临床医师对痛风认知的问卷调查

Questionnaire survey of cognition status of clinicians on gout

目的了解我国风湿科医师对痛风认知现状,提高医师诊治水平。方法对170名医师进行关于痛风诊治情况的现场问卷调查,并对结果进行统计分析。结果一共回收159名医师问卷。有20名医师(12.58%)认为痛风急性发作时血尿酸水平一定升高;有17名(10.92%)认为在治疗急性痛风性关节炎同时降尿酸治疗,72名(45.38%)认为急性痛风性关节炎缓解后立即开始降尿酸治疗;有29名(18.07%)认为痛风患者降尿酸治疗的目标值<420μmol/L,105名(66.27%)认为<360μmol/L。结论部分医师对痛风诊治中已成共识的知识了解不够全面,有待进一步提高。

Objective To investigate the cognition status of physicians from the Department of Rheu- matology on gout in China, aiming to enhance the diagnosis and treatment efficacy. Methods An on-spot questionnaire survey related to the diagnosis and treatment of gout was conducted among 170 physicians. Survey data were statistically analyzed. Results In total, 159 questionnaires were collected. Twenty physicians （ 12. 58% ） considered that the level of blood uric acid would be definitely increased upon the acute onset of gout. Seventeen （10. 92% ） responders revealed that the uric-lowering drugs should be delivered during the treatment of acute gouty arthritis. Seventy two participants （45.38%） considered that uric-lowering drugs should be administered immediately after the symptoms of acute gouty arthritis were mitigated. Twenty nine physicians （ 18.07% ） suggested that the level of blood uric acid should be controlled 〈 420 μmol/L, whereas 105 （66. 27% ） considered the target level 〈 360 μmol/L. Conclusions Partial physicians fail to compre- hensively understand the medical consensus on the diagnosis and treatment of gout and their clinical skills should be strengthened.