中国临床康复第10卷第28期2006-07-25出版ChineseJournalofClinicalRehabilitation,July252006Vol.10No.28痛风病的诊断评估与临床特征姜贵云,杨晓莲·学术探讨·承德医学院附属医院康复医学科,河北省承德市067000姜贵云,男,1958年生,河北省承德市人,汉族,1979年承德医学院毕业,主任医师,教授,主要从事骨关节疾病与损伤的中西医结合诊断与康复治疗。中图分类号:R593.21文献标识码:B文章编号:1671-5926(2006)28-0150-06收稿日期:2005-12-20修回日期:2006-02-22(05-50-9-7558/G·X)DiagnosticevaluationandclinicalcharacteristicsofgoutJiangGui-yun,YangXiao-lianDepartmentofRehabilitationMedicine,AffiliatedHospitalofChengdeMedicalCollege,Chengde067000,HebeiProvince,ChinaJiangGui-yun,Chiefphysician,Professor,DepartmentofRehabilitationMedicine,AffiliatedHospitalofChengdeMedicalCollege,Chengde067000,HebeiProvince,ChinaReceived:2005-12-20Accepted:2006-02-22AbstractAIM:Tocomprehensivelyanalyzethecause,pathogenesis,characteristicsinclinicalmanifestation,diagnosisanddifferentialdiagnosisofgout,soastoprovidereferenceforclinicaltreatment.METHODS:Acomputer-basedsearchofEnglisharticlesrelatedtogoutbetweenJanuary2002andDecember2005wasconductedinMedlinewiththekeywordsof“gout,arthritis”.Meanwhile,relevantChineseliteraturesbetweenJanuary2002andDecember2005weresearchedinVipdatabasewiththekeywordsof“gout,arthritis”.Datawerecheckedinthefirsttrial,andrepetitivestudieswereexcluded.RESULTS:Atotalof19literaturesrelatedwithgoutandarthritiswerecollected,and10articleswereusedafterrepetitivedatawereexcluded.Matureviewsandmethodsthatgenerallyacceptedwereextractedaftercollection,arrangementandsystematicclassification.Theconcept,cause,pathogenesis,clinicalmanifestation,diagnosisanddifferentialdiagnosisofgoutweresystematicallyanalyzed.CONCLUSION:Goutisadiseaseinducedbymetabolicdisturbanceofagroupofpurineorparaeccrisisofuricacid,whichiscausedbyhereditaryoracquiredcauseofdisease,theclinicalcharacteristicsofwhicharehyperuricacidemiaanduratecrystalanddepositioninconnectivetissuestructure(especiallyincartilageandsynovium)aswellassomeinducedsymptomssuchasrecurrentattacksofacutegoutyarthritis,depositionofarthriticcalculus,chronicgoutyarthritisofarthriticcalculusanddeformedjoint,whichofteninducethechronicinterstitialnephritisandformationofuricacidcalculusinkidney.Theattackrateinmalesof40-50yearsoldishigh,anditcanbediagnosedaccordingtoclinicalsituation,biochemicalinspectionandX-rayexamination.Thedetectionofuratecrystalbysynoviumandsynovialfluidisthekeybasisfordiagnose.JiangGY,YangXL.Diagnosticevaluationandclinicalcharacteristicsofgout.ZhongguoLinchuangKangfu2006A10(28):150-5(China)姜贵云,杨晓莲.痛风病的诊断评估与临床特征[J].中国临床康复,2006,10(28):150-5[www.zglckf.com]摘要目的:就有关痛风病的病因病机、临床表现特征、诊断和鉴别诊断进行综合分析,为临床治疗提供参考和借鉴。方法:应用计算机检索Medline2002-01/2005-12与痛风病相关的文章,检索词“gout,arthritis”,并限定文章语言种类为English。同时应用计算机检索维普中文期刊数据库2002-01/2005-12与痛风病相关的文章,限定文章语言种类为中文,检索词“痛风,关节炎”。对资料进行初审,排除重复的研究内容。结果:共收集到19篇关于痛风、痛风性关节炎的相关文献,除去重复内容实际利用10篇,经搜集、整理,并做系统归类,提炼公认、成熟的观点和方法。对痛风病的概念、病因、发病机制、临床表现、诊断、鉴别诊断进行了系统分析。结论:痛风是由于遗传性或获得性病因导致的一组嘌吟代谢紊乱和(或)尿酸排泄障碍所致的疾病。临床特点是高尿酸血症和结缔组织结构(特别是软...