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某院体检人群中血尿酸增高与中医体质的相关性研究
作者:刘宣  王美玲  李辉  洪洁  李丽 
单位:铜陵市中医医院, 安徽 铜陵 244000
关键词:血尿酸增高 体检人群 中医体质 相关性 
分类号:R149.3
出版年·卷·期(页码):2018·46·第五期(492-496)
摘要:

目的:探讨体检人群中血尿酸增高与中医体质的相关性。方法:选取2016年10月至2017年11月体检人群中920例高尿酸血症(HUA)患者作为研究对象,以问卷调查方式采集信息资料并完善中医体质测评表,录入体质辨识软件分析结果。结果:17 382例体检人群中共发现HUA 920例,发病率5.29%,其中男性居多,占比78.48%,年龄>50岁患者占90.97%,其中60~70岁的发病率最高,占比32.17%。中医体质分布上,平和质患者占2.72%,偏颇体质患者占97.28%,其中以湿热型、痰湿型为主,分别占39.78%、27.72%。不同分型HUA与性别、饮酒史、BMI、血压、TC、TG、LDL-C、FPG、P2hPG等均呈正相关,而与年龄则呈负相关。结论:HUA与中医体质紧密相关,对偏颇体质患者应提早预防,特别是对体质量指数偏高及心血管疾病患者应予以重点关注并给予有效干预,以有效降低临床HUA的发生。

Objective: To investigate the correlation of elevated serum uric acid and TCM constitution of physical examination people in our hospital.Methods: 920 cases of hyperuricemia patients in physical examination in our hospital from October 2016 to November 2017 were selected as the research objects, the questionnaire was used to collect the information and improve the physique evaluation table of Chinese medicine, and the results were analyzed by the software of body identification software.Results: 920 cases of hyperuricemia (HUA) were found in 17 382 cases of physical examination crowd, the incidence rate was 5.29%. Adult male accounted for 78.48%, patients older than 50 accounted for 90.97%, in which the incidence rate of60-70 years old was the highest, accounting for 32.17%. TCM constitution distribution, the patients with mild constitution accounted for only 2.72%, and the proportion of patients with biased constitution was 97.28%, among them, damp heat type and phlegm dampness type accounted for 39.78% and 27.72%, respectively. Different typing HUA was positively correlated with gender, drinking history, BMI, blood pressure, TC, TG, LDL-C, FPG and P2hPG, but negatively correlated with age.Conclusion: Hyperuricemia is closely related with the Chinese constitution, the biased constitution of TCM in patients should be early prevened, in particular three patients with high body mass index should be paid attention to and give effective intervention to reduce the clinical incidence of hyperuricemia.

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