757例高尿酸血症的临床分析  

Clinical analysis of 757 cases of hyperuricemia

作　　者：李雅嘉 郝玉华[1] LI Ya-jia;HAO Yu-hua(Medical Records Statistics Department, Yuquan Hospital of Tsinghua University, Beijing 100040, China)

机构地区：[1]清华大学玉泉医院病案统计科

出　　处：《临床医学研究与实践》2019年第17期21-22,共2页Clinical Research and Practice

摘　　要：目的探讨我院内科住院患者中并存高尿酸血症(HUA)的情况及诊断治疗方面的问题。方法收集我院内科2015-2016年出院病历3 548例,其中并存HUA患者757例(HUA组)、非HUA患者2 791例(非HUA组),采用SPSS13.0统计学软件对两组的病历资料进行数据分析。结果心血管疾病和神经系统疾病是发生HUA的主要第一诊断疾病。两组年龄、第一诊断疾病的构成比比较,差异显著(P<0.05)。HUA组血肌酐异常患者构成比显著高于非HUA组(P<0.05)。HUA组血尿酸浓度以轻度增高为主,且经分析发现住院病历书写存在一些不足。结论临床医师应提高对HUA的重视,规范HUA的诊断治疗及病历书写。Objective To investigate the coexistence of hyperuricemia(HUA) in inpatients of internal medicine department of our hospital and the problems in diagnosis and treatment. Methods The medical records of 3 548 discharged patients in our hospital from 2015 to 2016 were collected, including 757 HUA patients(HUA group) and 2 791 non-HUA patients(nonHUA group). The data of the two groups were analyzed by SPSS13.0 statistical software. Results Cardiovascular diseases and neurological diseases were the primary first diagnostic diseases of HUA. There were significant differences in the proportions of age and the first diagnosed diseases between the two groups(P <0.05). The proportion of patients with abnormal serum creatinine in the HUA group was significantly higher than that in the non-HUA group(P<0.05). The level of serum uric acid in the HUA group mainly increased slightly, and there were some deficiencies in the writing of medical records. Conclusion Clinicians should pay more attention to HUA, and standardize the diagnosis, treatment and medical record writing of HUA.

关 键 词：高尿酸血症 心血管疾病 病历书写 

分 类 号：R589.7[医药卫生—内分泌]