来源：风湿病与关节炎,2018,7（11）:21-24.

山西省翼城县特殊群体高尿酸血症现况调查（调查研究）

张艳华，宋长明，张文权，刁慧萍

　　【摘　要】目的：了解翼城县公检法在职人员高尿酸血症（HUA）的患病情况及相关危险因素，为制订干预策略提供科学依据。方法：采用整群随机抽样法对313例公检法在职人员及300例普通健康人群进行问卷调查，了解吸烟、饮酒、锻炼等情况，计算体质量指数，测量血压，检测血尿酸、三酰甘油、胆固醇等指标，分组比较HUA患病率及血尿酸值。结果：公检法在职人员HUA患病率为19.49%，高于普通人群（13.00%）；男性HUA患病率及血尿酸值均高于女性；患病人群主要集中在青壮年，以31～40岁患病率最高（28.92%）；吸烟组、饮酒组、久坐不动组的HUA患病率和血尿酸值均高于不吸烟组、不饮酒组、经常锻炼组；体质量指数、血压、三酰甘油增高组的HUA患病率和血尿酸值均高于正常组；以上结果差异均有统计学意义（P < 0.05）。结论：公检法在职人员应高度重视HUA，尤其是青壮年男性、吸烟、饮酒、久坐不动人群，或伴有高体质量指数、高血压、高三酰甘油人群；应进行健康教育和早期干预，避免引起心、脑、肾等重要脏器的损伤。

　　【关键词】　高尿酸血症；患病率；特殊群体；现况调查

Prevalence Survey of Hyperuricemia Among Special Group in Yicheng County of Shanxi Province

ZHANG Yan-hua,SONG Chang-ming,ZHANG Wen-quan,DIAO Hui-ping

　　【ABSTRACT】Objective:To investigate the prevalence of hyperuricemia（HUA）and related risk factors among members of the public security bureau,procuratorate and court in Yicheng County of Shanxi Province,in order to to provide scientific basis for formulating intervention strategies.Methods:A cluster random sampling method was used to conduct a questionnaire survey among 313 members of the public security bureau,procuratorate and court and 300 healthy people,in order to learn their smoking,drinking and exercise condition,calculate their body mass index（BMI）,measure their blood pressure,and test their serum uric acid,triglyceride and cholesterol.The prevalence of HUA and serum uric acid were compared in groups.Results:The prevalence rate of HUA was 19.49% among members of the public security bureau,procuratorate and court,higher than that of the general healthy people（13.00%）.The prevalence rate of HUA and serum uric acid were higher in males than in females.the prevalence of HUA was mainly in young adults,and the highest was in the 31～40 years old（28.92%）.The prevalence of HUA and serum uric acid were higher in smoking,drinking and sedentary groups than the non-smoking group,non-drinking group and regular exercise group.The prevalence of HUA and serum uric acid in the groups with increased body mass index,blood pressure and triacylglycerol was higher than those in the normal group.The differences between above results were statistically significant（P < 0.05）.Conclusion:Members of the public security bureau,procuratorate and court should attach great importance to HUA,especially the young and middle-aged men addicted to smoking and drinking,sedentary people,or those with high body mass index,hypertension,and high triacylglycerol.Health education and early intervention should be carried out to avoid the damage of heart,brain and kidney.

　　【Keywords】 hyperuricemia;preva-lence rate;special group;prevalence survey