高尿酸血症/痛风的社区管理研究

Community Management of Gout and Hyperuricemia

高尿酸血症(HUA)和痛风已经成为全球常见病和多发病之一,给发达国家和发展中国家均带来较重的疾病负担,同时HUA也是很多慢性病的独立危险因素。但目前国内HUA/痛风的诊疗主要集中于三级医院,且HUA/痛风的危害也常常为大家所忽视。针对我国AUH/痛风防控薄弱、痛风控制率低及社区管理尚未开展的现状,建立健全有效的AUH/痛风社区管理模式刻不容缓。本文以全科医学的视角,在综述国内外社区管理研究的基础上,借鉴我国其他慢性疾病社区管理的经验,结合全球AUH/痛风社区管理经验和目前我国AUH/痛风管理中的主要困境,为将来开展社区AUH/痛风社区规范管理提供了一些有价值的参考建议。

Hyperuricemia （HUA） and gout have become the most prevalent diseases and comorbidities worldwide, and have increased the medical burden of countries worldwide. Concurrently, HUA is also an independent risk factor of many chronic diseases. However, in China, HUA and gout are currently managed only in tertiary hospitals, and the risks of HUA are often neglected by doctors and patients. Because of inadequate HUA and gout preventive measures in China, the low gout control rate, and underdeveloped community management systems, establishing a comprehensive and effect HUA and gout community management model is imperative. To provide valuable references and recommendations for establishing community HUA and gout regulatory management, this study adopts the perspective of a general practitioner, refers to China＇s experience in community management of other chronic diseases, integrates global HUA and gout community management experiences, and summarizes the predominant difficulties associated with HUA and gout management in China.