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痛风流行病学特征及其危险因素的研究进展OA

Advances in the epidemiology and risk factors for gout

中文摘要英文摘要

痛风是由单钠尿酸盐结晶沉积引起的炎性关节病,近年来其患病率与疾病负担持续上升,具有显著的地区、族群与社会人口学异质性.痛风总体患病率为1.0%~6.8%,发病率为(0.58~2.89)例/千人年,并呈现发病年龄前移和疾病负担老龄化加剧并存的趋势.痛风的发生发展与多重危险因素相关,包括年龄、性别和遗传等不可变因素,以及高尿酸血症、肥胖、膳食、共病和药物等可控因素.综合梳理痛风流行病学特征及其危险因素,有助于构建以全生命周期管理为核心的风险分层与综合防治策略,为精准干预研究提供方向.

Gout is an inflammatory arthropathy caused by the deposition of monosodium urate(MSU)crystals in and around joints.In recent years,both the prevalence and disease burden of gout have been continuously increasing,with marked heterogeneity across regions,ethnic groups,and sociodemographic strata.Overall,the reported prevalence of gout ranges from 1.0%to 6.8%,and the incidence ranges from 0.58 to 2.89 per 1000 person-years.Notably,two coexisting epidemiological trends have been observed:a younger age of disease onset and an aggravated aging-related disease burden.The onset and progression of gout are associated with multiple risk factors,including non-modifiable factors such as age,sex,and genetic susceptibility,as well as modifiable factors such as hyperuricemia,obesity,dietary patterns,comorbidities,and medication use.A comprehensive overview of the epidemiological profiles and risk factors of gout facilitates the establishment of life-course-management-centered risk stratification and integrated prevention and treatment strategies,and provides a reliable direction for precision intervention research on gout.

吕朝晖;胡晓东

解放军总医院第一医学中心内分泌科,北京 100853解放军总医院第六医学中心内分泌风湿免疫科,北京 100048

医药卫生

痛风流行病学危险因素

goutepidemiologyrisk factors

《解放军医学杂志》 2026 (8)

1159-1167,9

10.11855/j.issn.0577-7402.0472.2026.0527

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