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目的明确招远阜山镇九曲村与黄金村居民高尿酸血症与痛风的患病状况,并对其危险因素进行初步分析。方法对招远阜山镇九曲村与黄金村2个自然村居民高尿酸血症与痛风的患病状况进行调查。结果两村高尿酸血症、痛风的患病率比较差异有显著性(χ2=7.352、8.399,P<0.05)。非条件Logistics回归分析显示,肥胖及吸烟是女性高尿酸血症与痛风的独立危险因素;腹型肥胖及饮酒是男性高尿酸血症与痛风的独立危险因素。而高三酰甘油血症、舒张压升高及海鲜摄入量的增加是男女共有高尿酸血症与痛风的独立危险因素。结论九曲村居民高尿酸血症和痛风的患病率明显高于黄金村考虑与海产品的摄入频率与摄入量有关。减少海鲜的摄入量及频率、戒烟、戒酒、控制体质量、纠正糖脂代谢紊乱、控制高血压、增加体力活动和体育运动等是降低血尿酸和减少痛风发作的重要措施。
Objective To clarify the prevalence of hyperuricemia and gout among residents of Jiuqu Village and Golden Village in Fushan Town, Zhaoyuan County, and to analyze the risk factors. Methods The prevalence of hyperuricemia and gout in 2 villages of Jiuqu Village and Huangjin Village in Zhaoyuan, Fuyuan, Zhaoyuan were investigated. Results The prevalence of hyperuricemia and gout in the two villages was significantly different (χ2 = 7.352, 8.399, P <0.05). Non-conditional logistic regression analysis showed that obesity and smoking were independent risk factors for hyperuricemia and gout in women. Abdominal obesity and alcohol consumption were independent risk factors for hyperuricemia and gout in men. The hypertriglyceridemia, increased diastolic blood pressure and seafood intake is an independent risk factor for male and female with hyperuricemia and gout. Conclusion The prevalence of hyperuricemia and gout among residents of Jiuqu Village is obviously higher than that of Golden Village considering the frequency of intake of seafood and intake. Reduce the intake and frequency of seafood, smoking cessation, alcohol, body weight control, glucose and lipid metabolism disorders, control of hypertension, increase physical activity and sports are important measures to reduce blood uric acid and reduce gout attacks.