某市交通警察高尿酸血症患病情况及相关危险因素分析

目的 分析某市交通警察高尿酸血症患病情况和相关危险因素, 为减少该职业人群高尿酸血症的发生提供参考。
方法 选择该市2015年参加体检的2 228名交通警察作为研究对象, 并在体检现场完成问卷调查, 计数资料组间差异采用χ2检验, 采用非条件logistic回归分析法分析高尿酸血症的相关危险因素。
结果 研究人群以男性为主(占89.10%), 平均年龄为(41.33 ±7.51)岁, 高尿酸血症粗患病率为53.30%, 有随年龄增长而增高的趋势(P < 0.05);不同年龄段人群血尿酸平均水平差异有统计学意义(P < 0.05), 其中以40~年龄组血尿酸平均水平最高, 达(434.76 ±98.07)μmol/L。同体质量指数正常、女性和无高甘油三酯血症相比, 超重(OR=2.25, 95%CI:1.86~2.72)、肥胖(OR=3.49, 95%CI:2.35~5.18)、男性(OR=3.48, 95%CI:2.52~4.80)以及高甘油三酯血症(OR=2.22, 95%CI:1.76~2.79)均可能是患高尿酸血症的危险因素。
结论 某市交通警察高尿酸血症粗患病率较高, 应重点关注45岁以上交通警察的身体健康, 加强对他们的健康教育, 以减少高尿酸血症的发生。

Prevalence and risk factors of hyperuricemia of traffic police in a city

Objective To understand the prevalence and risk factors of hyperuricemia of traffic police in in a city, and furthermore to provide orientation to intervene the hyperuricemia in this occupational group. Methods Totally 2 228 traffic police who had physical examination in 2015 were studied. The questionnaire survey and related examination was done. The risk factors of hyperuricemia were analyzed by using multivariate logistic regression analysis. Results Most of the study subjects were males(89.10%) with the average age (41.33 ±7.51) years. The crude prevalence of hyperuricemia was 53.30% with the increasing trend with age(P < 0.05). The difference of average levels of serum uric acid among different age groups was statistically significant(P < 0.05), while persons aged 40-50 had the highest level of serum uric acid(434.76 ±98.07 μmol/L). It was noted that male, overweight, obesity and hypertriglyceridemia were risk factors of hyperuricemia, and the value of OR were 3.48 (95%CI 2.52-4.80, vs. female), 2.25 (95%CI 1.86-2.72, vs. normal BMI), 3.49 (95%CI 2.35-5.18, vs. non-obesity) and 2.22 (95%CI 1.76-2.79, vs. non-hypertriglyceridemia), respectively. Conclusion Hyperuricemia had a high prevalence in traffic police in this city. We should pay more attention to the health of the traffic police aged over 45 years, strengthening their health education to reduce the incidence of hyperuricemia.