急性痛风性关节炎的中西医治疗进展

文章信息/Info

• Title:急性痛风性关节炎的中西医治疗进展

• 卷期:2024年22卷4期

• 作者:刘征1   李荣华2   徐云生2

• 1.山东中医药大学第一临床医学院，山东 济南 250000；2.山东中医药大学第二附属医院内分泌科，山东 济南 250000

• Author(s):LIU Zheng1，LI Ronghua2，XU Yunsheng2

• 1.Shandong University of Traditional Chinese Medicine ,First Clinical Medical College，Jinan 250000；2. Department of endocrinology，The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine，Jinan 250000

• 关键词急性痛风性关节炎；中西医治疗；综述

• Keywords:Acute gouty arthritis ; Chinese and Western medicine treatment ; Summary

• 摘要:急性痛风性关节炎(AGA)是一种临床常见疾病。近年来，随着人们生活水平的提高，急性痛风性关节炎的发病率不断上升，严重影响人们的工作、学习和生活。痛风在中医属于“痹证”“历节”的范畴，中医药治疗急性痛风性关节炎具有疗效显著、副作用小、价格低廉等诸多优点，能够根据患者的具体症状、体征等辨证论治、标本兼治，减少复发概率。本文从中医内治法、中医外治法以及西医治疗、外科治疗等方面对治疗方法进行了综述，为急性痛风性关节炎的治疗提供思路。                                                                                                                                                                                

• Abstract:  Acute gouty arthritis ( AGA ) is a common clinical disease. In recent years, with the improvement of people ’ s living standards, the incidence of acute gouty arthritis has been increasing, which seriously affects people ’ s work, study and life. Gout belongs to the category of ' Bi syndrome ' and ' Lijie ' in traditional Chinese medicine. Traditional Chinese medicine has many advantages in the treatment of acute gouty arthritis, such as obvious curative effect, small side effects and low price. It can be treated according to the specific symptoms and signs of patients, and reduce the probability of recurrence. This article reviews the treatment methods from the aspects of internal treatment of traditional Chinese medicine, external treatment of traditional Chinese medicine, western medicine treatment and surgical treatment, so as to provide ideas for the treatment of acute gouty arthritis.

  痛风性关节炎是由于尿酸盐沉积而引起的病理性损害及炎性反应，它的发病部位多见于第一跖趾关节。急性痛风性关节炎起病突然、急骤，可快速发病，多于夜间或清晨突然出现关节剧烈疼痛，出现红、肿、热、痛、关节活动障碍，主要累及第一跖趾关节且多以单侧出现。目前我国痛风的患病率在 1％～3％，并呈逐年上升趋势[1]。中医药治疗急性痛风性关节炎疗效显著、方法多样，值得临床推广。