Morbidity rate of hyperuricemia and the prevalence of HLA-B*5801 allele in southern Zhejiang
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摘要: 目的 了解浙南地区高尿酸血症的发病率及HLA-B*5801基因携带率,为防止别嘌呤醇用药发生严重皮肤不良反应,探讨筛查HLA-B*5801基因的必要性。 方法 本研究选取浙江大学丽水医院289名需服用别嘌呤醇的患者,采用序列特异性的寡核苷酸探针LABType SSO (sequence-specific oligonudeotide,SSO)技术对患者血样DNA进行HLA-B*5801基因检测。同时随机抽样浙南地区2017年1—12月11 344例健康体检者的血液样本数据,调查浙南地区高尿酸血症的整体发病情况。 结果 需服用别嘌呤醇289例患者中HLA-B*5801基因阳性例数为60例,阳性率为20.7%,HLA-B*5801基因阳性率在性别、年龄和疾病之间比较差异无统计学意义(P>0.05);11 344例健康体检者的血尿酸平均值为(339.38±95.93)μmol/L,其中男性血尿酸平均值为(381.88±90.58)μmol/L,女性(294.79±78.51)μmol/L,不同性别血尿酸差异有统计学意义(t=54.609,P<0.001),男性20~30岁之间发病率最高,占37.28%(χ2=71.171,P<0.05),女性70岁以后发病率最高,占29.83%,差异有统计学意义(χ2=168.400,P<0.05)。其中,男性高尿酸血症发病率为30.75%(1 786/5 808),女性高尿酸血症发病率为16.31%(903/5 536),差异有统计学意义(χ2=326.800,P<0.05)。 结论 浙南地区高尿酸血症发病率高,且男性的发病率高于女性,男性发病年龄趋于年轻化,引起临床医师重视,同时在患者服用别嘌呤醇前进行HLA-B*5801基因检测十分必要,防止发生因服用别嘌呤醇导致的严重皮肤不良反应。
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关键词:
- 浙南地区 /
- 高尿酸血症 /
- HLA-B*5801 /
- 基因
Abstract: Objective To explore the morbidity rate of hyperuricemia and the prevalence of HLA-B*5801 allele in southern Zhejiang, and discuss the necessity of screening HLA-B*5801 allele for preventing serious adverse skin reactions caused by allopurinol medication. Methods Total 289 cases of hyperuricemia taking allopurinol in our hospital were enrolled into this study, and their blood samples were prepared for HLA-B*5801 allele test by using the Sequence-Specific Oligonudeotide (SSO) technique. The blood samples of 11 344 healthy subjects in southern Zhejiang were randomly sampled from medical repository for the overall incidence of hyperuricemia. Results Among 289 patients taking allopurinol, the allele frequency of HLA-B*5801 was 20.7% (60/289), there was no significant difference in gender, age and diseases (P>0.05); The average blood uric acid level of 11 344 healthy subjects was (339.38±95.93)μmol/L, for difference gender, the level in men was (381.88±90.58)μmol/L, and in women was (294.79±78.51)μmol/L, the difference was statistically significant (t=54.609,P<0.001). Male aged 20 to 30 years old taken up the highest incidence of 37.28% (χ2=71.171, P<0.05), however, female ager over 70 years old reached the highest incidence of 29.83% (χ2=168.400, P<0.05), the difference was statistically significant(P<0.05). Among them, the incidence of hyperuricemia was 30.75%(1 786/5 808)in man and 16.31%(903/5 536) in women, the difference was statistically significant(χ2=326.800, P<0.05). Conclusion The incidence of hyperuricemia in southern Zhejiang is high, and the incidence in males is higher than that in females. The onset age in man tends to be younger, which reminds clinicians to pay more attentions. At the same time, before the patients taking allopurinol, to analyze the frequency of HLA-B*5801 gene is necessary to prevent the serious adverse skin reactions caused by allopurinol medication.-
Key words:
- Southern Zhejiang /
- Hyperuricemia /
- HLA-B*5801 /
- Gene
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