首页|急性痛风合并消化道出血、慢性肾功能不全中西医治疗病例报告1例

急性痛风合并消化道出血、慢性肾功能不全中西医治疗病例报告1例

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目的 以1例急性痛风合并消化道出血、慢性肾功能不全的病例为基础分析探讨中西结合治疗的优势。方法 对患者痛风病机特点及中医辨证论治的治疗特点，分析使用中药汤剂口服、小剂量秋水仙碱内服对痛风患者抗炎、护肾治疗的优势。结果 患者通过中西医结合治疗后关节红肿疼痛消退，白细胞计数由入院时16。97×19·L-1显著下降至6。11 ×109·L-1，血红蛋白较前无进行性下降。结论 中西结合治疗在急性痛风合并上消化道出血、慢性肾功能不全治疗中安全有效，为临床治疗决策提供新思路。
A Case Report of Acute Gout Complicated with Gastrointestinal Bleeding and Chronic Renal Insufficiency Treated by Chinese and Western Medicine
OB JECTIVE Based on a case of acute gout combined with gastrointestinal bleeding and chronic renal insufficiency,this study aims to analyze and explore the advantages of integrated Chinese and Westem treatment.METHODS The characteristics of gout pathogenesis and the treatment characteristics of traditional Chinese medicine based on syndrome differentiation were analyzed.The advantages of using a traditional Chinese medicine decoction and low-dose colchicine orally for anti-inflammatory and kidney protection treatment in gout patients were evaluated.RESULTS After integrated treatment,the patient's joint redness,swelling,and pain resolved.The white blood cell count significantly decreased from 16.97×109·L-1 to 6.11×109·L-1,and there was no progressive decrease in hemoglobin.CONCLUSION The combination of Chinese and Western medicine is safe and effective in treating acute gout with gastrointestinal bleeding and chronic renal insufficiency,offering new insights for clinical treatment decision-making.

gouty arthritisupper gastrointestinal bleedingchronic renal insufficiencyintegrated traditional Chinese and Westem medicine treatment

谭婧、邓志军、李宝玲、杨麟、李丽明、刘若轩、刘刚

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广州医科大学附属中医医院,广东广州 510006

广州中医药大学,广东广州 510006

痛风性关节炎 上消化道出血 慢性肾功能不全 中西医结合治疗

广东省"双一流"与高水平大学广州中医药大学学科协同创新团队项目广州中医药大学学科特色培育研究项目广东省中医药文化研究与传播创新专项

2022xk94A3-0402-20-415-022SSZ202220

2024

10.12048/j.issn.1674-229X.2024.08.009

今日药学
广东省药学会 中国药学会

今日药学

影响因子：0.413
ISSN：1674-229X
年,卷(期)：2024.34(8)