Tỉ lệ tăng acid uric máu, tỉ lệ bệnh gout và các yếu tố liên quan ở người trưởng thành đến phòng khám y học gia đình, Bệnh viện Đại học Y dược thành phố Hồ Chí Minh

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Tác giả: Như Vinh Nguyễn, Thị Bích Ngọc Nguyễn, Thị Thủy Nguyễn, Lê An Phạm

Ngôn ngữ: vie

Ký hiệu phân loại: 610.83 Medicine and health

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2023

Mô tả vật lý: 321-325

Bộ sưu tập: Metadata

ID: 502505

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Elevated blood uric acid levels and Gout are associated with cardiovascular and renal diseases, with an increasing global and Vietnamese prevalence. Effective management and care for high blood uric acid and Gout are essential, especially in the early stages, as family physicians can play a vital role in controlling Gout and identifying other co-existing conditions. It is crucial to determine the prevalence of elevated blood uric acid and Gout and investigate the correlation between high blood uric acid levels and risk factors in Family Medicine Clinics (FMCs). A cross-sectional study was conducted on 235 adults (>
18 years old) attending a Family Medicine Clinic, Ho Chi Minh City University Medical Center, screening from 3 to 6/2021. Data were collected using questionnaires, laboratory test results, and information such as age, gender, and body mass index. The Bennett - Wood 1968 criteria (ARA 1977) were used for diagnosing Gout, as they were suitable for outpatient FMCs. The prevalence of elevated blood uric acid and Gout in adults attending the Family Medicine Clinic, Ho Chi Minh City University Medical Center, was 34.5% (43.6% in males and 26.4% in females) and 5.2% (9.1% in males and 1.6% in females), respectively. One-third of elevated blood uric acid cases were in the age group under 40. Factors associated with high blood uric acid levels included male gender, age over 60, and being in the obese BMI group. The proportion of diagnosed gout patients in the elevated blood uric acid group was 12.3%, indicating that not all patients with high serum uric acid levels had Gout, and vice versa (83.3% of gout patients had elevated blood uric acid levels). The public was more informed about Gout than elevated blood uric acid and its risks. Among adults attending the Family Medicine Clinic at Ho Chi Minh City University Medical Center, high blood uric acid prevalence was 34.5%, with one-third of cases in the under-40 age group. The detected gout prevalence in this study was 5.2%, with half of the patients being new diagnoses, and both conditions were more prevalent in males than females.Tăng acid uric máu và gout liên quan đến bệnh lý tim mạch và thận, có tỷ lệ mắc ngày càng gia tăng trên thế giới và Việt nam. Việc chăm sóc quản lý tăng acid uric máu và gout tốt nhất ở chăm sóc ban đầu vì bác sĩ gia đình có thể giúp kiểm soát tốt gout và tầm soát các bệnh đồng mắc, cần xác định tỉ lệ tăng acid uric máu, tỉ lệ bệnh gout đồng thời nghiên cứu mối liên quan giữa tăng acid uric máu và các yếu tố nguy cơ ở phòng khám y học gia đình (YHGĐ). Nghiên cứu cắt ngang trên 235 người trưởng thành (>
18 tuổi) đến khám tầm soát tại phòng khám Y học Gia đình, bệnh viện Đại học Y Dược Thành phố Hồ Chí Minh 3-6/2021 dùng bảng hỏi thu thập kết quả xét nghiệm theo mẫu cùng các thông tin như tuổi, giới tính, chỉ số khối cơ thể.. Sử dụng tiêu chuẩn Bennett - Wood 1968 (ARA 1977) trong chẩn đoán Gout do phù hợp với phòng khám ngoại trú YHGĐ. Tỉ lệ tăng acid uric máu và tỉ lệ bệnh Gout ở người trưởng thành đến khám tại phòng khám Y học Gia đình, bệnh viện Đại học Y Dược thành phố Hồ Chí Minh lần lượt là 34,5% (43,6% ở nam và 26,4% ở nữ) và 5,2% (9,1% ở nam và 1,6% ở nữ). 1/3 số ca tăng A. uric ở nhóm tuổi dưới 40. Các yếu tố liên quan đến tình trạng tăng acid uric máu bao gồm giới nam, trên 60 tuổi, chỉ số khối cơ thể thuộc nhóm béo phì. tỉ lệ bệnh nhân chẩn đoán gout trong nhóm tăng acid uric máu là 12,3%, không phải tất cả bệnh nhân có nồng độ acid uric huyết thanh cao hơn bình thường đều là gout và ngược lại (83,3% bệnh nhân gout có tăng AU máu). Người dân được truyền thông về gout nhiều hơn tăng A. uric và nguy cơ. ở người trưởng thành đến khám sức khoẻ tại phòng khám Y học gia đình bệnh viện Đại học Y dược TP HCM có tỷ lệ tăng A. uric máu là 34,5%, 1/3 số trường hợp ở nhóm tuổi dưới 40, và tỷ lệ gout phát hiện trong nghiên cứu này 5,2% với ½ số ca mới, hai nhóm đều ghi nhận nam nhiều hơn nữ.

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