摘要:
目的:探讨周家渡社区痛风性关节炎与高血压、高脂血症、脂肪肝、糖尿病等伴发病的关系,及与饮食、疲劳、季节、遗传等因素的关系。方法本文收集了121例痛风病人,从性别、年龄、体重、病程、诱发因素、发病部位、发病季节、伴发病及家族遗传史、血尿酸水平等方面进行临床观察。结果痛风性关节炎病人中有家族遗传史的占19.05%;诱发因素中以饮食不节为最主要,占61.16%;痛风急性发作好发于季节交替时,占39.76%;痛风好发于下肢关节,以第一足趾关节最多,占45.45%;常伴发其他疾病,肥胖占80.99%,高脂血症占52.07%,高血压占47.11%。结论痛风性关节炎的发作与饮食、疲劳、气候等相关;有明显的家族遗传性;好发于下肢小关节,以第一跖趾关节最多见;常与肥胖、高血脂、高血压等代谢性疾病并发。%Objective:To investigate the relationship between gouty arthritis of zhoujiadu community and concomitant disease,such as hypertension,hyperlipidemia,fat y liver and diabe-tes.To investigate the relationship between gouty arthritis and the risk factors,such as diet,fatigue,season,descendiblity and others.Methods:In clinical investigation,121 patients were observed in sex,age,weight,duration,inducement,the place frequently at acked,the season frequently at acked,concomitant diseases,familial heredity and uric acid in blood.Results:In these patients, familial heredity was found in 19.05%,diet out of control was the most important inducement in 61.16%.The most commonly onset of acute gouty arthritis was in alternant seasons,in 39.76%. Gout commonly occurs in lower limb joints,the first metatarsophalangeal joint was involved among 45.45%.Concomitant disease was found in these patients,obesity account of 80.99%,hyperlip-idemia account of 52.07%,hypertension account of 47.11%.Conclusion:The die,t season and fatigue are related to gouty arthritis.Gouty arthritis was obviously familialheredity.The place fre-quently at acked of gouty arthritis was smal joints of lower limbs,especial y thefirst metatarsophalangeal joint.Gouty arthritis ia always concomitant with obesity,Hyperlipidemia,hypertension.