摘要
目的由于长期的尿酸增高会导致尿酸盐沉积和肾脏损害,探讨高尿酸血症的中医证候学特点,以期为高尿酸血症患者提供更好的治疗方法。方法收集105例社区高尿酸血症患者的临床资料,按照ZY/T001.1~001.9-94《中医病证诊断疗效标准》中对痛风的证候分类,分析归纳其中医证候特点。结果高尿酸血症患者的临床症状多为形体肥胖（73.33%）、口苦或口腻（72.38%）、便秘（72.38%）等实证表现;舌脉表现多为舌质红、舌苔黄腻、脉弦或脉滑。高尿酸血症以湿热蕴结的标实证为主要证型（45.71%）,其次是痰浊阻滞证（33.33%）、瘀血阻滞证（14.29%）和肝肾阴虚证（0.67%）。结论高尿酸血症的主要病理因素是痰和湿,最常见证型是湿热蕴结证,其次是痰浊阻滞证。
Objective A long period of uric acid can increase casue urate deposition and kidney damage.The paper was to explore the syndrome characters of hyperuricemia in Chinese medicine so as to provide the better therapeutic methods for the patients with hyperuricemia.Methods The clinical data of 105 cases of hyperuricemia in the community were collected.According to Standards for the Syndrome Diagnosis of Chinese Medicine,the syndromes of gout were classified so that the syndrome characters could be synthesized.Results The clinical symptoms of hyperuricemia were mostly manifested as excess syndrome,such as joint swelling and pain,obesity（73.33%）;bitter taste in the mouth or sticking feeling in the mouth（72.38%）,and constipation（72.38%）.The common tongue and pulse conditions were red tongue,yellow sticky coating,wiry or rolling pulse.Stagnation of damp heat（45.71%）was the main pattern of Biao excess syndrome in hyperuricemia.Additionally,there were retention of turbid phlegm（33.33%）,stagnation of blood（14.29%）and yin deficiency of the liver and kidney（0.67%）.Conclusion The chief pathological factors of hyperuricemia are phlegm and damp.The most common syndrome is stagnation of damp heat and the second one is retention of turbid phlegm.
出处
《世界中西医结合杂志》
2011年第1期39-40,共2页
World Journal of Integrated Traditional and Western Medicine
基金
上海市浦东新区社会发展局课题(No.PW2008E-11)
关键词
高尿酸血症
证候特点
湿热蕴结
Hyperuricemia
Syndrome Characters
Retention of Damp Heat
