雖然痛(tong)風是一種終身疾病(bing)(bing)，但如果患者能(neng)早期診(zhen)斷并根據醫(yi)生的(de)建(jian)議進行治(zhi)療，大多數患者仍(reng)能(neng)正(zheng)常生活。相反(fan)，如果長期誤診(zhen)，治(zhi)療不規范，較終會(hui)導致痛(tong)風性腎病(bing)(bing)，生活質量下降，生命可(ke)能(neng)會(hui)喪失(shi)。下面就來說說，痛(tong)風診(zhen)斷的(de)誤區，這些要及時(shi)糾正(zheng)。

痛(tong)風診斷的誤區(qu)

誤區一：

血(xue)(xue)(xue)尿酸(suan)(suan)高一(yi)律診(zhen)斷為痛(tong)(tong)(tong)風(feng)。很(hen)多(duo)(duo)人在體(ti)檢時(shi)查出血(xue)(xue)(xue)尿酸(suan)(suan)含量偏(pian)高，也就是高尿酸(suan)(suan)血(xue)(xue)(xue)癥(zheng)(zheng)，就覺(jue)得(de)自己(ji)一(yi)定得(de)了痛(tong)(tong)(tong)風(feng)。通常(chang)來講，高尿酸(suan)(suan)血(xue)(xue)(xue)癥(zheng)(zheng)的(de)人中(zhong)有(you)(you)(you)10%會發生痛(tong)(tong)(tong)風(feng)，所以，只有(you)(you)(you)血(xue)(xue)(xue)尿酸(suan)(suan)高而沒(mei)有(you)(you)(you)關(guan)節(jie)炎(yan)癥(zheng)(zheng)狀時(shi)不(bu)能(neng)診(zhen)斷痛(tong)(tong)(tong)風(feng)。當血(xue)(xue)(xue)尿酸(suan)(suan)值偏(pian)高，而且病人有(you)(you)(you)關(guan)節(jie)疼(teng)痛(tong)(tong)(tong)甚至腫(zhong)痛(tong)(tong)(tong)時(shi)，很(hen)多(duo)(duo)經(jing)驗不(bu)足(zu)的(de)臨床醫(yi)生會毫不(bu)猶(you)豫(yu)地下痛(tong)(tong)(tong)風(feng)診(zhen)斷，其(qi)實(shi)，這其(qi)中(zhong)有(you)(you)(you)一(yi)部分病人是痛(tong)(tong)(tong)風(feng)，而有(you)(you)(you)的(de)病人可能(neng)是骨(gu)關(guan)節(jie)炎(yan)合并高尿酸(suan)(suan)血(xue)(xue)(xue)癥(zheng)(zheng)，或(huo)者是類風(feng)濕(shi)性關(guan)節(jie)炎(yan)等其(qi)它關(guan)節(jie)病合并高尿酸(suan)(suan)血(xue)(xue)(xue)癥(zheng)(zheng)，我們在臨床上一(yi)定要及時(shi)做(zuo)好鑒別診(zhen)斷。

誤區二：

血(xue)(xue)尿(niao)(niao)酸(suan)(suan)(suan)低于420 umol /l 不(bu)考慮(lv)(lv)(lv)痛(tong)(tong)風診(zhen)斷(duan)。在臨床上我多(duo)次遇(yu)見有些痛(tong)(tong)風病人(ren)(ren)因為檢(jian)查血(xue)(xue)尿(niao)(niao)酸(suan)(suan)(suan)值(zhi)低于420 umol /l而被延(yan)誤診(zhen)斷(duan)1—8年。有部(bu)分(fen)病人(ren)(ren)剛(gang)發(fa)病時跖(zhi)趾關(guan)節(jie)腫(zhong)痛(tong)(tong)口服相關(guan)藥物1-2天就緩解(jie)，以后1-3年內雙(shuang)側跖(zhi)趾關(guan)節(jie)、踝關(guan)節(jie)腫(zhong)痛(tong)(tong)多(duo)次復發(fa)，且(qie)(qie)多(duo)次查血(xue)(xue)尿(niao)(niao)酸(suan)(suan)(suan)在380-415 umol /l范圍，醫生因其血(xue)(xue)尿(niao)(niao)酸(suan)(suan)(suan)低于420 umol /l 不(bu)考慮(lv)(lv)(lv)痛(tong)(tong)風診(zhen)斷(duan)，多(duo)年后出現(xian)痛(tong)(tong)風石(shi)才確診(zhen)為痛(tong)(tong)風。遇(yu)到單關(guan)節(jie)(尤(you)其跖(zhi)趾關(guan)節(jie))腫(zhong)痛(tong)(tong)間斷(duan)發(fa)作且(qie)(qie)血(xue)(xue)尿(niao)(niao)酸(suan)(suan)(suan)略低于420 umol /l的病友要多(duo)次反(fan)復檢(jian)測血(xue)(xue)尿(niao)(niao)酸(suan)(suan)(suan)，在排除(chu)化(hua)膿性關(guan)節(jie)炎(yan)等病的情況下(xia)，可以試服秋水(shui)仙堿(jian)作診(zhen)斷(duan)性治療，不(bu)要輕易排除(chu)或不(bu)考慮(lv)(lv)(lv)痛(tong)(tong)風診(zhen)斷(duan)。

誤區三：

只有中年(nian)(nian)男性(xing)才(cai)會(hui)患痛(tong)(tong)風(feng) ，這(zhe)也(ye)是常見(jian)誤區之(zhi)一。痛(tong)(tong)風(feng)雖較常見(jian)的(de)(de)(de)是40歲以(yi)上(shang)的(de)(de)(de)中年(nian)(nian)男人(ren)，但隨著生活水平的(de)(de)(de)提高，飲食(shi)中嘌呤含量也(ye)越來越高，如今，痛(tong)(tong)風(feng)發(fa)病(bing)年(nian)(nian)齡日趨年(nian)(nian)輕化，二十多歲的(de)(de)(de)痛(tong)(tong)風(feng)病(bing)人(ren)在臨床上(shang)并不(bu)鮮見(jian)，繼發(fa)性(xing)痛(tong)(tong)風(feng)甚至有少年(nian)(nian)患者。而對于更年(nian)(nian)期后(hou)的(de)(de)(de)女(nv)(nv)性(xing)朋(peng)友來說，由于女(nv)(nv)性(xing)的(de)(de)(de)雌性(xing)激(ji)素水平大(da)大(da)降低(di)，痛(tong)(tong)風(feng)的(de)(de)(de)發(fa)生率也(ye)不(bu)低(di)。

誤區四：

指關(guan)(guan)(guan)節、肘關(guan)(guan)(guan)節、腕關(guan)(guan)(guan)節腫(zhong)痛(tong)(tong)(tong)(tong)者不考慮痛(tong)(tong)(tong)(tong)風(feng)(feng)。足趾關(guan)(guan)(guan)節、踝關(guan)(guan)(guan)節腫(zhong)痛(tong)(tong)(tong)(tong)一般會考慮痛(tong)(tong)(tong)(tong)風(feng)(feng)，但指關(guan)(guan)(guan)節、肘關(guan)(guan)(guan)節、腕關(guan)(guan)(guan)節腫(zhong)痛(tong)(tong)(tong)(tong)時部分醫生和病友(you)只考慮診斷(duan)類風(feng)(feng)濕性關(guan)(guan)(guan)節炎(yan)或化膿性關(guan)(guan)(guan)節炎(yan)，不考慮痛(tong)(tong)(tong)(tong)風(feng)(feng)診斷(duan)的可能性。

以(yi)上就(jiu)是(shi)關(guan)于痛(tong)風(feng)診斷的(de)(de)誤區的(de)(de)相(xiang)關(guan)介(jie)紹，相(xiang)信大家(jia)(jia)對(dui)此都有了一定的(de)(de)了解。 另外還要(yao)提醒大家(jia)(jia)，痛(tong)風(feng)急性(xing)發作時(shi)，應臥(wo)床(chuang)休息，抬(tai)高患肢(zhi)，加熱(re)患關(guan)節(jie)以(yi)減(jian)輕炎癥和疼痛(tong)。同時(shi)，要(yao)注意保(bao)暖，飲食(shi)要(yao)素(su)食(shi)。為了預防(fang)痛(tong)風(feng)發作，我們應該(gai)注意保(bao)持(chi)體重，少吃富含脂肪(fang)的(de)(de)食(shi)物，多喝水，禁止飲酒和少吃鹽。