【摘要】 目的 探討無癥狀人群高尿酸血癥與高甘油三酯血癥的相關性，為臨床疾病的預防和治療提供實驗基礎研究。 方法 回顧分析2008年5月-2009年5月門診體檢中200名無臨床癥狀高血尿酸者（A組）的血脂檢查情況，并與同期200例血尿酸正常者（B組）的血脂檢查情況進行比較分析。A組：男121例，女79例；年齡20～60歲，平均43歲。男性患者血尿酸gt;420 mmol/L，女性患者gt;360 mmol/L。 B組：男115例，女85例；年齡20～60歲，平均41歲。男性患者血尿酸為99～420 mmol /L，女性患者為99～360 mmol/L。兩組性別和年齡差異無統計學意義（Pgt;0.05）。 結果 A組甘油三酯、總膽固醇、低密度脂蛋白、高密度脂蛋白分別為（3.09±0.98）、（4.05±1.07）、（3.38±0.98）、（1.30±0.51）mmol /L；B組為（1.65±0.86）、（3.99±0.99）、（2.97±0.89）、（1.41±0.66）mmol /L。 A組甘油三酯較B組比較，差異有統計學意義（Plt;0.01）；總膽固醇、低密度脂蛋白、高密度脂蛋白比較，差異無統計學意義（Pgt;0.05）。經相關性分析，A組血尿酸與甘油三酯呈正相關（r=0.69， Plt;0.01）。 結論 血尿酸代謝與甘油三酯代謝之間有一定的聯系。【Abstract】 Objective To explore the correlation between hyperuricemia and hypertriglyceridemia in asymptomatic people to provide the basic information for clinical prevention and treatment. Methods The blood lipid (TG, TC, LDL, and HDL) levels in 200 asymptomatic individuals with high uric acid (A group) and 200 sex-and age-matched ones with normal serum uric acid (B group) were examined and the results of the two groups were compared. Results The concentration of triacylglycerol, total cholesterol, low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol were (3.09±0.98), (4.05±1.07), (3.38±0.98), and (1.30±0.51) mmol/L, respectively in group A; and were (1.65±0.86), (3.99±0.99), (2.97±0.89), and (1.41±0.66) mmol /L, respectively in group B. The concentration of TG in group A was obvious higher than that in group B (Plt;0.01). However, the differences of their total cholesterol, low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol were not significant (Pgt;0.05). The increase of TG was obvious compared with TC(Plt;0.01), LDL (Plt;0.01), and HDL (Plt;0.01) in group A; while the comparisons in group B were not significant (Pgt;0.05). Conclusion Uric acid metabolism correlates with triacylglycerol metabolism.
