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目的探讨农村老年人高尿酸血症与血脂异常之间的相关性。方法比较高尿酸患者和尿酸正常组的发病率,分析高尿酸与血脂异常之间的关系。结果农村老年男女尿酸(UA)增高合并甘油三酯(TG)增高患者发生率均明显高于UA正常的发生率(χ2男=17.5,P<0.01;χ2女=32.2,P<0.05)。此外老年女性UA增高合并总胆固醇(TC)增高、低密度脂蛋白胆固醇(LDL-C)增高、高密度脂蛋白胆固醇(HDL-C)增高、混合性血脂增高发生率均明显高于UA正常的发生率。高尿酸危险因素分析示TG是高尿酸的危险因素(OR=2.378)。结论农村老年人高尿酸血症与TG检出率密切相关,TG是高尿酸血症的危险因素,因此在健康体检中推行血尿酸和血脂分析常规筛查,对早期发现早期治疗有相当意义。
Objective To investigate the correlation between hyperuricemia and dyslipidemia in rural elderly. Methods The incidence of high uric acid patients and normal uric acid group were compared to analyze the relationship between hyperuricemia and dyslipidemia. Results The incidence of elevated uric acid (UA) and triglyceride (TG) in elderly men and women was significantly higher than that of normal UA (χ2 = 17.5, P <0.01; χ2 = 32.2, P <0.05). In addition, elderly women with elevated UA combined with increased total cholesterol (TC), low density lipoprotein cholesterol (LDL-C) increased high-density lipoprotein cholesterol (HDL-C) increased the incidence of mixed lipids were significantly higher than normal UA Occurrence rate. Analysis of risk factors for hyperuricemia TG is a risk factor for hyperuricemia (OR = 2.378). Conclusion The prevalence of hyperuricemia in the elderly in rural areas is closely related to the detection rate of TG. TG is a risk factor of hyperuricemia. Therefore, routine screening of serum uric acid and lipids in healthy physical examination is of great significance for the early detection of early treatment.