整合医学模式下高原特勤人员高尿酸血症的防治效果

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Abstract Objective To explore the effect of prevention and treatment of hyperuricemia in high altitude special service personnel 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 selected 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 attack and other related indexes were compared between the two groups after intervention. Results After 12-month intervention, 8 patients 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 intervention, 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 intervention, 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 statistically significant (P<0.05). Conclusions The health management model under integrated medicine can significantly reduce the blood uric acid level and the frequency and degree of gout attacks, and significantly improve the level of health knowledge and health behavior.

Key words： integrated medicine health management hyperuricemia plateau personnel gout

Received: 01 January 2024

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	Articles by authors
	ZHANG Lixiang
	HU Yanan
	ZHANG Weiqiang
	CHEN Lei
	LIU Jie
	WANG Siming
	LI Zhonghua

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ZHANG Lixiang,HU Yanan,ZHANG Weiqiang等. Effect of prevention and treatment of hyperuricemia in high altitude special service personnel under integrated medical model[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2024, 35(5): 405-409.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2024/V35/I5/405

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[1]	. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2023, 34(5): 435-437.