, and training sports, indicating that monitoring the athletes＇ SUA, the correct dietary structure and lifestyle guidance are good for preventing HUA and Gout in athletes, and reducing sports injuries.