痛风急性发作诱因分析及护理对策  

Analysis on Predisposing Cause of Acute Episode of Gout and Related Nursing

作　　者：黄旋珠[1] 王丽莹[1] 肖学吕[1] 刘冬舟[1] 谭艳红[1] 吴惠平[1] 

机构地区：[1]深圳市人民医院暨南大学第二临床医学院风湿免疫科,广东518020

出　　处：《现代护理》2005年第14期1121-1122,共2页Modern Nursing

摘　　要：目的探讨痛风急性发作的诱因,为护理干预提供依据。方法对68例痛风住院病例进行诱因回顾性分析,并针对诱因给予护理干预及病情追踪2年。结果高嘌呤饮食和/或饮酒占60.29%,精神紧张、过度疲劳占8.84%,天气变化、受凉占10.29%,使用影响尿酸排泄药物占5.88%,手术、外伤占5.88%,无诱因占8.82%。通过护理干预,发现68例病人平均年发作次数从5.73次降至2.23次。结论痛风急性发作大部分是有诱因的;有效的护理干预对减少诱因发生,进而控制痛风急性发作起到重要的作用。Objective To explore the predisposing cause of acute episode to guide the nursing pocess. Methods Reviewed and analyzed 68 inpatients with gout. According to the predisposing cause, nursing interventions were given and patients were observed for two years. Results Among predisposing causes of acute episode of gout, high purine diet and/or dinking alcohol accounted for 60.29%; psychentonia, tiredness accounted for 8.84%; weather change accounted for 10.29%; took the medicine disturbed uric excretion accounted for 5.88%; operation and injury accounted for 5.88%; 8.82% of patients had no predisposing cause. By nursing intervention, the frequency of acute episode of gout was reduced from 5.73 times to 2.23 times per year. Conclusions There are predisposing causes in most acute episode of gout. Effective nursing interventions may reduce the predisposing causes and control the acute episode of gout.

关 键 词：痛风 急性发作 诱因 护理 

分 类 号：R473.5[医药卫生—护理学]