| Gout (gout) is caused by genetic and (or) acquired causes the excretion of uric acid to reduce and (or) purine metabolism disorders heterogeneous disease. The clinical features of high serum uric acid (hyperuricemia), and urate crystals, and precipitation caused by the characteristics of acute arthritis, tophi, interstitial nephritis, severe cases can lead to disorders and deformity of the joint activities. Often accompanied by uric acid urinary tract stones. The disease is divided into primary (primary gout) and secondary (secondary gout) two categories. With primary gout have some hereditary, and approximately10%to20%of patients had positive family history. Clinical primary gout is the most common, and most clinical experts and scholars pay close attention to. The Gout is a traditional Chinese medicine,"bi syndrome","calendar day","go note wind" and other areas. In recent years, with the improvement of domestic living standards and diet changes, gout prevalence is rising, this disease is difficult to cure and recurrent, immense suffering and economic burden to society and individuals. Primary gout is the most common clinical concern, and most clinical experts and scholars. In recent years, traditional Chinese medicine combined with the use of Western medicine epidemiological investigation, diagnosis and treatment of primary gout and related risk factors were studied and obtained a certain value.ObjectiveIn this study, Hanoi, Vietnam Ministry of Public Security traditional hospital inpatient general situation in the treatment of patients with gout, symptoms, syndromes, medication characteristics to explore, to further understanding of the regularity of gout in the contemporary environment, on gout diagnosis and treatment and better clinicaltheoretical basis and guidance. MethodsThe topics for the2010and2006, five years in Hanoi, Vietnam Ministry of Public Security traditional hospital hospital diagnosed with gout in-patients (291cases) a summary of the clinical data. According to medical records on patients' gender, age, place of birth, duration, year of onset, season of onset, comorbidity, joint symptoms, systemic symptoms, tongue and pulse, blood uric acid situation, TCM syndromes, prescription frequency and other raw data were analyzed and summarized obtained with a regular distribution characteristicsResultsHanoi, Vietnam, in patients with gout, the incidence of males than females. The age distribution of patients between41-70years of age the most before the age of70increased with age and increased incidence of incidence of minimum age of30years. The patient residence cities than in rural areas. Gout patients hospitalized in Hanoi after2007was significantly increased, up to the gout in-patients in2010,87cases (29.9%). The incidence of gout in patients with the four seasons can be, which is more in spring and autumn. Patients with gout duration of1year,108cases (37.1%),1year5years139cases (47.8%),5years-10years,37cases (12.7%), the course of the disease were less in more than10years. Predisposing factors to the high-purine diet, alcohol-based, non-obvious incentive. Gout disease ratio of the merger accounted for101cases (37.7%) for hypertension, diabetes mellitus52cases (17.9%), dyslipidemia disease45cases (15.4%) with coronary heart disease21cases (7.2%). Serum uric acid higher than normal (≥430μmol/L), a total of203cases (69.8%), within the normal range (<430μmol/L), a total of88cases (30.2%) Pain in patients with parts of the metatarsophalangeal and ankle joints, a total of176cases (60.5%), followed by:the dorsum of the foot, knee, wrist, metacarpophalangeal joints, elbow and other parts. Systemic symptoms, poor sleep, the most obvious of105cases (36%). The tongue in patients with red tongue112cases (38.5%), yellow greasy moss87cases (29.7%) up to, followed by damp heat like a pale tongue, thin yellow and so on. The dark red tongue, while43cases (14.8%), light dark26cases (8.9%), dark blood stasis performancealso many.TCM syndromes heat accumulation card-based137cases (47.1%), liver and kidney deficiency, heat accumulation of58cases (19.9%), wind heat and moisture arthralgia45cases (15.4%), qi stagnation33cases (11.3%), the wind cold dampness arthralgia13cases (4.5%), various types of traditional Chinese medicine applications with cross-proportion to the benefits of water wetting drug, followed by antipyretic, promoting blood circulation stasis, tonic medicine, rheumatism medicine, dampness drugs.Conelusion1,Hanoi Vietnam Ministry of Public Security traditional hospital patients with gout in middle-aged men more, at a younger age trend of the incidence of hospitalization time in spring and autumn, a significantly higher incidence of gout in recent years.2,City area more incidence, considering its geography and climate, diet, the humanities and other relevant. Gout patients complicated with hypertension, diabetes, dyslipidaemia, coronary heart disease increased significantly.3,The joint symptoms consisting mainly of the extremities, joint pain, swelling, tongue and pulse of patients reflects the hot and humid, late injuries to the liver and kidney, and finally lead to blood stasis pathogenesis characteristics.4,Syndromes of traditional Chinese medicine is mainly wet-hot certificate and rheumatic fever, arthralgia, heat and blood stasis syndrome mainly to block.5,Hanoi Vietnam Ministry of Public Security traditional hospital, TCM drugs in patients with gout is characterized by:comply with the medication on the basis of the identified syndrome differentiation, mainly to facilitate water, heat, dampness mainly dialectical plus with tonic, blood circulation, rheumatism, dampness, and other drugs. |
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