首页|尿酸代谢紊乱相关疾病的现代认知及中医药防治进展

尿酸代谢紊乱相关疾病的现代认知及中医药防治进展

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尿酸生成和/或排泄异常均可导致尿酸代谢紊乱,引起高尿酸血症、尿酸性肾病、痛风性关节炎等尿酸代谢紊乱相关疾病,其临床发病率逐年升高,严重危害人们健康.既往多认为高尿酸血症与痛风性关节炎是 2 种不同的疾病,尿酸性肾病属于高尿酸血症的并发症.新近研究认为,高尿酸血症、尿酸性肾病及痛风性关节炎属于同一疾病的不同发展阶段,并提出尿酸盐沉积是其共性病理特征.基于此,该文通过综述高尿酸血症、尿酸性肾病、痛风性关节炎的中西医疾病认识,阐述尿酸盐沉积参与尿酸代谢紊乱发展的前沿认知,并结合中医药防治尿酸代谢紊乱的优势作用,为尿酸代谢紊乱相关疾病的有效干预与药物研究提供参考和依据.
Modern understanding of uric acid metabolism disorders and progress in traditional Chinese medicine prevention and treatment
The abnormal production and/or excretion of uric acid can lead to a disorder in uric acid metabolism,resulting in hyperuricemia,uric acid nephropathy,gouty arthritis,and other diseases related to uric acid metabolism disorder.The clinical incidence of these diseases is increasing year after year,posing a significant threat to public health.In the past,hyperuricemia and gouty arthritis were often considered different diseases,with uric acid nephropathy being a complication of hyperuricemia.However,recent research has challenged this perspective,suggesting that hyperuricemia,uric acid nephropathy,and gouty arthritis are different stages of the same disease,with urate deposition as the common pathological feature.This article offered a comprehensive overview of the current understanding of hyperuricemia,uric acid nephropathy,and gouty arthritis in both traditional Chinese medicine(TCM)and western medicine.It delved into the most up-to-date insights into the involvement of urate deposition in the pathogenesis of uric acid metabolism disorders and highlighted the dominant role of TCM in the prevention and treatment of uric acid metabolism disorders,so as to provide a reference for effective intervention strategies and drug development in uric acid metabolism disorder-related diseases.

hyperuricemiauric acid nephropathygouty arthritisurate depositiontraditional Chinese medicine

王雨、林志健、张冰

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北京中医药大学 中药学院,北京 102488

高尿酸血症 尿酸性肾病 痛风性关节炎 尿酸盐沉积 中医药

国家自然科学基金国家自然科学基金中国博士后科学基金

82104475U20A204062021M690475

2024

中国中药杂志
中国药学会

中国中药杂志

CSTPCD北大核心
影响因子:1.718
ISSN:1001-5302
年,卷(期):2024.49(12)
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