Clinical Study On The Relationship Between The Fingers And Acute Gouty Arthritis

Objective:To explore the general characteristics and inducing factors of the acute gouty arthritis, explore effective methods of prevention; Explore the change of the fingers on patients with acute gouty arthritis, the relationship between fingers change quantitative integral, symptom quantitative integral, uric acid and urate crystals,Provide new ideas for further understanding in gout.Methods: The study screened consistent with acute gouty arthritis diagnostic criteria and 100 patients volunteered to be subjects, written informed consent, a detailed record of the patient’s basic situation and history;demand the subjects to detect the blood uric acid value and scan foot by dual-source CT for urate crystal deposition image;in strict accordance with Professor Cui Gongrang "View of the fingers diagnosis of gout," to observe and quantify changes in the finger points,Symptoms of acute gouty arthritis quantitative classification standards promulgated by the integral table reference 1977 ACR; After the results back in blood uric acid value and belong to the group,observe and record the location and the number of crystal deposition of urate deposition on foot and belong to the group. Input the data sorting, to EXCEL in the table, using SPSS19.0 statistical software for statistical analysis.Results:1 The main risk factors associated with acute gouty arthritis have a family history of high-purine diet, alcohol, fatigue, mood, chills, trauma, infection, surgery, high-purine diet, alcohol consumption among the top two. acute gouty arthritis patients age and sex structure diagram suggest that the proportion of male and female patients was 2.1:1(68/32), the largest number of patients between 40-50 years old, males 40-50 years of age, the incidence of women 60-70 years old the highest rate.2 In the finger in patients with symptoms quantify quantify integral calculus Spearman correlation analysis found that finger quantify changes in symptom score and quantify the integral(r = 0.819 Ρ = 0.00), Ρ <0.05, statistically considered a positive correlation.3 according to the blood uric acid groups, uric acid between the two groups by t test, t=-15.01, Ρ = 0.002, Ρ <0.05, Blood uric acid differences between groups was statistically significant,The fingers changes between the two groups quantitative score by t test, t = 0.434, Ρ = 0.985, Ρ > 0.05, fingers change between groups was not statistically significant difference between the quantized integrator.4 according to urate crystal deposition parts count divided into mild, differences among the three groups fingers quantify changes in credit properties were compared.By rank sum test analysis, finger severe group integration and quantification of changes in the mild group, a significant difference( Ρ <0.05), Finger Points to quantify changes in the moderate group and mild group there was a significant difference(Ρ <0.05).Conclusions:1 gout is a genetic factors and environmental factors caused by disease, high purine diet, alcohol consumption, mental stimulation, chills, fatigue, trauma, infection,surgery and other factors can induce acute gouty arthritis attack, high-purine diet and alcohol consumption at highest risk.2 acute gouty arthritis has obvious age, gender identity, middle-aged males, females increased incidence in postmenopausal women.3 acute gouty arthritis attack finger quantify changes in symptom score and a positive correlation integral quantization, The finger changes can be used as specific clinical symptoms of acute gouty arthritis.4 acute gouty arthritis attack changes quantify uncertainty finger integral relationship between serum uric acid, uric acid as a dynamic observation of indicators, its value is high when the finger is not necessarily obvious changes.5 urate in patients with acute gouty arthritis crystal deposition site, the more the number of fingers, the more obvious changes.