成年男性血红蛋白水平升高与空腹血糖、血尿酸及血脂检测结果分析

目的探讨进行健康体检的成年男性血红蛋白(Hb)水平升高与其空腹血糖(FBG)、血尿酸(UA)及血脂[三酰甘油(TG)与总胆固醇(TC)]检测结果。方法将2018年10-11月1 007例Hb升高的成年男性按Hb水平不同分为A1、A2、A3、A4、A5组,另选取同期85例Hb水平正常体检者作为对照组,对所有研究对象FBG、UA及血脂水平进行检测,并对检测结果进行分析。结果 A1、A2、A3、A4、A5组FBG、UA及血脂水平均值及异常百分数均高于对照组,差异均有统计学意义(P<0.05)。均值比较:A1、A2、A3、A4、A5组血脂及A3组UA水平与对照组比较,差异均有统计学意义(P<0.05);A1组与A3组UA与TG水平比较,差异均有统计学意义(P<0.05),其他各组UA与TG水平比较,差异均无统计学意义(P>0.05);异常百分数比较:除A1、A2、A3、A4、A5组TG,A1、A2、A3、A4组TC与对照组及A1组与A4组FBG与TC差异有统计学意义(P<0.05)外,其余组间比较,差异均无统计学意义(P>0.05)。结论成年男性Hb水平升高与其生化项目FBG、UA及血脂的变化有一定相关性,与FBG不存在统计学上的差异,但整体呈上升趋势,对非传染性流行病有辅助诊断价值。

Correlation between hemoglobin elevation and blood glucose,uric acid and blood lipid in adult men

Objective To investigate the correlation between elevated hemoglobin(Hb)and fasting blood glucose(FBG),uric acid(UA)and blood lipid[triglyceride(TG)and total cholesterol(TC)]in adult males.Methods A total of 1 007 adult men with elevated Hb were divided into five groups(A1,A2,A3,A4,A5 group)according to the Hb content,and 85 healthy controls were selected as the control group.The results of FBG,UA and blood lipid were analyzed.Results According to the degree of Hb elevation,the mean and abnormal percentage of FBG,serum UA and blood lipid in group A1,A2,A3,A4,A5 group were significantly higher than those in control group(P<0.05).The mean value comparison had showed that the blood lipids in group A1,A2,A3,A4,A5 group and the serum UA in A3 group were significantly different from those in the control group(P<0.05),while the mean values of serum UA and TG in A1 and A3 group were statistically significant(P<0.05).There was no statistical significance among the other groups of UA and TG(P>0.05).Abnormal percentage comparison showed that TG of A1,A2,A3,A4 and A5 group,TC of A1,A2,A3 and A4 group were statistically different from that of control group(P<0.05).In addition,FBG and TC between A1 group and A4 group were statistical significant(P<0.05),but there was no significant difference in FBG and TC between the other groups(P>0.05).Conclusion The increased levels of Hb has correlation with FBG,UA and changes of blood lipid.There is no statistical significance with FBG,but the whole group shows a rising trend,which is valuable for the diagnosis of non-infectious epidemic.