痛风的诊断与治疗

Diagnosis and treatment of gout

伴随代谢综合征发病率、老年性肾损害患病率的增加及利尿剂的频繁应用，痛风的发病率增加、发病年龄渐年轻化，不典型及难治性痛风增多。痛风的诊断除依据高尿酸血症和临床表现外，还要对其病因、分期及机体损害的部位做出判断，为治疗提供理论依据。痛风的治疗在控制高尿酸血症同时要注意保护脏器、防止急性发作。本文结合新近文献资料，主要介绍了痛风的诊断和治疗，希望对临床医师提供帮助和参考。

With the increase of the morbidity of metabolic syndrome, injury of the aged kidney and the use of diuretic, the incidence of gout increased and the age of onset became younger, untypical or refractory gout increased. Excepting the hyperuricemia and clinical manifestation, the diagnosis of gout also need to detect the cause, staging and the injury organ, to provide theory for the treatment. The treatment of gout includs etilogical treatment, hyperuricemia control, organ protection and acute episode prevention. On the basis of the recent publications of related medical literature, this paper presents here a main recommendation on the diagnosis and treatment of gout. The article may be beneficial for clinicians to deal with gout.