中国全科医学 ›› 2018, Vol. 21 ›› Issue (14): 1645-1647.DOI: 10.3969/j.issn.1007-9572.2018.00.132

所属专题: 指南/共识最新文章合集

• 专题研究 • 上一篇    下一篇

《美国医师协会临床实践指南:急性和复发性痛风管理》解读

熊逸凡,赵东宝*   

  1. 200433上海市,第二军医大学附属长海医院风湿免疫科
    *通信作者:赵东宝,主任医师;E-mail:dongbaozhao@163.com
  • 出版日期:2018-05-15 发布日期:2018-05-15

Interpretation of Management of Acute and Recurrent Gout:a Clinical Practice Guideline from the American College of Physicians

  1. Department of Rheumatology,the Changhai Affiliated Hospital of the Second Military Medical University,Shanghai 200433,China
    *Corresponding author:ZHAO Dong-bao,Chief physician;E-mail:dongbaozhao@163.com
  • Published:2018-05-15 Online:2018-05-15

摘要: 痛风作为一种常见的尿酸盐过度沉积导致的炎性关节疾病,其发病率在世界范围内逐年升高,如何进行相应的急性发作期控制和慢病管理成为重要的卫生问题。至今,国内外相继推出多部相关指南,其中,2016年美国医师协会(ACP)推出《美国医师协会临床实践指南:急性和复发性痛风管理》指南较有权威性,主要分为急性痛风发作的管理和降尿酸治疗的管理方面。本文对其进行深度解读,并选择近期推出的国内外痛风指南〔2016年欧洲风湿病防治联合会(EULAR)痛风指南、2017年英国风湿病学会(BSR)痛风指南和2016年中国痛风指南〕进行比较,并就不同点探讨了深层原因,值得我国广大基层医生学习借鉴。

关键词: 痛风, 高尿酸血症, 治疗, 指南

Abstract:

Gout is a common inflammatory arthritis resulted from excessive accumulation of monosodium urate.Its morbidity is increasing worldwide,so acute gout attack control and chronic gout management are very important.Of the guidelines for gout management published so far,Management of Acute and Recurrent Gout,a practice guideline developed by the American College of Physicians(ACP) in 2016,mainly including management of acute gout and urate-lowering therapy,is of authoritative significance.We intensively interpreted this guideline,and compared it with other 3 latest guidelines for gout management generated by the European League Against Rheumatism(EULAR) in 2016,British Society for Rheumatology(BSR) in 2017 and Chinese Rheumatology Association in 2016.And for the differences between these guidelines,we demonstrated the possible reasons.It is worth learning for Chinese primary care physicians.

Key words: Gout, Hyperuricemia, Therapy, Guidebooks