中华内科杂志2023年9月第62卷第9期ChinJInternMed,September2023,Vol.62,No.9痛风诊疗规范徐东1朱小霞2邹和建2林禾3赵岩1代表中华医学会风湿病学分会1中国医学科学院北京协和医学院北京协和医院风湿免疫科国家皮肤与免疫疾病临床医学研究中心疑难重症及罕见病国家重点实验室风湿免疫病学教育部重点实验室，北京100730；2复旦大学附属华山医院风湿免疫科,上海200040；3福建省立医院风湿免疫科，福州350013通信作者：赵岩，Email：zhaoyan_pumch2002@aliyun.com【摘要】痛风是一种单钠尿酸盐沉积在关节所致的晶体相关性关节病，属代谢性风湿病。我国痛风虽然并不少见，但其规范化诊疗的普及依然欠缺。中华医学会风湿病学分会查阅了该领域最新进展，在借鉴国内外诊治经验的基础上，制定了本规范，旨在规范痛风的诊断、治疗时机和治疗方案，以减少误诊和漏诊。对患者短期与长期治疗予以建议，以减少不可逆损伤的发生，改善患者预后。【关键词】痛风；高尿酸血症；诊断；治疗；预后RecommendationsforthediagnosisandtreatmentofgoutinChinaXuDong1,ZhuXiaoxia2,ZouHejian2,LinHe3,ZhaoYan1,onbehalfofChineseRheumatologyAssociation1DepartmentofRheumatologyandClinicalImmunology,PekingUnionMedicalCollegeHospital,PekingUnionMedicalCollege,ChineseAcademyofMedicalSciences,NationalClinicalResearchCenterforDermatologicandImmunologicDiseases,MinistryofScience&Technology,StateKeyLaboratoryofComplexSevereandRareDiseases,KeyLaboratoryofRheumatologyandClinicalImmunology,MinistryofEducation,Beijing100730,China;2DivisionofRheumatology,HuashanHospital,FudanUniversity,Shanghai200040,China;3DepartmentofRheumatology,FujianProvincialHospital,Fuzhou350013,ChinaCorrespondingauthor:ZhaoYan,Email:zhaoyan_pumch2002@aliyun.com【Abstract】Goutisametabolicdiseaseresultingfromtheaccumulationofmonosodiumurate(MSU)injoints,leadingtocrystal‐inducedarthritis.InChina,goutiscommon,butthereisinsufficientknowledgeregardingstandardizedcriteriaforthediagnosisandtreatmentofthiscondition.BasedonevidenceandguidelinesfromChinaandothercountries,theChineseRheumatologyAssociationdevelopedstandardizedcriteriaforthediagnosisandtreatmentofgoutinChina.Thepurposewastostandardizegoutdiagnosismethodsas...
