山东沿海地区家族性痛风431例临床特点分析

来源 :中华风湿病学杂志 | 被引量 : 0次 | 上传用户:xuerscc
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目的 对比分析家族性痛风和散发痛风患者临床资料,为痛风的早期治疗及预后判断提供依据.方法 收集家族性痛风431例和散发病风1899例,比较其临床特征及生化特点.采用t检验和x2检验进行统计分析.结果 ①家族性痛风组初发年龄(44±14)岁、发作时血尿酸浓度(456±118) μmol/L均显著低于散发痛风组[分别为(47±13)岁,(472±125)μmol/L,P<0.05)].②家族性痛风组患者 中高嘌呤饮食(67.7%和88.2%)、饮酒(31.3%和44.5%)及首发累及第一跖趾关节所占比例(69.1%和77.4%)明显低于散发痛风患者(P<0.05),而女性患者(9.7%和6.6%)、首发累及踝关节(18.1%和11.3%)、无明显诱因(25.2%和2.5%)及并发脂代谢紊乱(77.4%和71.1%)所占比例明显高于散发痛风组(P<0.05).结论 山东沿海地区家族性痛风患者发病年龄较早,痛风发作时血尿酸水平较低,女性发病概率增加,易并发脂代谢紊乱,且家族成员容易漏诊,需详细追溯家族史,以期做到早期预防和及时治疗.
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