痛风病人的护理GoutPatientsNursing讲解.pptx

痛风病人的护理

GoutPatientsNursing广西卫生职业技术学院内科护理教研室

DepartmentofMedicineNursing,GuangxiMedicalCollege

?临床表现?

?Symptomsandsigns?仅有波动性或持续性高尿酸血症

Fluctuatingorpersistenthyperuricemiaonly无症状期

Asymptomaticperiod

急性痛风性关节炎期

Acutegoutyarthritis突发关节红肿热痛、功能障碍

Suddenjointredness,swelling,pain,anddysfunction常在午夜或清晨突然发作

Suddenonset,oftenatmidnightorearlymorning最易受累部位是第一跖趾关节

Themostvulnerablepartisthefirstmetatarsophalangealjoint?临床表现?

?Symptomsandsigns?

急性痛风性关节炎期

Acutegoutyarthritis第一次发作常呈自限性

Thefirstepisodeisoftenself-limiting常见诱因：饮酒、劳累、关节受伤、手术、感染、寒冷、摄入高蛋白高嘌呤食物

Commoncauses:drinking,fatigue,jointinjuries,surgery,infection,cold,intakeofhigh-proteinandhigh-purinefoods?临床表现?

?Symptomsandsigns?

痛风石及慢性关节炎期

Tophiandchronicarthritis痛风石是痛风的一种特征性损害

Tophiisacharacteristicdamageofgout常在耳廓、鹰嘴、跟腱、髌骨滑囊等处

Oftenfoundintheauricle,olecranon,Achillestendon,patellarbursa,etc.?临床表现?

?Symptomsandsigns?

痛风石及慢性关节炎期

Tophiandchronicarthritis造成关节骨质破坏、关节周围组织纤维化，继发退行性改变等

Causesbonedestructionofjoints,fibrosisoftissuesaroundjoints,secondarydegenerativechanges,etc.?临床表现?

?Symptomsandsigns?

肾病变期

Nephropathystage痛风性肾病

Goutynephropathy尿酸性肾石病

Uricacidnephrolithiasis?临床表现?

?Symptomsandsigns?

THANKS广西卫生职业技术学院内科护理教研室

DepartmentofMedicineNursing,GuangxiMedicalCollege