痛风性关节炎28例临床分析  

Clinical analysis of 28 patients with gout arthritis

作　　者：熊焰[1] 徐萍[1] 郑建国[1] 张育红[1] 

机构地区：[1]湖北省十堰市人民医院郧阳医学院附属人民医院风湿科,442000

出　　处：《中华风湿病学杂志》2004年第3期162-164,共3页Chinese Journal of Rheumatology

摘　　要：目的增强对痛风性关节炎临床特点的认识,减少漏诊和误诊。方法采集0.5年来在我院门诊或住院的28例痛风性关节炎患者的生活习惯、家族史、合并疾病、误诊情况、每次发作的诱发因素及临床表现等资料。结果患者全部为男性,平均发病年龄为(50±16)岁。有家族史者1例(占3.6%)。平素常有高嘌呤饮食者9例(占32.1%)。以足第一跖趾、跗骨、踝和膝关节炎为首发表现者分别为19例(占67.9%)、5例(占17.9%)、3例(占10.7%)和1例(占3.6%);有手部掌指关节受累者3例(占10.7%);有痛风石者15例(占53.6%,含5例肾结石);有7例患者(占25.0%)曾误诊为其他疾病。结论痛风性关节炎是一种主要累及中年男性、以单或寡关节急性炎症为主要表现的疾病,以第一跖趾关节最常受累。其发病可能与不良的生活习惯相关,并常合并代谢综合征。Objective To understand the clinical characteristics of gout arthritis in depth in order to decrease misdiagnosis. Methods Data of twenty-eight gout arthritis patients were collected in half year.These included the living style,family history,concurrent illness?times of mis-diagnosis?precipitating factors of every attack and clinical presentation. Results All patients were male.The average age of disease onset was 50±16.One case had family history (3.6%).Nine cases had high purine food frequently(32.1%).The patients who initially had first metatarsus toe joint,tarsus,anklebone,knee joint were 19(67.9%),5(17.9%),3(10.7%) and1(3.6%) respectively.Three cases had palm finger joint involvement (10.7%) .Fifteen cases (53.6%) had to-phus,five had renal calculus.Seven (25.0%) had ever been mis-diagnosed.Conclusion Gout arthritis is a kind of acute single joint arthrosis that mainly involves elder males.The first metatarsus toe joint is usually affected. Gout may relate to bad living habits,and is often accompanied by metabolic problems.

关 键 词：痛风性关节炎 临床特点 误诊 肝功能损害 

分 类 号：R589.7[医药卫生—内分泌]