CAJ | 학술논문

目的：描述山东沿海地区急性痛风性关节炎诱发因素的分布情况，并探讨活动能量代谢水平与痛风的关系。方法收集了105例急性痛风性关节炎患者资料，调查其发病诱因；通过劳动强度和体育锻炼情况确定患者的活动能量代谢水平，同时测定体重指数和血尿酸水平。对数据进行描述性统计分析和简单相关性分析。结果导致痛风性关节炎急性发作最主要的诱发因素是大量饮酒（29.5%）和饮食不慎（25.7%）；痛风人群的日常活动能量代谢水平较低；体重指数平均值为（25.9±2.23），血尿酸平均值为（533±69.2）μmol/L，二者呈正相关。结论众多因素可引起痛风性关节炎的急性发作，其中大量饮酒和饮食不慎是最主要的诱发因素；较低的活动能量代谢水平是痛风的长期发病诱因之一。
목적：묘술산동연해지구급성통풍성관절염유발인소적분포정황，병탐토활동능량대사수평여통풍적관계。방법수집료105례급성통풍성관절염환자자료，조사기발병유인；통과노동강도화체육단련정황학정환자적활동능량대사수평，동시측정체중지수화혈뇨산수평。대수거진행묘술성통계분석화간단상관성분석。결과도치통풍성관절염급성발작최주요적유발인소시대량음주（29.5%）화음식불신（25.7%）；통풍인군적일상활동능량대사수평교저；체중지수평균치위（25.9±2.23），혈뇨산평균치위（533±69.2）μmol/L，이자정정상관。결론음다인소가인기통풍성관절염적급성발작，기중대량음주화음식불신시최주요적유발인소；교저적활동능량대사수평시통풍적장기발병유인지일。
Objective To describe predisposing factors of acute gouty arthritis in Shandong coastal area,and to investigate the relationship between gout and activities induced energy metabolism level. Methods In this clinical investigation,105 patients with acute gouty arthritis were observed and predisposing factors were described. Activities induced energy metabolism levels of the patients were determined by the intensity of labor and physical exercise activities. The body mass index(BMI)and serum uric acid were determined. Data were analyzed statistical y using simple correlation. Results The main predisposing factors of acute gouty arthritis were drinking(29.5%)and careless diet(25.7%). The patients were in the low level of activities induced energy metabolism. Meanwhile,BMI(25.9)of gout patients was positive correlation with serum uric acid(533 μmol/L).Conclusion There were many inducements of acute gouty arthritis and the main precipitating factors were drinking and careless diet. The low level of activities induced energy metabolism could be one of the long-term predisposing factors of gout.