临床医师对痛风的认知现状分析

发布时间：2018-09-19 07:26

【摘要】：目的了解不同级别、不同科室的临床医师对痛风的认知现状。方法采取现场填写问卷的方法,调查不同医院、不同科室临床医师对痛风的危害和防治等方面的认知情况,分析其形成原因。结果 402名临床医师中,知道根据关节炎特点诊断痛风的占16.9%,误认为根据尿酸水平诊断痛风的占83.1%;误认为痛风发作时血尿酸水平一定会升高的占49.0%,仅10.0%的临床医师知道间歇期血尿酸升高;误认为急性发作时要用降尿酸药的占78.1%。在对痛风饮食的认知中,知道不宜饮酒的占82.1%,知道不宜食用肉汤的占52.7%,知道不宜食用猪肝的占20.1%。在对痛风危害的认知中,知道可引起肾损害的占84.8%,知道可并发高血压的占48.0%,知道可并发糖尿病的占37.6%。结论临床医师对痛风的认识存在许多误区,应加强对临床医师的培训,纠正其对痛风的错误认识。
[Abstract]:Objective to investigate the cognition of gout among clinicians of different grades and departments. Methods by filling out the questionnaire on the spot, the authors investigated the cognition of the harm and prevention of gout among the clinicians in different hospitals and departments, and analyzed the causes of its formation. Results among 402 clinicians, Only 10.0% of clinicians knew that gout was diagnosed according to the characteristics of arthritis in 16.9 cases, 83.1% in patients with gout according to uric acid level, only 10.0% of clinicians knew that uric acid level in patients with gout would increase during intermittent period. Those who mistakenly thought that antiuric acid should be used during acute attack accounted for 78. 1%. In the cognition of gout diet, 82.1% knew that it was not suitable for drinking, 52.7% knew that broth was not suitable for consumption, and 20.1% knew that it was not suitable for eating pig liver. In the cognition of the harm of gout, 84.8% of them know that they can cause kidney damage, 48.0% know that they can be complicated with hypertension, 37.6% know that they can be complicated with diabetes. Conclusion there are many misunderstandings in the understanding of gout by clinicians, so we should strengthen the training of clinicians and correct their misunderstandings of gout.
【作者单位】：安徽医科大学附属省立医院风湿免疫科;安徽医科大学第一临床学院;
【基金】：国家自然科学基金(81671601) 安徽省自然科学基金(1708085MH191)
【分类号】：R589.7

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