摘要
随着生活水平的提高,人口寿命的延长,除风湿免疫专科医生外,痛风及高尿酸血症已日益成为其他内科医生、全科医生、基层医生临床工作中常见的慢性疾病.欧洲抗风湿病联盟(European League Against Rheumatism,EULAR)于2006年首次发布痛风诊疗的专家建议,之后多次更新.最新的《2018版欧洲抗风湿病联盟痛风诊断循证专家建议更新》采用德尔菲共识形成方法,最终形成8项主要建议,于2019年6月在线发布.此版建议既再次强调了专科医生、关节穿刺、超声检查在诊断中的作用,也呼吁所有临床医生均应对疾病危险因素和共病加强关注.
[Summary] With the improvement of people′s living conditions and the prolonged lifespan,gout and hyperuricemia have increasingly become common chronic diseases in daily clinical practice for other physicians in addition to rheumatologists, even including general practitioners and primary care doctors. The European League Against Rheumatism (EULAR) firstly issued recommendations on gout diagnosis and management in 2006, which has been updated several times. Using a Delphi consensus approach, 2018 updated European League Against Rheumatism evidence?based recommendations for the diagnosis of gout finally formulated eight main recommendations, which was published online in June 2019. Not only does this edition emphasize the role of specialists, joint puncture or tophus aspirates and ultrasound in diagnosis, but also calls on all clinicians to pay more attention to risk factors of gout and associated comorbidities.
作者
曾学军
张昀
Zeng Xuejun;Zhang Yun(Department of General Internal Medicine,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China)
出处
《中华内科杂志》
CAS
CSCD
北大核心
2019年第10期745-750,共6页
Chinese Journal of Internal Medicine
