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痛风是以血尿酸升高为基础的一组临床综合征,常伴高血压、2型糖尿病等代谢性疾病。近年来随着社会经济的进步,饮食结构的改变,痛风发病率逐年升高并呈年轻化趋势,痛风患者2型糖尿病的发病率远远高于非痛风人群。而在治疗过程中存在如何更合理选用药物进行治疗的问题,笔者作为临床药师参与1例糖尿病合并痛风患者的治疗过程,体会应当如何选药,以最大程度地提高疗效,降低不良反应发生率,以便为糖尿病合并痛风患者选药提供借鉴。
Gout is a group of clinical syndromes based on elevated serum uric acid, often accompanied by metabolic diseases such as hypertension and type 2 diabetes. In recent years, with the social and economic progress, changes in diet, the incidence of gout increased year by year and showed a trend of younger, the incidence of type 2 diabetes in gout patients is much higher than non-gout crowd. In the course of treatment, there is a problem of how to use drugs more rationally. As a clinical pharmacist, I participated in the treatment of one patient with diabetes mellitus and learned how to choose medicine to maximize the curative effect, reduce the incidence of adverse reactions, In order to provide reference for drug selection in gout patients with diabetes mellitus.