目的 探讨石家庄地区军队体检人群高尿酸血症的发病情况及相关因素.方法 对2012年3月-6月在我院进行健康体检的石家庄地区3438名军队干部进行血尿酸测定,同时询问病史,测量身高、体重(计算BMI)、血压,并检测血脂(胆固醇、甘油三酯)、血糖.结果 3438名军队干部中检出高尿酸血症493例,占14.34％,男性检出率显著高于女性(P＜0.01)；高尿酸血症见于各年龄组,但以40岁以上人群高发；高尿酸血症组中伴吸烟、嗜酒、肥胖等危险因素者的百分率均高于血尿酸正常组(P＜0.01),合并高血压、高血脂、高血糖者的百分率亦高于血尿酸正常组(P＜O.01).结论 驻石部队干部高尿酸血症患病率处于较高水平,在部队中应加强预防高尿酸血症的宣教,除纠正不良生活习惯、控制体重外,还应对高血压、高血脂、高血糖进行干预,以降低高尿酸血症的发生率.%Objective To explore the incidence rate and related factors of hyperuricemia in military personnel after annual physical check-ups. Methods Blood uric acid, case history, measurement of height and weight (calculated BMI) , blood pressure, serum lipids (cholesterol, triglycerides) and blood glucose of 3,438 army officers in Shijiazhuang area who took health examinations in our hospital during March and June in 2012 were detected. Results 493 (14. 34% ) out of 3,438 Army officers were detected with hyperuricemia and male detection rate was significantly higher than that of female (P <0. 01) ; hyperuricemia was detected in all age groups, but the high incidence rate was in those over the age of 40; the percentage of smoking, alcohol, obesity and other risk factors in hyperuricemia group were higher than those of normal blood uric acid group (P <0. 01), and combination of hypertension , high cholesterol and high blood sugar percentage were also higher than those of normal blood uric acid group (P < 0. 01). Conclusion Military personnel in Shijiazhuang have a high prevalence of hyperuricemia. Knowledge of prevention of hyperuricemia should be popularized among the military personnel in the armed forces and interference should be made in weight control, hypertension, hyperlipemia and hyperglycemia in order to reduce incidence rate of hyperuricemia.
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