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新疆哈萨克族居民高尿酸血症与脂代谢关系

Relationship between hyperuricemia and lipometabolism among Kazaks in Xinjiang

  • 摘要: 目的 了解新疆哈萨克族高尿酸血症患者的血脂水平,分析哈萨克族高尿酸血症与脂代谢之间的关系.方法 在新疆伊犁哈萨克族居民集中的地区随机抽取256例作为研究对象,其中高尿酸血组128例,对照组128人,分别检测血尿酸(SUA)及血脂相关生化指标.结果 生化指标中除总胆固醇TC、载脂蛋白-A1(Apo-A1)外,高尿酸组血尿酸SUA(469.31±87.38)μmol/L、尿素氮BUN(6.10±2.45)mmol/L、肌酐SCr(88.34±20.39)μmol/L、甘油三酯TG(1.66±1.24)mmol/L、低密度脂蛋白胆固醇LDL-C(2.72±1.13)mmol/L、载脂蛋-B(Apo-B)为(0.91±0.27)g/L、空腹血糖GLU(6.12±2.52)mmol/L,均高于对照组(P<0.05);高密度脂蛋白胆固醇HDL-C(1.49±0.82)mmol/L、Apo-A1/Apo-B(1.36±0.42)低于对照组(P<0.01).高尿酸组SUA男性(509.21±91.73)μmol/L,女性(424.09±54.46)μmol/L;对照组SUA男性(248.89±75.37)μmol/L,女性(199.49±54.30)μmol/L,差异均有统计学意义(P<0.01);各年龄段均存在不同程度的脂代谢紊乱(除了≤30岁年龄段),以31~40岁年龄段脂代谢紊乱最为明显;相关性分析中血尿酸与年龄、TC、TG、BUN、SCr、LDL-C、Apo-B呈正相关,与HDL-C、Apo-A1/Apo-B呈负相关;多元回归分析结果表明,性别、HDL-C、BUN、TC、Apo-A1、Apo-A1/Apo-B是影响血尿酸的独立危险因素.结论 哈萨克族高尿酸血症患者的血脂水平均高于非高尿酸血症者;其尿酸水平的升高与脂代谢紊乱的发生密切相关;建议预防和治疗哈萨克族高尿酸血症时,应注意控制血脂水平的变化,降低血脂有助于治疗高尿酸血症.

     

    Abstract: Objective To examine the uric acid level and analyze the correlation between hyperuricemia and lipometabolism among Kazaks in Xinjiang Uygur Autonomous Region.Methods From October 2009 to July 2010,the blood samples were collected from 128 cases of hyperuricmia and 128 controls for detections of serum uric acid(SUA)and lipidrelated indicies.Results The SUA(469.31±87.38μmol/L),blood urea nitrogen(BUN)(6.10±2.45 mmol/L),serum creatinine(SCr)(88.34±20.39μmol/L),total triglyceride(TG)(1.66±1.74 mmol/L),lowdensity lipoprotein-cholesterol(LDL-C)(2.72±1.13 mmol/L),apoloipoprotein B(Apo-B)(0.91±0.27g/L),and glucose(GLU)(6.12±2.52 mmol/L)were increased and high density lipoprotein-cholesteral(HDL-C)(1.49±0.82 mmol/L),Apo-A1/ApoB(1.36±0.42)decreased in the hyperuricemia compared to those of the controls.The concentration of uric acid of the men was higher than that of the women.There were different prevalences of lipometabolism disorder in the subjectes of different age,with a higher prevalence among the subjects at the age of 31-40 years.Correlation analyses demonstrated that the SUA was positively correlated with age,TC,TG,BUN,SCr,LDL-C,and Apo-B and inversely correlated with HDL-C and ApoA1/ApoB.Regression analyses showed that gender,HDL-C,BUN,TC,Apo-A1,and Apo-A1/Apo-B were the independent hazardous factor of hyperuricemia.Conclusion The serum lipid of the hyperuricemia is higher than that of people with nomal serum uric acid and the uric acid level of the hyperuricemia is closely correlated with lipometabolism in Kazaks.

     

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