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综合医院精神障碍患者高尿酸血症的患病率及其与年龄的关系:一项横断面研究

The Prevalence of Hyperuricemia and the Association Between Hyperuricemia and Age in Patients with Psychiatric Disorders to a General Hospital: A Cross-Section Study.

作者信息

Yang Guodong, Zhou Shuang, Feng Yue, Lang Jiaran, Chen Yaxin, Ren Huipeng

机构信息

Mental Health Center, Hebei Medical University and Hebei Technical Innovation Center for Mental Health Assessment and Intervention, Shijiazhuang, Hebei, 050000, People's Republic of China.

The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050000, People's Republic of China.

出版信息

Int J Gen Med. 2024 Apr 17;17:1467-1477. doi: 10.2147/IJGM.S454670. eCollection 2024.

Abstract

PURPOSE

In clinical work, it has been found that the prevalence of hyperuricemia (HUA) is significantly higher in younger patients with psychiatric disorders, but there are few studies in this area. The present study aims to evaluate the prevalence of HUA and the relationship between the HUA and age in hospitalized patients with psychiatric disorders in the real world, and to provide a theoretical basis for clinical staff to pay attention to the metabolic indicators of younger patients and for future related studies.

METHODS

This is a cross-sectional evaluation of a cohort of 1761 patients with psychiatric disorders of hospitalized. The categories of disorders designed for study included: Depression, Bipolar disorder, Schizophrenia, Anxiety, Obsessive-Compulsive disorder, Acute and transient psychotic disorder, Dissociative(conversion) disorders, Conduct disorders and Tic disorders. In addition, based on age, the participants are stratified into three groups. The authors used Kruskal-Wallis tests, chi-square tests, and multiple linear logistic regression to verify the relationship between HUA and age among hospitalized patients with psychiatric disorders.

RESULTS

Overall, the estimated prevalence of HUA was 35.4%. The prevalence of HUA was significantly higher in individuals with 17 years and under compared to those with 45 years and above (P < 0.001). After adjusting for confounders, the prevalence of HUA remained higher at 17 years and under than at 45 years and above. Bipolar disorder can lead to an increased prevalence of HUA (P<0.05).

CONCLUSION

The prevalence of HUA was higher in hospitalized patients with psychiatric disorders, and the prevalence was inversely proportional to age.

摘要

目的

在临床工作中发现,精神疾病年轻患者的高尿酸血症(HUA)患病率显著更高,但该领域的研究较少。本研究旨在评估现实世界中住院精神疾病患者的HUA患病率以及HUA与年龄之间的关系,为临床工作人员关注年轻患者的代谢指标及未来相关研究提供理论依据。

方法

这是一项对1761例住院精神疾病患者队列的横断面评估。研究设计的疾病类别包括:抑郁症、双相情感障碍、精神分裂症、焦虑症、强迫症、急性和短暂性精神病性障碍、分离(转换)性障碍、品行障碍和抽动障碍。此外,根据年龄将参与者分为三组。作者使用Kruskal-Wallis检验、卡方检验和多元线性逻辑回归来验证住院精神疾病患者中HUA与年龄之间的关系。

结果

总体而言,HUA的估计患病率为35.4%。17岁及以下个体的HUA患病率显著高于45岁及以上个体(P < 0.001)。在调整混杂因素后,17岁及以下个体的HUA患病率仍高于45岁及以上个体。双相情感障碍可导致HUA患病率增加(P<0.05)。

结论

住院精神疾病患者的HUA患病率较高,且患病率与年龄成反比。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68b3/11032717/6c158bb00c86/IJGM-17-1467-g0001.jpg

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