凤山县壮族居民高尿酸血症患病情况与生活习惯关系的调查

Survey on the Relationship among the Prevalence of Hyperuricemia and the Zhuang Residents’ Lifestyles in Fengshan County

摘要: 目的：了解凤山县壮族居民高尿酸血症(HUA)患病情况及其影响因素，为HUA的综合防治提供理论依据。方法：采用分层随机整群抽样方法选取凤山县壮族居住自然村巴烈村和巴旁村≥20周岁的壮族居民，共743名，进行问卷、体检和血糖、血脂、血尿酸检测。结果：凤山县壮族居民的HUA患病率和标化患病率分别为17.0%和16.8%；不同性别、年龄、有无肥胖、有无糖尿病、血尿酸升高、胆固醇升高、甘油三酯升高、是否吸烟、是否饮酒、是否食肥肉或动物内脏、是否饮茶、是否素食和是否运动等特征壮族居民HUA患病率比较，差异均有统计学意义(P < 0.05或P < 0.01)，Logistic分析表明，高血压、肥胖、糖尿病、吸烟、食肥肉(或食动物内脏)等是凤山县壮族居民HUA患病的重要危险因素，患病风险分别是4.4、8.6、3.9、5.1和13.5倍。结论：凤山县壮族居民HUA患病率较高，吸烟、食肥肉和食动物内脏等生活习惯是凤山县壮族居民HUA患病的重要危险因素。 Objective: To figure out the prevalence of hyperuricemia (HUA) and affected factors of the Zhuang residents in Fengshan County, and provide theoretical basis for the integrated control on HUA. Methods: 743 residents who are more than 20-year-old participated in this study in Fengshan County Bapang and Balie Village based on stratified random cluster sampling method by testing blood sugar, blood lipid, uric acid, and also with the questionnaire and physical examination. Results: The prevalence and standardized prevalence of HUA among Fengshan County Zhuang residents were 17.0% and 16.8% respectively. There were statistical significance on HUA prevalence among the Zhuang residents with difference between gender, age, obesity, diabetes mellitus, elevated blood uric acid, cholesterol, triglycerides, smoking, drink alcoholic, eating fat or animal internal organs, tea, vegetables, and physical exercise (P < 0.05 or P < 0.01), while the logistic analysis shows that hypertension, obesity, diabetes mellitus, smoking, drink alcoholic, eating fat or animal internal organs are the main factors. And the rates of risks are 4.4, 8.6, 3.9, 5.1 and 13.5 times respectively. Conclusion: The prevalence on HUA of Fengshan County Zhuang residents is high. And the significant risk factors for Fengshan County residents with HUA are the habits of smoking, eating fat and animal internal organs.