热带地区痛风与类风湿性关节炎患者生化指标比较

发布时间：2018-02-12 07:42

本文关键词： 痛风类风湿性关节炎临床指标　出处：《中国公共卫生》2017年10期 　论文类型：期刊论文

【摘要】：目的比较热带地区痛风及类风湿性关节炎患者的生化指标差异。方法 2014年1月—2016年12月间在某院住院治疗的海南痛风患者816例及类风湿性关节炎患者316例,对其部分生化指标进行比较分析,利用统计学软件SPSS19.0对组间数据进行分析。结果两组患者鳞状上皮细胞、非鳞状上皮细胞、尿粘液、尿蛋白、尿液酸碱度、血清尿酸、钙、钾、磷、氯、钠都存在组间统计学差异(P0.05)。其中痛风组中尿蛋白的检出率为43.1%,为类风湿性关节炎组的检出率(23.4%)的1.84倍。尿酸在男性痛风组中的浓度为(446±141.1)μmol/L,在男性风湿性关节炎患者中的浓度为(315.44±156.55)μmol/L;在女性痛风患者中的浓度为(382.7±123)μmol/L,在女性类风湿性关节炎患者中为(223±94.7)μmol/L;钙浓度在痛风组和风湿组中分别为(2.03±0.19)mmol/L和(1.99±0.18)mmol/L,差异有统计学意义(P0.01)。结论临床生化指标差异不能作为2种病症的鉴别诊断依据。
[Abstract]:Objective to compare the biochemical indexes of patients with gout and rheumatoid arthritis in tropical region. Methods 816 patients with Hainan gout and 316 patients with rheumatoid arthritis were hospitalized in a hospital from January 2014 to December 2016. Some biochemical indexes were compared and analyzed, and the data between groups were analyzed by statistical software SPSS19.0. Results the patients in the two groups were treated with squamous epithelial cells, non-squamous epithelium cells, urinary mucus, urinary protein, urine pH, serum uric acid, calcium, potassium, etc. Phosphorus, chlorine, The positive rate of urinary protein in gout group was 43.1, which was 1.84 times of that in rheumatoid arthritis group. The concentration of uric acid in male gout group was 446 卤141.1 渭 mol / L, and in male patients with rheumatoid arthritis. The concentration of calcium in gout patients was 315.44 卤156.55 渭 mol / L, in female gout patients was 382.7 卤123 渭 mol / L, and in female patients with rheumatoid arthritis was 223 卤94.7 渭 mol / L, the calcium concentrations in gout group and rheumatoid group were 2.03 卤0.19 mmol / L and 1.99 卤0.18 mmol / L, respectively (P < 0.01). The difference can not be used as the basis for differential diagnosis of the two diseases.
【作者单位】：海口市人民医院;海南医学院第一附属医院护理部;
【基金】：海南省自然科学基金(20168302)
【分类号】：R589.7;R593.22

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