内分泌指南

订阅

MedSci主页 / 所有栏目 / 内分泌指南

中国高尿酸血症及痛风诊疗指南(2019)解读

2021-09-20 同济大学附属第十人民医院肾脏风湿科 西部医学

痛风高尿酸血症

高尿酸血症是一种常见的嘌呤代谢性疾病,不仅可引起痛风,还可影响全身多系统。全世界多国均对高尿酸血症及痛风进行指南推荐。

中文标题：

中国高尿酸血症及痛风诊疗指南(2019)解读

发布机构：

同济大学附属第十人民医院肾脏风湿科

发布日期：

2021-09-20

简要介绍：

高尿酸血症是一种常见的嘌呤代谢性疾病,不仅可引起痛风,还可影响全身多系统。全世界多国均对高尿酸血症及痛风进行指南推荐。2019年中华医学会内分泌学会分会制定的高尿酸血症及痛风指南,通过3条推荐总则和10个临床问题的推荐,多维度解析了无症状高尿酸血症及痛风诊治的各个环节。不仅提出了新的概念,更对急性痛风发作、碱化尿液及降尿酸治疗做了细化及分层建议。本文将从该指南的特色亮点入手,对此指南进行解读,以助加深临床医生对高尿酸血症及痛风诊治的理解。 

相关资料下载：
[AttachmentFileName(sort=1, fileName=中国高尿酸血症及痛风诊疗指南(2019)解读.pdf)] GetToolGuiderByIdResponse(projectId=1, id=b848b1c0023a9162, title=中国高尿酸血症及痛风诊疗指南(2019)解读, enTitle=, guiderFrom=西部医学, authorId=0, author=, summary=高尿酸血症是一种常见的嘌呤代谢性疾病,不仅可引起痛风,还可影响全身多系统。全世界多国均对高尿酸血症及痛风进行指南推荐。, cover=https://img.medsci.cn/202229/1644415326532_5579292.jpg, journalId=0, articlesId=null, associationId=2382, associationName=同济大学附属第十人民医院肾脏风湿科, associationIntro=同济大学附属第十人民医院肾脏风湿科, copyright=0, guiderPublishedTime=Mon Sep 20 00:00:00 CST 2021, originalUrl=, linkOutUrl=, content=<p><span style="color: #333333;">高尿酸血症是一种常见的嘌呤代谢性疾病,不仅可引起痛风,还可影响全身多系统。全世界多国均对高尿酸血症及痛风进行指南推荐。2019年中华医学会内分泌学会分会制定的高尿酸血症及痛风指南,通过3条推荐总则和10个临床问题的推荐,多维度解析了无症状高尿酸血症及痛风诊治的各个环节。不仅提出了新的概念,更对急性痛风发作、碱化尿液及降尿酸治疗做了细化及分层建议。本文将从该指南的特色亮点入手,对此指南进行解读,以助加深临床医生对高尿酸血症及痛风诊治的理解。&nbsp;</span></p>, tagList=[TagDto(tagId=1530, tagName=痛风), TagDto(tagId=4057, tagName=高尿酸血症)], categoryList=[CategoryDto(categoryId=6, categoryName=内分泌, tenant=100), CategoryDto(categoryId=15, categoryName=风湿免疫, tenant=100), CategoryDto(categoryId=85, categoryName=指南&解读, tenant=100), CategoryDto(categoryId=21023, categoryName=赛诺菲-赛能, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=0, articleKeyword=, articleKeywordNum=6, guiderKeywordId=0, guiderKeyword=, guiderKeywordNum=6, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=解读, guiderLanguage=0, guiderRegion=3, opened=0, paymentType=, paymentAmount=10, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=6575, appHits=718, showAppHits=0, pcHits=1693, showPcHits=5848, likes=5, shares=98, comments=18, approvalStatus=1, publishedTime=Fri Feb 11 15:33:00 CST 2022, publishedTimeString=2021-09-20, pcVisible=1, appVisible=1, editorId=0, editor=FUNNYMAN, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=4, createdBy=null, createdName=FUNNYMAN, createdTime=Wed Feb 09 22:04:34 CST 2022, updatedBy=5579292, updatedName=FUNNYMAN, updatedTime=Thu Jan 04 02:58:55 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=, attachmentFileNameList=[AttachmentFileName(sort=1, fileName=中国高尿酸血症及痛风诊疗指南(2019)解读.pdf)])
中国高尿酸血症及痛风诊疗指南(2019)解读.pdf
下载请点击：
评论区 (16)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2107155, encodeId=abf4210e1552b, content=高尿酸血症是一种常见的嘌呤代谢性疾病,不仅可引起痛风,还可影响全身多系统。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=39625593953, createdName=小凯伊, createdTime=Fri Dec 23 13:59:19 CST 2022, time=2022-12-23, status=1, ipAttribution=北京), GetPortalCommentsPageByObjectIdResponse(id=1249565, encodeId=65cc124956577, content=<a href='/topic/show?id=4b1a1023444e' target=_blank style='color:#2F92EE;'>#高尿酸血症#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102344, encryptionId=4b1a1023444e, topicName=高尿酸血症)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/Random/55971dc507c93968175ce7cc1e177b372a83869f.jpg, createdBy=f63e4754896, createdName=小小医者, createdTime=Sat Sep 17 06:56:34 CST 2022, time=2022-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1233135, encodeId=70251233135e9, content=解读太有用了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=12cb5438026, createdName=ms4000000901131801, createdTime=Mon Jul 18 10:35:06 CST 2022, time=2022-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1233133, encodeId=1b0712331335c, content=特别好特别好！！！！！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=12cb5438026, createdName=ms4000000901131801, createdTime=Mon Jul 18 10:27:06 CST 2022, time=2022-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1224060, encodeId=6fdb122406042, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201003/7cda03d5aa3940f2bc0f340a705e2ef1/66b285549898452a8c71dad853eafb30.jpg, createdBy=5e571342519, createdName=89092534, createdTime=Thu Jun 02 15:13:54 CST 2022, time=2022-06-02, status=1, ipAttribution=)]
    2022-12-23 小凯伊 来自北京

    高尿酸血症是一种常见的嘌呤代谢性疾病,不仅可引起痛风,还可影响全身多系统。

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2107155, encodeId=abf4210e1552b, content=高尿酸血症是一种常见的嘌呤代谢性疾病,不仅可引起痛风,还可影响全身多系统。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=39625593953, createdName=小凯伊, createdTime=Fri Dec 23 13:59:19 CST 2022, time=2022-12-23, status=1, ipAttribution=北京), GetPortalCommentsPageByObjectIdResponse(id=1249565, encodeId=65cc124956577, content=<a href='/topic/show?id=4b1a1023444e' target=_blank style='color:#2F92EE;'>#高尿酸血症#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102344, encryptionId=4b1a1023444e, topicName=高尿酸血症)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/Random/55971dc507c93968175ce7cc1e177b372a83869f.jpg, createdBy=f63e4754896, createdName=小小医者, createdTime=Sat Sep 17 06:56:34 CST 2022, time=2022-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1233135, encodeId=70251233135e9, content=解读太有用了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=12cb5438026, createdName=ms4000000901131801, createdTime=Mon Jul 18 10:35:06 CST 2022, time=2022-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1233133, encodeId=1b0712331335c, content=特别好特别好！！！！！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=12cb5438026, createdName=ms4000000901131801, createdTime=Mon Jul 18 10:27:06 CST 2022, time=2022-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1224060, encodeId=6fdb122406042, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201003/7cda03d5aa3940f2bc0f340a705e2ef1/66b285549898452a8c71dad853eafb30.jpg, createdBy=5e571342519, createdName=89092534, createdTime=Thu Jun 02 15:13:54 CST 2022, time=2022-06-02, status=1, ipAttribution=)]
    2022-09-17 小小医者

    #高尿酸血症#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2107155, encodeId=abf4210e1552b, content=高尿酸血症是一种常见的嘌呤代谢性疾病,不仅可引起痛风,还可影响全身多系统。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=39625593953, createdName=小凯伊, createdTime=Fri Dec 23 13:59:19 CST 2022, time=2022-12-23, status=1, ipAttribution=北京), GetPortalCommentsPageByObjectIdResponse(id=1249565, encodeId=65cc124956577, content=<a href='/topic/show?id=4b1a1023444e' target=_blank style='color:#2F92EE;'>#高尿酸血症#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102344, encryptionId=4b1a1023444e, topicName=高尿酸血症)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/Random/55971dc507c93968175ce7cc1e177b372a83869f.jpg, createdBy=f63e4754896, createdName=小小医者, createdTime=Sat Sep 17 06:56:34 CST 2022, time=2022-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1233135, encodeId=70251233135e9, content=解读太有用了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=12cb5438026, createdName=ms4000000901131801, createdTime=Mon Jul 18 10:35:06 CST 2022, time=2022-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1233133, encodeId=1b0712331335c, content=特别好特别好！！！！！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=12cb5438026, createdName=ms4000000901131801, createdTime=Mon Jul 18 10:27:06 CST 2022, time=2022-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1224060, encodeId=6fdb122406042, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201003/7cda03d5aa3940f2bc0f340a705e2ef1/66b285549898452a8c71dad853eafb30.jpg, createdBy=5e571342519, createdName=89092534, createdTime=Thu Jun 02 15:13:54 CST 2022, time=2022-06-02, status=1, ipAttribution=)]
    2022-07-18 ms4000000901131801

    解读太有用了

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2107155, encodeId=abf4210e1552b, content=高尿酸血症是一种常见的嘌呤代谢性疾病,不仅可引起痛风,还可影响全身多系统。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=39625593953, createdName=小凯伊, createdTime=Fri Dec 23 13:59:19 CST 2022, time=2022-12-23, status=1, ipAttribution=北京), GetPortalCommentsPageByObjectIdResponse(id=1249565, encodeId=65cc124956577, content=<a href='/topic/show?id=4b1a1023444e' target=_blank style='color:#2F92EE;'>#高尿酸血症#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102344, encryptionId=4b1a1023444e, topicName=高尿酸血症)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/Random/55971dc507c93968175ce7cc1e177b372a83869f.jpg, createdBy=f63e4754896, createdName=小小医者, createdTime=Sat Sep 17 06:56:34 CST 2022, time=2022-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1233135, encodeId=70251233135e9, content=解读太有用了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=12cb5438026, createdName=ms4000000901131801, createdTime=Mon Jul 18 10:35:06 CST 2022, time=2022-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1233133, encodeId=1b0712331335c, content=特别好特别好！！！！！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=12cb5438026, createdName=ms4000000901131801, createdTime=Mon Jul 18 10:27:06 CST 2022, time=2022-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1224060, encodeId=6fdb122406042, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201003/7cda03d5aa3940f2bc0f340a705e2ef1/66b285549898452a8c71dad853eafb30.jpg, createdBy=5e571342519, createdName=89092534, createdTime=Thu Jun 02 15:13:54 CST 2022, time=2022-06-02, status=1, ipAttribution=)]
    2022-07-18 ms4000000901131801

    特别好特别好！！！！！

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2107155, encodeId=abf4210e1552b, content=高尿酸血症是一种常见的嘌呤代谢性疾病,不仅可引起痛风,还可影响全身多系统。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=39625593953, createdName=小凯伊, createdTime=Fri Dec 23 13:59:19 CST 2022, time=2022-12-23, status=1, ipAttribution=北京), GetPortalCommentsPageByObjectIdResponse(id=1249565, encodeId=65cc124956577, content=<a href='/topic/show?id=4b1a1023444e' target=_blank style='color:#2F92EE;'>#高尿酸血症#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102344, encryptionId=4b1a1023444e, topicName=高尿酸血症)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/Random/55971dc507c93968175ce7cc1e177b372a83869f.jpg, createdBy=f63e4754896, createdName=小小医者, createdTime=Sat Sep 17 06:56:34 CST 2022, time=2022-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1233135, encodeId=70251233135e9, content=解读太有用了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=12cb5438026, createdName=ms4000000901131801, createdTime=Mon Jul 18 10:35:06 CST 2022, time=2022-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1233133, encodeId=1b0712331335c, content=特别好特别好！！！！！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=12cb5438026, createdName=ms4000000901131801, createdTime=Mon Jul 18 10:27:06 CST 2022, time=2022-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1224060, encodeId=6fdb122406042, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201003/7cda03d5aa3940f2bc0f340a705e2ef1/66b285549898452a8c71dad853eafb30.jpg, createdBy=5e571342519, createdName=89092534, createdTime=Thu Jun 02 15:13:54 CST 2022, time=2022-06-02, status=1, ipAttribution=)]
    2022-06-02 89092534

    好

    0

以上为热门评论，梅斯医学App还有更多内容

相关指南

2021 APLAR临床实践指南：痛风的治疗

亚太风湿病学联盟协会(APLAR,Asia Pacific League of Associations for Rheumatology) · 2021-12-20

痛风基层合理用药指南

暂未更新 · 2021-06-04

高尿酸血症和痛风病证结合诊疗指南

中国医师协会中西医结合医师分会(DSIM/CMDA,Doctor Society of integrative Medicine，Chinese Medical Doctor Association) · 2021-01-20

痛风及高尿酸血症基层诊疗指南（实践版·2019）

中华医学会(CMA,Chinese Medical Association) · 2020-06-15

2020美国风湿病学会痛风管理指南

美国风湿病学会(ACR,American College of Rheumatology) · 2020-05-11

2018 EULAR循证建议：痛风的诊断（更新版）

欧洲抗风湿病联盟(EULAR,The European League Against Rheumatism) · 2019-06-05