摘要
目的对就诊于北京协和医院痛风门诊的青年痛风患者的临床特点进行分析。方法对2008年1月至2012年2月就诊于协和医院普通内科痛风门诊的324例痛风患者进行问卷调查和临床资料收集,并将资料录入痛风门诊患者数据库管理系统并分析,以了解该人群的临床特点,初步探讨青年患者的人群特征。结果本组324例中,男316例(97.5%),女8例(2.5%),平均病程(100±77)个月,血清尿酸平均值(585.0±123.2)μmol/L,多关节受累多见,占79%;青年组较中老年组病程更短(P<0.05),基础疾病合并率更低(P<0.05),但尿酸水平[(601.5±11.2)μmol/L]较中老年组[(569.7±11.1)μmol/L]更高(P<0.05),累及关节数与中老年组差异无统计学意义。结论痛风患者人群更加年轻化,临床特征更具复杂性,青年患者所为一个独特人群需要给予足够的重视。
Objective To analyze the clinical characteristics of gout outpatients from Peking Union Medical College Hospital.Methods Questionnaire survey and clinical analysis were conducted to collect 324 gout outpatients’ clinical data and clinical features.Results The average duration of the 324 patients was（100±77） months and their mean serum uric acid level was（601.5±11.2） μmol/L.The proportion of males and females was 97.5% and 2.5% respectively.Although young patients had a long course of disease（P 〈 0.05） and a greater frequency of concurrent diseases（P 〈 0.05） than the aged group,the number of affected joins in the young patients group did not show significant difference with the aged group.In addition,young patients group showed a high level of serum uric acid（P 〈 0.05） than the aged group.Conclusion People may have an earlier age of gout onset.Clinical presentations are also different and complicate.More attention should be paid to young patients with gout.
出处
《北京医学》
CAS
2012年第10期871-873,共3页
Beijing Medical Journal
