目的 探討成都地區高尿酸血癥發生的危險因素。 方法 收集2009年10月－2010年4月在四川大學華西醫院體檢中心進行健康體檢的36 639人的臨床資料，對資料進行單因素分析和多因素logistic回歸分析。 結果 進行健康體檢的36 639人，其中男21 175人，女15 464人。高尿酸血癥患者5 233例，患病率為14.3%。年齡＞50歲、男性、飲酒、糖尿病、高血壓病、甘油三酯增高、低密度脂蛋白增高和血清肌酐水平增高與高尿酸血癥的發生有關。Logistic回歸分析顯示男性（OR=13.300，P=0.000）、飲酒（OR=4.219，P=0.009）、糖尿病（OR=3.609，P=0.024）是發生高尿酸血癥獨立危險因素。 結論 成都地區高尿酸血癥的患病率略高于全國平均水平，臨床治療和護理高尿酸血癥的患者時應積極控制與高尿酸血癥發生密切相關的危險因素。
ObjectiveTo explore the plan-do-check-action (PDCA) circulation method in reducing errors in general inspection items of health examination and to improve the quality of examination. MethodsUsing PDCA circulation method, the reasons of errors in general items of health examination for 39 individuals examinied between August and December 2010 were analyzed. Rectification was carried out according to the reasons, and the differences in the incidence rate of errors in general items of health examination before (from August to December, 2010) and after the rectification was (from Auguest to December, 2011) was compared. ResultsAfter the rectification, the incidence of errors in general items of health examination (0.08%) was significantly lower than that before the rectification (0.45%) (P<0.05). ConclusionPDCA circulation method can effectively reduce the incidence of errors in general items of health examination thus may ensure the medical quality.