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问:我今年68岁,患痛风10余年。近两年痛风频繁,血尿酸高到500umol/L以上,吃了不少中西药,仍降不下来。请问,我该如何治疗?答:原发性痛风有明显的家族遗传倾向,好发于中老年人。从您的描述来看病情比较久了。您的痛风病史较长,且发作越来越频繁,要考虑有没有痛风性肾病的可能,建议您行肾功及肾脏的超声检查,如果有相关问题需积极处理。就痛风的治疗来说,主要分急性期和间歇期两个方面。急性发作期,关节红肿热痛明显,这时应以控制急性炎症为主,可选择
Q: I am 68 years old and have gout more than 10 years. The past two years, frequent gout, uric acid high to 500umol / L or more, eat a lot of Chinese and Western medicine, still can not drop down. Excuse me, how should I treat? A: The primary gout has obvious family genetic predisposition, occurs in the elderly. From your description of the situation for a long time. Your history of gout longer, and the onset of more frequent, to consider whether there is the possibility of gouty kidney disease, it is recommended that you perform kidney function and renal ultrasound, if there are related issues to be actively addressed. The treatment of gout, the main points of acute and intermittent two aspects. Acute exacerbation of joint swelling and pain was obvious, then should be the main control of acute inflammation, choose