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目的:了解原发性痛风患者在社区医院的诊治现状,探讨将痛风纳入社区慢病管理的必要性和可行性。方法:对集仕港社区有详细、可靠病史及检查报告的98例原发性痛风患者就他们的诊断过程和治疗状况进行详细了解、记录、汇总、分析。结果:其中有29例患者有过时间长短不等的误诊过程,60例患者存在不合理、不规范的用药情况。结论:原发性痛风的患病率、检出率逐渐增高,误诊率逐渐下降,但不合理、不规范的用药现象依然大量存在。因此,有必要将此病纳入社区慢性病管理行列。
Objective: To understand the diagnosis and treatment of primary gout in community hospitals and to explore the necessity and feasibility of incorporating gout into community-based chronic disease management. Methods: A total of 98 cases of primary gout patients who had a detailed and reliable medical history and examination report were thoroughly studied, recorded, summarized and analyzed on their diagnosis process and treatment status. Results: Among them, 29 patients had misdiagnosis process with different length of time, and 60 patients had irrational and irregular medication. Conclusion: The prevalence rate and detection rate of primary gout gradually increase, and the rate of misdiagnosis gradually decreases. However, there is still a large number of unreasonable and irregular medication. Therefore, it is necessary to include the disease in the community management of chronic diseases.