目的：探讨180例慢性心衰患者血清尿酸水平的变化规律及临床意义。方法入院后测血清尿酸水平，统计高尿酸血症的发生率，比较尿酸水平与心功能关系。随访1a，对比高尿酸血症组和非高尿酸血症组死亡、再住院次数、再住院总时间的差异。结果C H F高尿酸血症发生率为38.8%，C H F越重血清尿酸水平越高。随访期间，高尿酸血症组死亡率为8.3%，年住院次数（3.8±2.6）次、年住院时间（56.2±18.8）d，均明显高于非高尿酸血症组（P均<0.05）。结果高尿酸血症对心血管事件的预后有不良影响，应常规监测干预。
objective to investigate 180patients with chronic heart failure change rule and clinical significance ofserum uric acid level. Methods Serum uric acid level after admission test,statistics the incidence of high uric acid hematic disease, compare the uricacid level and cardiac function. Fol ow-up of 1 a, compared to high uric acidhematic disease group and the high uric acid hematic disease death, hospitalnumber and total hospitalization time difference. Results The CHF high uricacid hematic disease incidence was 38.8%, the CHF is heavier, the higher thelevel of serum uric acid. Fol ow-up period, high uric acid hematic diseasemortality rate of 8.3%, times of hospitalization time of hospitalization(3.8±2.6), (56.2±18.8) d, were significantly higher than the high uric acidhematic disease group (P < 0.05). Results High uric acid hematic diseasehave a bad effect on the prognosis of cardiovascular events, should be regularmonitoring and intervention.
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