脑血管疾病合并痛风15例  

Cerebrovascular Disease Incorporated Gout

作　　者：彭健[1] 楮晓凡[1] 古坤意[1] 李富康[1] 周次雄[1] 

机构地区：[1]暨南大学医学院附属第二医院神经内科,广东省深圳市518020

出　　处：《中国动脉硬化杂志》2002年第4期350-351,共2页Chinese Journal of Arteriosclerosis

摘　　要：为了探讨脑血管疾病合并痛风的临床特点及两者间的关系 ,回顾性调查痛风患者 15 0例 ,均经血尿酸、肾功能、血糖、血脂及头颅CT或头颅MRI等多项检查发现痛风合并脑血管病患者 15例 ,痛风合并脑卒中发生率为10 %。 15例患者中 14例为男性 ,1例为女性 ,平均年龄 6 9.3岁 ,均为沿海地区人。脑梗死 9例 ,短暂性脑缺血发作4例 ,脑出血 2例 ,4例患者系多次卒中。在既往史中 8例有高血压病 ,5例有心脏病 ,3例有糖尿病及 3例有高血脂 ,其中 4例同时伴有高血压和心脏病或糖尿病。表明脑卒中合并痛风以沿海地区老年男性患者为多 ,缺血性常见。且常伴发高血压病、心脏病、糖尿病及高血脂等病史。卒中发作与急性痛风发作有关。Aim To study clinical features and connection in cerebrovascular disease incorporated gout. Methods We retrospective investigated 376 with stroke patients and 150 cases gout patients from February 1998 to May 2000. All patients were admitted to the medicine treatment and were examined by brain CT or MRI, biochemical and serological assessment. Results There were fifteen cases with cerebrovascular disease incorporated gout, fourteen were male, one case female. The average age was 69.3 years. Nine patients were infarcted brain, four patients were transient ischemic attack (TIA) and two patients were hemorrhage, another four patients were recurrent stroke. Conclusions Stroke incorporated gout is higher in foreland and male. Ischemic strokes were higher. They were usually associated with hypertension, heart disease, diabetes and high serum cholesterol. Stroke attack was linked with acute gout attack. Gout is probably the main risk factor for cerebrovascular disease in foreland and male.

关 键 词：脑血管疾病 痛风 老年人 临床特点 危险因素 

分 类 号：R743[医药卫生—神经病学与精神病学] R589.7[医药卫生—临床医学]