社区综合干预对老年高尿酸血症患者尿酸水平的影响  

Effect of community comprehensive intervention on blood uric acid level in elderly patients with hyperuricemia

作　　者：钱宏威 郑琳 褚爱群 张梨 QIAN Hongwei;ZHENG Lin;CHU Aiqun;ZHANG Li(Department of General Practice of Shihua Community Health Service Center of Jinshan District,Shanghai 201540,China)

机构地区：[1]上海市金山区石化社区卫生服务中心全科医学科,上海201540

出　　处：《上海医药》2020年第22期36-38,共3页Shanghai Medical & Pharmaceutical Journal

基　　金：美国健康基金会PSBH(2018063)。

摘　　要：目的:探讨以家庭医生团队主导的社区综合干预对老年高尿酸血症(HUA)患者血尿酸(UA)水平的影响。方法:在2018年免费体检的老年人群中选取289例HUA患者为研究对象,按照随机的原则,分为对照组145例和干预组144例。对照组中男性65例,女性80例,平均年龄为(72.10±5.07)岁;干预组中男性69例,女性75例,平均年龄为(72.24±5.31)岁。对对照组患者提供常规的健康指导。对干预组患者在常规健康指导基础上,给予以建立健康生活方式为主的社区综合干预。观察时间9个月。比较两组患者对HUA的认知和UA下降水平。结果:干预后,干预组患者对HUA知识的认识有了明显提高,差异有统计学意义(P<0.001),对照组患者干预前后对HUA知识的认识差异无统计学意义(P>0.05)。干预组男性和女性的UA水平均较干预前有显著下降,差异有统计学差异(P<0.001),且明显均低于对照组,差异均有统计学差异(P<0.05)。结论:家庭医生团队主导的社区综合干预可以提高老年HUA患者对疾病的认知水平,降低老年HUA患者的UA水平。Objective:To investigate the effect of comprehensive community intervention led by family doctor team on blood uric acid(UA)level in elderly patients with hyperuricemia(HUA).Methods:In 2018,289 HUA patients were selected from the elderly population who received free physical examinations as research subjects and according to the principle of random,divided into a control group with 145 cases and an intervention group with 144 cases.In the control group,there were 65 males and 80 females with an average age of(72.10±5.07)years;in the intervention group,there were 69 males and 75 females with an average age of(72.24±5.31)years.The patients in the control group were given routine health guidance.On the basis of routine health guidance,the patients in the intervention group were given comprehensive community intervention focusing on establishing a healthy lifestyle.The observation period was 9 months.The cognition of HUA and the decrease of UA were compared between the two groups.Results:After the intervention,the patients in the intervention group had a significant improvement in their knowledge of HUA,and the difference was statistically significant(P<0.001).There was no significant difference in the knowledge of HUA before and after the intervention in the control group(P>0.05).The UA levels of the male and female in the intervention group were significantly lower than those before intervention(P<0.001),which were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The comprehensive community intervention led by the family doctor team can improve the cognition level and reduce the UA level of the elderly HUA patients.

关 键 词：高尿酸血症 血尿酸 社区干预 老年人 

分 类 号：R589.7[医药卫生—内分泌]