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[痛风与高尿酸血症——二者都需要治疗吗?]

[Gout and hyperuricaemia--should both be treated?].

作者信息

Uhlig Till

机构信息

Nasjonalt revmatologisk rehabiliterings- og kompetansesenter, Revmatologisk avdeling, Diakonhjemmet sykehus, 0319 Oslo.

出版信息

Tidsskr Nor Laegeforen. 2003 Oct 23;123(20):2878-80.

Abstract

Patients with increased levels of uric acid will usually be treated with drugs if symptoms of acute arthritis or kidney stones occur. Drugs for the treatment of acute arthritis attacks include non-steroidal anti-inflammatory drugs (NSAIDs), glucocorticoids systematically or injected into the joint, and colchicine. As prophylactic long-term treatment of recurring attacks, allopurinol, probenicide and colchicine are therapeutic alternatives. There is still no consensus on the treatment of individuals with asymptomatic hyperuricaemia.

摘要

尿酸水平升高的患者如果出现急性关节炎或肾结石症状,通常会接受药物治疗。用于治疗急性关节炎发作的药物包括非甾体抗炎药(NSAIDs)、全身性糖皮质激素或关节内注射的糖皮质激素以及秋水仙碱。作为复发性发作的预防性长期治疗,别嘌醇、丙磺舒和秋水仙碱是治疗选择。对于无症状高尿酸血症患者的治疗仍未达成共识。

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