任丘地区门诊人群高尿酸血症的调查

目的 了解目前任丘地区门诊就诊人群高尿酸血症的患病率,分析高尿酸血症一年中患病率好发的季节性特点、该病的发生在年龄和性别上的差异；回顾性分析2005～2011年门诊就诊人群高尿酸血症的长期演化趋势.方法 收集2011年1～12月27 893例门诊就诊人员血尿酸水平的检测结果,并按性别、年龄段分组,季节性变化按性别分别进行每月的统计分析；长期演化趋势采用整群抽样的方法,数据时间2005～2011年,分别收集并整理每年门诊人群高尿酸血症的总体患病率.结果 季节性特点以7月份最高,男、女患病率分别为32.3％和16.9％；2005～2011年每年该病的总体患病率分别为11.1％、10.3％、11.5％、16.1％、14.1％、15.9％、18.4％.本地区高尿酸血症总体患病率为18.4％,其中男23.8％,女13.1％；各年龄段(20～30组、＞30～40组、＞40～50组、＞50～60组、＞60～70组和＞70组)男、女患病率分别为34.0％、30.4％、24.4％、19.4％、19.6％、21.3％和7.3％、9.9％、10.7％、13.1％、18.2％、22.4％.结论 本地区居民高尿酸血症总体患病率近年有明显上升的趋势.2011年高尿酸血症男、女均以第三季度最为好发,患病率男性明显高于女性,建议将血尿酸作为常规体检项目,做到早发现、早预防、早治疗.

Investigation on hyperuricemia of out-patients population in Renqiu

Objective To investigate the incidence of hyperuricemia of out-patients population in Renqiu, and analyze the characteristics of season,age and gender during a whole year. We also analyzed retrospectively the trends of the hyperuricemia of out-patients since 2005. Methods The test results of uric acid for 27 893 cases of out-patients were derided into two groups according to gender and age. The seasons variation by gender were monthly analyzed. The cluster sampling method was used for trends in long-term evolution from 2005 to 2011. The overall prevalence of hyperurieemia was caculated annually for out-patients. Results The highest prevalence was in July for the seasonal characteristics, with male of 32.3 % and female of 16.9 %, respectively. The overall prevalence of annual hyperuricemia were 11.1%,10.3%,11.5%,16.1%,14.1%,15.9% and 18.4% from 2005 to 2011. The overall prevalence of hyperuricemia in Renqiu was 18.4%, with male 23.8% and female 13.1%. The prevalence of hyperuricemia among male and female for each group （20-30, 〉 30-40, 〉40-50, 〉50-60, 〉60-70 and 〉70-years-old） were 34.0 %, 30.4 %, 24.4%,19.4%,19.6%,21.3% and7.3%,9.9%,10.7%,13.1%,lS. 2% ,22. 4%. Conclusion The overall prevalence of hyperuricemia in Renqiu is on a upward trend. Hyperuricemia in both male and female population mostly occurred in the third quarter. Prevalence rate of male population was significantly higher than that of female population （X^2 = 539.238, P 〈0.01）. Serum uric acid detection should be added into the routine medical examination for early detection, early prevention and early treatment.