首页|期刊导航|内科理论与实践|云南省临沧市云县17 313名高尿酸血症检出特征及生化指标分析

云南省临沧市云县17 313名高尿酸血症检出特征及生化指标分析OA

Analysis of hyperuricemia detection characteristics and biochemical indicators among 17 313 individuals in Yun County,Lincang City,Yunnan Province

中文摘要英文摘要

目的:了解云南省临沧市云县人群高尿酸血症(hyperuricemia,HUA)的流行特征,分析 HUA组与非HUA组空腹血糖(fasting blood glucose,FBG)、血脂及肝功能指标的差异.方法:收集 2024年 1月至 12月云县中医医院医学检验科 17 313名具有尿酸(uric acid,UA)检测结果者的资料进行回顾性分析,描述 HUA检出情况及其在不同性别、年龄组中的分布特征;其中 8 864名具有完整尿酸、FBG、血脂及肝功能检测资料,比较 HUA组与非 HUA组相关生化指标水平.结果:17 313 名检测者中共检出 HUA3 551例,检出率为 20.51%,男性 HUA 检出率 32.87%,高于女性 7.01%,差异具有统计学意义(P<0.01).男性 HUA检出率以 20~29岁组最高,为 48.33%,女性 HUA检出率以≥70岁组最高,为 11.51%.HUA组甘油三酯(triglyceride,TG)、低密度脂蛋白胆固醇(low-density lipoprotein cholesterol,LDL-C)、丙氨酸转氨酶(alanine aminotransferase,ALT)、天冬氨酸转氨酶(aspartate aminotransferase,AST)及 FBG异常升高.结论:云县尿酸检测人群 HUA检出率较高,男性检出率明显高于女性,青年男性和老年女性为 HUA高检出人群.建议针对重点人群开展血尿酸筛查、健康教育和生活方式干预,以降低HUA及相关代谢性疾病风险.

Objective To understand the epidemiological characteristics of hyperuricemia(HUA)in Yun County,Lincang City,Yunnan Province,and to compare the differences in fasting blood glucose(FBG),blood lipid,and liver function indicators between the HUA and non-HUA groups.Methods Data from 17 313 individuals with uric acid(UA)test results from the Department of Laboratory Medicine at Yun County Hospital of Traditional Chinese Medicine between January and December 2024 were retrospectively collected to describe the detection status of HUA and its distribution across gender and age groups.Among them,8 864 cases with complete UA,FBG,blood lipid,and liver function tests data were included to compare relevant biochemical indicators between the HUA and non-HUA groups.Results Among the 17 313 subjects,a total of 3 551 cases of HUA were identified,with a detection rate of 20.51%.The detection rate of HUA in males was 32.87%,higher than that in females(7.01%),with a statistically significant difference(P<0.01).The detection rate of HUA in males was highest in the 20-29 age group(48.33%),whereas in females,the rate was highest in the≥70 age group(11.51%).Individuals with HUA exhibited abnormally elevated levels of triglyceride(TG),low-density lipoprotein cholesterol(LDL-C),alanine aminotransferase(ALT),aspartate aminotransferase(AST),and FBG.Conclusions The detection rate of HUA in the UA testing population in Yun County is relatively high,with a significantly higher detection rate in males than in females.Young males and elderly females are the groups with high HUA detection rates.It is recommended to carry out blood UA screening,health education,and lifestyle interventions for key populations to reduce the risk of HUA and related metabolic disorders.

石沁;郭先娟;郑家丽;戴礼陶;杨琳;查建然

云县中医医院医学检验科,云南 云县 675800云县中医医院医学检验科,云南 云县 675800云县中医医院医学检验科,云南 云县 675800云县中医医院医学检验科,云南 云县 675800云县中医医院医学检验科,云南 云县 675800云县中医医院医学检验科,云南 云县 675800

医药卫生

高尿酸血症尿酸性别年龄生化指标

hyperuricemiauric acidgenderagebiochemical indicators

《内科理论与实践》 2026 (3)

252-256,5

10.16138/j.1673-6087.2026.03.10

评论