通信作者:洪银蕊,E-mail:gzsys020@163.com关节外伤和痛风发作的相关性于长志蔡学华洪银蕊中山大学孙逸仙纪念医院(广州510120)【摘要】目的探讨关节外伤(扭伤和劳损)和痛风发作有无相关性。方法选取自2017年1月—2020年5月间在我院中西医结合骨科门诊就诊的关节扭伤和劳损及痛风患者,采用《2015年美国风湿病协会/欧洲抗风湿联盟痛风分类标准》的痛风诊断标准,纳入76例门诊患者。采用SPSS22.0软件进行Logistic回归分析。对单因素分析具有统计学意义(P<0.05)的因素,建立痛风主要危险因素的多元Logistic回归模型。结果单因素Logistic回归分析中,性别、关节扭伤和劳损因素差异有统计学意义(P<0.05);多因素Logistic回归分析中,性别,关节扭伤和劳损因素差异有统计学意义(P<0.05)。结论性别、关节扭伤和劳损是引起痛风发作的的危险因素。【关键词】痛风;性别;年龄;关节扭伤和劳损DOI:10.3969/j.issn.1000-8535.2023.02.005CorrelationbetweenjointtraumaandgoutYUChangzhi,CAIXuehua,HONGYinruiSunYat-senMemorialHospital,SunYat-senUniversity,Guangzhou510120,China【Abstract】ObjectiveToexplorethecorrelationbetweenjointtrauma(sprainorstrain)andgoutattack.MethodsPatientswithjointsprain,strainandgouttreatedintheorthopedicclinicofintegratedtraditionalChineseandWesternmedi-cineinourhospitalfromJanuary2017toMay2020wereselected,2015Goutclassificationcriteria:anAmericanCollegeofRheumatology/EuropeanLeagueAgainstRheumatismcollaborativeinitiativewasadoptedasdiagnosingstandard,76outpa-tientswereincluded.LogisticregressionanalysiswascarriedoutbySPSS22.0software.Forthefactorswithstatisticalsig-nificance(P<0.05)inunivariateanalysis,amultivariatelogisticregressionmodelwasestablishedforthemainriskfactorsofgout.ResultsInunivariatelogisticregressionanalysis,gender,sprainandstrainwerestatisticallysignificant(P<0.05).Inmultivariatelogisticregressionanalysis,gender,jointsprainandstrainwerestatisticallysignificant(P<0.05).ConclusionsGender,jointsprainandstraincansignificantlyincreasetheriskofgoutattack.【Keywords】gout;gender;age;sprainorstrainofjoint痛风是由尿酸钠晶体沉积于关节或关节旁组织所导致的局部炎症性疾病,发病呈现上升趋势,是继糖尿病后临床又一常见的代谢性疾病[1],...
