痛风性关节炎83例临床分析

Clinical Analysis of 83 Patients with Gout Arthritis

目的总结痛风性关节炎临床特点,加强对该病认识。方法回顾性分析本院83例痛风性关节炎患者的临床资料。结果男性患者发病率明显高于女性,男性80例,女性3例,平均发病年龄为(51±13)岁。因高嘌呤饮食诱发及饮酒诱发分别为37例(占46.3%)32例(占40%),以足第一跖趾、跗骨、踝和膝关节炎为首发表现者分别为45例(占56.3%)、12例(占15%)、6例(占7.5%)和5例(占6.3%)。结论痛风性关节炎是一种以单关节急性炎症为主要表现,男性发病率明显高于女性的疾病,第一跖趾关节最常受累,高嘌呤饮食及饮酒容易诱发痛风发作。

Objective To gain a deep understanding in gouty arthritis by summarizing clinical charactcristics.Methods 83 cases of gouty arthritis were reviewed and analyzed clinical characteristics.Results Male patients with a significantly higher incidence of female,there were 80 male patients and 3 female patients,The average onset age was（51＋-13）years old,The onset was induced by purine rich diet in 37 cases（46.3%） and by alcohol consumption in 32cases（40%）.Conclusion Gouty arthritis is a kind of acurt sing joint arthritis and more common males,with the first metatarsophalangeal joint being the most commonly affected site,purine-rich diet and alcohol consumption can induce the onset of gout.