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血尿酸水平对强直性脊柱炎患者疾病活动的影响

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目的 探讨血尿酸水平与AS疾病活动度的关系。方法 回顾性收集297例AS患者的临床资料。AS疾病活动度评估采用CRP计算的ASDAS-CRP评分,采用 MRI-SPARCC方法评估骶髂关节骨髓水肿的范围、强度和深度。分析血尿酸水平与相关指标的关系。结果 AS患者血尿酸水平与ESR、CRP、ASDAS呈负相关(P<0。01)。极高疾病活动度患者的血尿酸水平明显低于其他各组(P<0。05)。AS合并高尿酸血症患者的ESR、CRP、ASDAS水平明显低于未合并非高尿酸血症患者(P<0。01),三组MRI-SPARCC评分比较无统计学意义(P>0。05)。结论 AS患者适度升高的血尿酸在一定程度上可能减弱了炎症反应。
THE RELATIONSHIP BETWEEN SERUM URIC ACID LEVELS AND DISEASE ACTIVITY IN AS
Objective To investigate relationships between serum uric acid and disease activity in ankylo-sing spondylitis(AS).Methods A total of 297 AS patients were included in this retrospective study.The assessment of AS disease activity is based on the ASDAS score calculated by CRP.The severity of sacroili-itis was evaluated by MRI-SPARCC scoring system.Results The serum uric acid of AS patients was nega-tively correlated with ESR、CRP and ASDAS(P<0.01).The serum uric acid levels of AS patients with extremely high disease activity are significantly lower than those of other groups with low disease activity(P<0.05).The levels of ESR,CRP,and ASDAS in AS patients with hyperuricemia were significantly lower than those without hyperuricemia patients(P<0.01),but there was no significant difference in MRI-SPARCC scores(P>0.05).Conclusion Moderately elevated blood uric acid levels in AS patients may help to weaken inflammatory responses.

Ankylosing spondylitisUric acidHyperuricemia

厉彦山、王莉莉、李尊忠、贾倩、李红

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山东第二医科大学附属临沂市人民医院,山东 临沂 276000

强直性脊柱炎 尿酸 高尿酸血症

2024

山东医学高等专科学校学报
山东医学高等专科学校

山东医学高等专科学校学报

影响因子:0.542
ISSN:1674-0947
年,卷(期):2024.46(6)