痛风性急性关节炎的辨证施护体会  

Nursing with syndrome differentiation for acute gouty arthritis

作　　者：林妍 冯子豪 

机构地区：[1]云南省中医医院风湿病科,云南昆明650021

出　　处：《中西医结合护理（中英文）》2017年第10期72-74,共3页Journal of Clinical Nursing in Practice

基　　金：云南省卫生计生委内设研究机构项目资助(2014FZ095)

摘　　要：痛风性急性关节炎是一组嘌呤代谢紊乱造成尿酸钠盐在关节及周围组织以结晶形式沉积引起的急性炎症反应。传统医学认为是因湿热与痰瘀胶结痹阻于经络关节之处而发病,以此作为急性期临床护理辨证分型、对症施护的重要指导,把中医辨证论治与护理、膳食、外治等治疗手段相结合,对于改善预后有积极的意义。本研究通过回顾1例痛风性急性关节炎患者的临床资料,总结辨证施护相关措施,旨在提高急性痛风性关节炎患者的生活质量。Acute gouty arthritis is an inflammatory disease resulting from the precipitation o flong-term hypernricemia-induced monosodium urate （M SU） crystals in jo in ts,which stimulates the production of interleukin-1 beta （IL -12） and initiates an inflammatory reaction. In terms of tra-ditional Chinese medicine, acute gouty arthritis is mainly caused by damp-heat and syndrome ofcombination of phlegm and stasis in channels, collaterals,tendons and bones. Base on the syndrome differentiation of acute gouty a r th r it is,the comprehensive treatment based on traditional Chinesemedicine,dietary intervention and external application of Chinese herbs should be carried o u t,inorder to improve the prognosis of patients. This study retrospectively analyzed the c lin ica l data of 1 patient with acute gouty a r th r it is,and to summarize the nursing measures with syndrome differentiation,so as to improve the quality of life in patients with acute gouty arthritis.

关 键 词：痛风 急性关节炎 中医护理 辨证施护 

分 类 号：R248.1[医药卫生—中医临床基础]