包头地区不同性别痛风患者发病特征研究

Study on the pathogenic characteristics of gout patients of different sexes in Baotou

目的:分析包头地区不同性别痛风患者发病特征情况。方法:对门诊就诊的374例痛风患者通过手机扫描调查问卷二维码,在线填写调查问卷,下载问卷数据统计。结果:男性在21~30岁发病低于女性(P<0.05),31~50岁男性发病高于女性(P<0.05),51~60岁女性发病高于男性(P<0.05);女性以蒙古族、专业技术人员发病率高,男性商服人员发病率高(P<0.05);男女性患者居住市区较居住于城镇和中高等收入者发病高;男、女性大专及本科学历发病率高(P<0.05);男性家族中有高血压者,更易合并高血压病,女性家族中心血管病较多,女性更易合并心血管病(P<0.05);男性首发部位以足趾跖关节、踝关节居多,女性以膝关节、手指关节居多(P<0.05);发病诱因男性以饮酒、剧烈活动较多,女性以突然受冷居多(P<0.05)。结论:女性发病较男性晚,蒙古族女性发病率高,男性商服人员发病率高;男女性居住市区、大专及本科学历、中高等收入者发病率高;男性家族中有高血压者,更易合并高血压,女性家族中有心血管病者,女性更易合并心血管病;男性首发部位以足趾跖关节、踝关节居多,女性以膝关节、手指关节居多;发病诱因男性以饮酒、剧烈活动居多,女性以突然受冷居多。

Objective:To analyze the incidence characteristics of gout patients of different genders in Baotou area.Methods:374 outpatients with gout scanned two-dimensional code of the questionnaire by mobile phone,filled in the questionnaire online,and downloaded the data of the questionnaire.Results:The morbidity of males aged 21-30 was lower than that of females,the morbidity of males aged 31-50 was higher than that of females,and the morbidity of females aged 51-60 was higher than that of males,with no statistical significance(P>0.05);the morbidity of females was higher among Mongolian and professional technicians,and that of male of commercial clothing personnel was higher,with statistical significance(P<0.05);the morbidity of male and female patients living in urban areas and with middle and high incomes was higher than those living in suburban.The morbidity of male and female with college and undergraduate education was higher,with statistical significance(P<0.05).The gout males from family with hypertension were more likely to have hypertension and the gout females from family with cardiovascular diseases were more likely to have hypertension,with statistical significance(P<0.05).The first symptoms of males were in toe metatarsal and ankle joints,and females were in the knee and finger joints,with statistical significance(P<0.05).Evoking factors of males were mainly drinking and vigorous activity,and the females were catching a sudden cold,with statistical significance(P<0.05).Conclusion:The incidence of female is later than that of male,the incidence of Mongolian women is higher,the incidence of male business uniform personnel is higher;the incidence of male and female living in urban areas,with college and undergraduate education and middle and high income is higher;hypertension is more likely to be complicated in male family,cardiovascular disease is more likely in female family;the first place of male is toe metatarsal joint and ankle,the first place of female is knee joints and finger joints;most of males were induced by drinking and vigorous activity,and most of females were sudden cold.