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目的:了解老年人高尿酸血症(HUA)的发病率及血尿酸水平与体重指数(BMI)、甘油三酯(TG)、糖化血红蛋白(HbA_(1c))和高血压的关系。方法:分析3 279例65岁以上老人的血尿酸、BMI、TG、HbA_(1c)和血压,探讨血尿酸水平与体质指数、BMI、TG、HbA_(1c)和高血压的关系。结果:血尿酸异常率19.8%,超重肥胖率39.3%,血压异常率21.6%,HbA_(1c)异常率24.3%,TG异常率32.8%。与血尿酸正常组相比,高尿酸血症组血压、TG、HbA_(1c)和BMI异常的检出率明显升高,差异具有统计学意义(P<0.001)。结论:高尿酸血症在老年人群中患病率高。老年人的高尿酸血症与肥胖、高血脂、高血糖和高血压关系密切。
Objective: To investigate the incidence of hyperuricemia (HUA) and the relationship between serum uric acid and body mass index (BMI), triglyceride (TG), glycosylated hemoglobin (HbA 1c) and hypertension in the elderly. Methods: Serum uric acid, BMI, TG, HbA 1c and blood pressure were analyzed in 3 279 elderly people over 65 years old to investigate the relationship between serum uric acid level and body mass index, BMI, TG, HbA 1c and hypertension. Results: The abnormal rate of blood uric acid was 19.8%, the rate of overweight and obesity was 39.3%, the rate of abnormal blood pressure was 21.6%, the abnormal rate of HbA 1c was 24.3% and the abnormal rate of TG was 32.8%. Compared with the normal group, the detection rate of abnormal blood pressure, TG, HbA_ (1c) and BMI in hyperuricemia group was significantly higher (P <0.001). Conclusion: Hyperuricemia has a high prevalence in the elderly population. Hyperuricemia in the elderly is associated with obesity, hyperlipidemia, hyperglycemia and hypertension.