目的了解不同级别、不同科室的临床医师对痛风的认知现状。方法采取现场填写问卷的方法,调查不同医院、不同科室临床医师对痛风的危害和防治等方面的认知情况,分析其形成原因。结果 402名临床医师中,知道根据关节炎特点诊断痛风的占16.9%,误认为根据尿酸水平诊断痛风的占83.1%;误认为痛风发作时血尿酸水平一定会升高的占49.0%,仅10.0%的临床医师知道间歇期血尿酸升高;误认为急性发作时要用降尿酸药的占78.1%。在对痛风饮食的认知中,知道不宜饮酒的占82.1%,知道不宜食用肉汤的占52.7%,知道不宜食用猪肝的占20.1%。在对痛风危害的认知中,知道可引起肾损害的占84.8%,知道可并发高血压的占48.0%,知道可并发糖尿病的占37.6%。结论临床医师对痛风的认识存在许多误区,应加强对临床医师的培训,纠正其对痛风的错误认识。 Objective To understand the current status of gout among clinicians of different grades and departments. Methods The method of field questionnaire was used to investigate the cognition of gout, prevention and treatment of different hospitals and clinicians in different departments, and to analyze the causes. Results Among the 402 clinicians, 16.9% of gout patients were diagnosed according to the characteristics of arthritis, 83.1% of them were mistaken for diagnosing gout based on uric acid level, 49.0% of patients with gout uric acid mistakenly believe gout level increased only 10.0% % Of clinicians aware of intermittent elevated blood uric acid; mistakenly believe that the use of uric acid drugs accounted for 78.1% of acute attacks. In the cognition of gout diet, know that should not drink accounted for 82.1%, know that should not eat broth accounted for 52.7%, know that should not eat pig liver accounted for 20.1%. In the cognition of gout damage, 84.8% of those who can cause kidney damage, 48.0% who know that can be complicated by hypertension, and 37.6% who know that can have diabetes. Conclusion Clinicians have many misunderstandings about gout, and clinicians should be trained to correct their misconceptions about gout.