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[高尿酸血症强直性脊柱炎患者的临床特征与疾病活动度分析]

[The analysis of clinical characteristics and disease activity in ankylosing spondylitis patients with hyperuircemia].

作者信息

Zhang X J, Cui X M, Chen R Y, Sun H T, Zhou J J, Jiang L D

机构信息

Department of Rheumatology, Zhongshan Hospital Fudan University, Shanghai 200030, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2018 Apr 3;98(13):982-986. doi: 10.3760/cma.j.issn.0376-2491.2018.13.006.

Abstract

to investigate the clinical characteristics and disease activity in ankylosing spondylitis (AS) patients with hyperuricemia. Laboratory tests, magnetic resonance imaging, disease activity and functional index of AS patients from Fudan University Zhongshan Hospital were collected. test, square test were applied to investigate the difference between AS patients with hyperuricemia and AS patients with normal serum uric acid in clinical characteristics and disease activity in AS patients. Among all the AS patients, 23.4% (22/94) patients accompanied with hyperuricemia. AS patients accompanied with hyperuricemia showed significant younger age (28.9±7.9 vs 35.8±11.1, =0.002); higher serum alanine aminotransferase (33.6±23.6 vs 19.8±12.4, =0.014), aspartate aminotransferase (23.8±8.7 vs 18.6±9.6, =0.025) and creatinine (78.4±12.5 vs 69.8±13.3, =0.009), lower Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) (11.2±8.8 vs 17.9±12.0, =0.027) and Bath Ankylosing Spondylitis Functional Index (BASFI) (0.7±0.9 vs 1.8±2.2, =0.002) compared with AS patients whose serum uric acid level is normal. AS Patients with younger age, impaired hepatic and renal funtion and lower scores in BASDAI and BASFI tend to accompany with hyperuricemia.

摘要

探讨高尿酸血症强直性脊柱炎(AS)患者的临床特征及疾病活动度。收集复旦大学附属中山医院AS患者的实验室检查、磁共振成像、疾病活动度及功能指标。采用检验、卡方检验,比较高尿酸血症AS患者与血清尿酸正常的AS患者在临床特征及疾病活动度方面的差异。在所有AS患者中,23.4%(22/94)伴有高尿酸血症。伴有高尿酸血症的AS患者年龄显著更小(28.9±7.9对35.8±11.1,P = 0.002);血清丙氨酸氨基转移酶(33.6±23.6对19.8±12.4,P = 0.014)、天冬氨酸氨基转移酶(23.8±8.7对18.6±9.6,P = 0.025)和肌酐水平更高(78.4±12.5对69.8±13.3,P = 0.009),巴氏强直性脊柱炎疾病活动指数(BASDAI)(11.2±8.8对17.9±12.0,P = 0.027)和巴氏强直性脊柱炎功能指数(BASFI)更低(0.7±0.9对1.8±2.2,P = 0.002)。年龄较小、肝肾功能受损且BASDAI和BASFI评分较低的AS患者更容易伴有高尿酸血症。

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