老年人高尿酸血症、高血压患病情况及其血脂的分布分析

摘要

目的：调查分析老年人高尿酸血症（HUA）、高血压患病情况及其血脂的分布分析。方法：对某体检中心老年人2552例体检结果测定血尿酸( SUA )、总胆固醇( TC)、甘油三酯( TG)、高密度脂蛋白(HDLC)和低密度脂蛋白( LDLC)，同时测量血压( BP)，用多因素方差分析来分析高血压和HUA的关系。结果：受检者HUA患病率为23.7%,血尿酸增高患病率为18.1%，高血压患病率为43.6%。单纯血尿酸增高、单纯HUA、单纯高血压、高血压伴血尿酸增高和高血压伴HUA者TC、TG、LDL-C均值高于正常组(P值均<0.01)，TC、TG、HDL-C、LDL-C异常率也高于正常组(P值均<0.01)。结论：老年人HUA和高血压患病率较高，血脂代谢紊乱是HUA和高血压的共同发病基础，血尿酸增高、高血压与动脉粥样硬化疾病的发生发展密切相关。%Objective To investigate the prevalence rate of hyperuricaemia and hypertension and the relationship between blood lipid in the old person, and to provide reference for the health care. Methods The clinical data of 2552 elderly people,who underwent medical examination,were retrospectively analyzed.The blood uric acid (SUA) , the total cholesterol (TC) , the triglyceride (TG) , the high density lipoprotein (HDLC) and the low density lipoprotein (LDLC) , the blood pressure (BP) was tested. The relevance between hypertension and hyperuricaemia was analyzed by multifactor analysis. Results The morbidity of HUA was 23.7%, rising SUA was 18.1%and hypertension was 43.6%. In various groups of simple rising SUA, simple hyperuricaemia, simple hypertension, hypertension associated with rising SUA and hypertension associated with hyperuricaemia, with the level of TC, TG, LDLC were all higher than that the normal group(P<0. 01) . The abnormality rate of patients' TC, TG, HDLC, LDLC was also higher than the normal group(P<0.01) . Conclusion The old person who contracted with HUA and hypertension have a high prevalence rate, metabolism disorder of blood lipid ismutual pathogentic foundation of hypertension and hyperuricaemia, rising SUA and hypertension have closely related with atherosclerosis diseases' occurrence development.