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痛风诊治现状调查

A study on status quo of gout treatment

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【作者】 章璐赵孟君周惠琼吴东海

【Author】 ZHANG Lu,ZHAO Meng-jun,ZHOU Hui-qiong,WU Dong-hai.Department of Rheumatology,China-Japan Friendship Hospital,Beijing 100029,China

【机构】 卫生部中日友好医院风湿免疫科

【摘要】 目的了解我国痛风诊治现状,提高医师诊治水平。方法对210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201份答卷。有35名医师(17.4%)认为急性痛风发作时血尿酸水平一定升高;有108名医师(53.7%)认为在痛风急性发作时应立即停用正在应用的降血尿酸药物;有98名医师(48.7%)认为开始降血尿酸治疗时不需要同时给予秋水仙碱或非甾体类抗炎药(NSAIDs)预防痛风发作。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。对目前尚有争论的问题应开展深入临床研究。

【Abstract】 Objective To investigate the status quo of the treatment decisions for gout in China.Methods A questionnaire survey was conducted among 210 physicians.Statistical analyses of data were performed by SPSS version 11.5 Results 201 questionnaires were collected.35 physicians(17.4%)consider that the level of blood uric acid will be certainly increased during acute attacks of gout.53.7% of the responders think that the urate-lowering drugs being taken by patients should be stopped when gout attacks.98 of them(48.7%)think prophylaxis against gout flare using colchicine or NSAIDS is not necessary during the first months of urate-lowering therapy.Conclusions Medical consensus about gout treatment should be further emphasized among us,and some controversial issues should be addressed through large sample long term prospective clinical trial.

  • 【文献出处】 中华临床医师杂志(电子版) ,Chinese Journal of Clinicians(Electronic Edition) , 编辑部邮箱 ,2011年02期
  • 【分类号】R589.7
  • 【被引频次】16
  • 【下载频次】567
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