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痛风认识与调养

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痛风认识与调养

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什么是尿酸?哪些原因会导致尿酸升高?什么是高尿酸血症?什么是痛风?什么是痛风石?痛风的病因有哪些?痛风的好发人群有哪些?痛风的症状有哪些?痛风患者可能要做哪些检查?怎么诊断痛风?怎么治疗痛风?可以服用哪些药物?平时该怎么预防痛风?痛风患者将怎么进行日常饮食调理?痛风患者可以做哪些运动?《痛风认识与调养》将一一为您介绍。本书内容简洁明了,适合痛风(包括高尿酸血症)患者及家属阅读。
Author Description

翟秀珍,河北北方学院附属第一医院内科主任医师,副教授。自1991年参加工作至今,一直担任内科学的临床及教学工作。1997至2011年担任神经内科支部书记。2011年至今为神经内科副主任。

郑学军,河北北方学院附属第一医院风湿免疫科副主任,副主任医师、副教授。
Catalogue

基础知识篇
第一章尿酸/2
什么是尿酸?/2
尿酸的作用有哪些?/2
尿酸的来源有哪些?/3
尿酸如何排泄?/4
导致机体尿酸升高的原因是什么?/5
高尿酸对人体健康有哪些影响?/6
判断尿酸生成过多与排泄减少的方法有哪些?/7
第二章高尿酸血症/8
高尿酸血症的自检/8
何为高尿酸血症?/9
高尿酸血症的特点有哪些?/9
高尿酸血症与痛风的关系是什么?/10
无症状性高尿酸血症是否需要治疗?/10
血尿酸不高是否会发生痛风?/11
第三章痛风/13
什么是痛风?/13
什么是原发性痛风?/13
什么是继发性痛风?/13
什么是假性痛风?/14
什么是顽固性痛风?/14
痛风对肾脏的影响有哪些?/15
症状篇
第四章如何发现痛风/17
痛风患者早期有哪些症状?/17
何为痛风石?/17
痛风患者发生肾脏损害的早期表现有哪些?/18
痛风患者经治疗后痛风石是否可以消退?/18
关节部位的痛风石对人体有什么危害?/19
为什么痛风结石好发于肾脏?/19
痛风与崴脚有什么区别?/20
第五章痛风性关节炎/21
痛风性关节炎发病的诱因有哪些?/21
痛风性关节炎急性发作的表现有哪些?/21
痛风性关节炎好发于哪些关节?/22
痛风性关节炎有何特点?/23
痛风性关节炎X线检查有何特点?/24
第六章痛风的特点/25
为什么痛风好发于男性?/25
女性痛风有什么特点?/25
为何肥胖者易患痛风?/26
痛风的病程如何分期?/26
痛风的临床表现有哪些特点?/27
老年性痛风有哪些特点?/27
年轻人也会患痛风吗?/28
痛风患者血尿酸一定高吗?/28
痛风是终生性疾病吗?/29
为什么有人说痛风是一种“富贵病”?/29
平时没有高嘌呤饮食为什么也会得痛风?/30
痛风易伴发哪些疾病?/30
痛风会影响性功能吗?/30
检查与诊断篇
第七章痛风的检查/33
痛风患者需要做哪些常规检查?/33
为什么痛风患者要做关节液检查?/35
为什么痛风患者要做肾脏的超声波检查?/35
痛风患者做心电图、血常规、血沉、血脂检查的意义有哪些?/35
痛风患者什么时候需要做X线检查?/36
为什么痛风患者要做肝功能检查?/36
为什么痛风患者要做肾功能检查?/37
如何看懂化验单?/37
血尿酸测定的意义及检测注意事项有哪些?/37
24h尿中的尿酸含量测定的意义及注意事项有哪些?/38
第八章痛风的诊断/40
医师诊断痛风的标准是什么?/40
痛风的分类与分期如何?/40
痛风应与哪些疾病鉴别?/42
是否血尿酸越高提示病情越重?/44
为什么痛风容易被漏诊和误诊?/44
药物治疗篇
第九章痛风的西药治疗/46
痛风的治疗目标是什么?/46
痛风的治疗目的和治疗原则是什么?/46
治疗痛风的常用药物有哪些?/47
痛风急性期应该如何选择药物?/51
慢性缓解期应该如何用药?/52
如何治疗痛风合并症和并发症?/53
痛风治疗的误区有哪些?/56
第十章痛风的中医治疗/57
中医对痛风的认识有哪些?/57
痛风的中医药辨证治疗有哪些?/57
治疗痛风的验方有哪些?/60
治疗痛风的中成药有哪些?/60
病因与预防篇
第十一章痛风的病因/64
痛风是遗传性疾病吗?/64
肥胖会引起痛风吗?/64
痛风与吸烟、饮酒有关系吗?/64
哪些药物可能引起高尿酸血症?/65
肾脏疾病会引起痛风吗?/66
为什么糖尿病会合并痛风?/67
痛风与心脑血管疾病有什么关系?/68
痛风与高血压病有什么关系?/68
第十二章痛风的预防/70
痛风患者如何预防病情复发?/70
痛风的三级预防是什么?/70
市面上的碱性矿泉水较贵,痛风患者喝自来水可以吗?/71
秋冬时节如何预防痛风?/71
痛风患者怎样保护肾脏功能?/72
足浴可以预防痛风的发作?/72
针灸可以预防痛风发作?/73
调养篇
第十三章日常饮食调理/75
痛风患者如何进行饮食疗法?/75
痛风患者宜吃、少吃、禁吃的蔬菜、水果及其他食物包括哪些?/76
痛风患者适合吃的食物有哪些?/78
急性期痛风和慢性期痛风如何合理饮食?/84
啤酒加海鲜是导致痛风的真凶吗?/85
喝火锅汤会导致痛风吗?/85
痛风患者可以吃鸡精吗?/86
痛风患者可以吃鸡蛋和牛奶吗?/86
痛风患者能食用有酸味的醋和水果吗?/86
痛风患者的饮食误区有哪些?/87
第十四章痛风的调理/90
什么是药茶?/90
调理痛风的药茶有哪些?/90
调理痛风的汤羹有哪些?/95
调理痛风的药粥有哪些?/97
调理痛风的药酒有哪些?/106
第十五章痛风小偏方,神奇大疗效/108
痛风的民间单方有哪些?/108
如何按压穴位治疗痛风?/110
第十六章运动健身治疗痛风/112
痛风患者需要运动吗?/112
痛风患者进行运动的原则有哪些?/112
痛风患者可以做哪些运动?/113
第十七章痛风患者的心理治疗/115
为何要保持良好的心态?/115
痛风患者心理治疗的具体方法有哪些?/115
参考文献/116
Introduction

痛风是由遗传和(或)获得性因素引起的长期人体嘌呤代谢异常所致的一组综合征,由于血尿酸增高导致尿酸盐结晶沉积于关节组织而引起炎症反应。痛风是一种代谢性疾病,近年来,国内外痛风患病率逐年增加,中国痛风发病人数已达1350万人,1/5的痛风患者已丧失生活能力,痛风患者病程超过10年,绝大部分均发生难以治愈的尿毒症。而且痛风不只是中老年的专病,发病期向30岁年龄段推移,痛风现在急剧呈现出年轻化态势。
痛风为非根治性疾病,可导致人体功能障碍,甚至致残,严重影响人们的生活质量,危害性极大。为了更好地进行痛风知识的普及和宣教,使痛风患者能尽早发现痛风的初期症状,能控制好痛风,延缓病情发展,减少并发症的发生,我们编写了本书。本书共六篇十七章,除了简述尿酸的作用、来源、排泄等基础理论知识外,重点介绍了痛风的临床症状、检查、治疗、预防、调养等,力争使内容深入浅出,通俗易懂。
由于时间仓促,专业水平有限,书中存在的不妥和纰漏之处,敬请读者批评指正,以便再版时更正。
编者
2015年6月

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