武警医学2024，Vol.35Issue(5)：405-409,5.
整合医学模式下高原特勤人员高尿酸血症的防治效果
Effect of prevention and treatment of hyperuricemia in high altitude special service per-sonnel under integrated medical model
摘要
Abstract
Objective To explore the effect of prevention and treatment of hyperuricemia in high altitude special service per-sonnel under integrated medical model.Methods A total of 129 high altitude special service personnel with hyperuricemia admitted to Yantai Special Service Recuperation Center of Chinese People's Armed Police Force from January 2020 to December 2021 were select-ed as the study objects,and were randomly divided into the experimental group(86 cases)and control group(43 cases)according to the ratio of 2∶1.The experimental group adopted a multidisciplinary approach under integrated medicine to carry out individualized management of health assessment,health education,health promotion and health monitoring,while the control group received routine health management.The intervention period was 12 months,and the changes of blood uric acid,blood lipid,kidney function,gout at-tack and other related indexes were compared between the two groups after intervention.Results After 12-month intervention,8 pa-tients in the experimental group and 11 patients in the control group were lost to follow-up.The implementation rates of the intervention program in the experimental group and the control group were 83.33%(78 cases)and 81.25%(32 cases),respectively.After inter-vention,the serum uric acid level of both groups significantly decreased(P<0.01),and the serum uric acid level of the experimental group was lower than that of the control group(425.07±14.21μmol/L vs.474.26±25.56 μmol/L,t=-12.86,P=0.000).After in-tervention,18 cases(23.08%)in the experimental group and 6 cases(18.75%)in the control group stopped using urico-lowering drugs completely.After intervention,the number of arthritic turgout,the number of gout attacks(15.38%vs.34.38%,χ2=4.948),the frequency and severity,and the detection rate of fatty liver(17.95%vs.56.25%,χ2=14.088),in the experimental group were lower than those in the control group,and the difference was statisti-cally significant(P<0.05).Conclusions The health management model under integrated medicine can significantly reduce the blood u-ric acid level and the frequency and degree of gout attacks,and sig-nificantly improve the level of health knowledge and health behavior.关键词
整合医学/健康管理/高尿酸血症/高原人员/痛风Key words
integrated medicine/health management/hyperuricemia/plateau personnel/gout分类
医药卫生引用本文复制引用
张利祥,胡亚楠,张伟强,陈雷,刘杰,王思明,李中华..整合医学模式下高原特勤人员高尿酸血症的防治效果[J].武警医学,2024,35(5):405-409,5.基金项目
武警某课题资助 （）
