中日友好医院风湿免疫科主任医师 刘霞：剧烈运动可能诱发痛风急性关节炎，所以在痛风关节炎急性 发作期的时候，要尽量避免高强度运动。在痛风缓解期的时候，我们建议维持中等强度的有氧运动，比 如慢走或慢跑半小时到一小时。 专家提示：春节期间，高尿酸人群和痛风患者不要因为过节就放松管理，要坚持规律服药，不要擅自停 药。 （央视财经《第一时间》）痛风急性发作时疼痛剧烈，不少人会选择硬扛，这可能加重病情。专家表 示，正确的急救方法和防护技巧，可以帮助高尿酸人群平稳度过假期。 专家表示：痛风急性发作期治疗的主要原则是快速控制关节炎症和疼痛。急性期应卧床休息，抬高患 肢，在发作24小时内用药效果最理想。目前，痛风急性发作期的一线治疗药物有非甾体抗炎药和秋水仙 碱，也可考虑短期应用糖皮质激素抗炎。需要特别提醒的是，痛风急性发作时，严禁热敷、按摩或揉搓 受累关节，这些行为会加重炎症反应，让疼痛和肿胀更严重。但不建议在痛风急性发作期开始时使用降 尿酸药物，应在抗炎、镇痛治疗2周后再酌情使用。 中日友好医院风湿免疫科主任医师 舒晓明：通过控制饮食来降尿酸，同时保持每天饮水至少2000毫 升，还可以喝苏打水碱化体内环境，让尿酸不那么容易 ...

Core Viewpoint - The article discusses the health risks associated with overeating and drinking during the Chinese New Year, highlighting various conditions that can arise from indulgent eating habits and providing health tips to mitigate these risks [1][3]. Group 1: Acute Pancreatitis - Overeating high-fat and high-protein foods, along with excessive alcohol consumption, can lead to acute pancreatitis, as the pancreas becomes overwhelmed and begins to digest itself [3][5]. - Symptoms include severe abdominal pain, nausea, vomiting, and in severe cases, low blood pressure and shock [5]. - To prevent this condition, it is advised to eat in moderation, avoid excessive drinking, and for those with gallbladder issues, to steer clear of high-fat foods [5][7]. Group 2: Acute Gastroenteritis - Disrupted eating patterns during the holiday can lead to acute gastroenteritis, caused by consuming raw or hard-to-digest foods and potentially spoiled items [7]. - Symptoms include frequent diarrhea, abdominal cramps, nausea, and weakness, which can lead to dehydration [7][9]. - Maintaining regular eating habits, avoiding raw and irritating foods, and ensuring food safety are recommended to prevent this condition [7][9]. Group 3: Upper Gastrointestinal Bleeding - The combination of alcohol and spicy foods can irritate the stomach lining, leading to acute upper gastrointestinal bleeding, especially in individuals with pre-existing digestive conditions [11][12]. - Symptoms may include vomiting blood and black stools, along with dizziness and weakness [11][12]. - Individuals with digestive diseases should avoid alcohol and spicy foods, opting for milder, easily digestible options [11][12]. Group 4: Gout - The consumption of high-purine foods during the holiday can lead to gout, as excess uric acid accumulates in the body [12][14]. - Symptoms include sudden, severe joint pain, swelling, and restricted movement [12][14]. - It is advised to limit high-purine foods, stay hydrated, and manage stress to prevent gout attacks [14][15]. Group 5: Airway Foreign Bodies - Young children are at risk of choking on food during festive gatherings, particularly on hard-to-chew items [16][18]. - Symptoms of airway obstruction include severe coughing, difficulty breathing, and cyanosis [18][20]. - Parents should supervise young children while eating and avoid giving them hard foods that could pose a choking hazard [20].

痛风发作时的剧痛让患者坐立难安，但不少人疼过就忘，压根儿不把尿酸控制当回事。"医生，我痛风 能治好吗？"北部战区总医院风湿免疫科主任李萍介绍，在门诊最常听到这样的疑问。痛风从来不是简 单的关节疼痛，更是身体代谢紊乱发出的"红色警报"，只有科学应对、长期坚持调理，才能避免肾脏、 心脑血管跟着遭殃。 李萍主任表示，高尿酸血症是痛风的重要发病前提，但并非所有高尿酸人群都会发展为痛风，临床上仅 有约5%～12%的高尿酸血症患者会出现痛风症状。首次发作的痛风患者，建议在症状缓解后4周左右复 查血尿酸，必要时做关节、肾脏超声排查尿酸盐结晶，有不适需及时就诊。这类患者无需急于用药，优 先通过饮食控制，血尿酸通常能下降60umol/L左右，若控制得当，下次发作可能间隔两年。痛风患者血 尿酸控制目标因人而异：单纯预防发作需低于360umol/L；形成痛风石或合并痛风性肾病者，需严控在 200-300umol/L；第二次发作后，则要在医生指导下长期服降尿酸药，切勿自行停药或调剂量。 痛风不只是关节痛，更是代谢失衡的"信号灯"，常与高血脂、高血压、高血糖相伴，形成"代谢综合 征"连锁反应。长期不规范治疗，不仅会引发痛风性肾病，出现 ...

来源：温州晚报 几颗贡丸、两勺汤，再加上点芹菜末……冬日街头，来上一碗热乎乎的贡丸汤，是一代浙江人儿时的记 忆。40岁的林先生（化名）就是其中之一，近期他突然想回味童年时的味道，没想到连喝了一周，竟然 进了医院。 到医院看痛风 却被确诊尿毒症 "黄医生，我左膝盖疼痛又发作了，走不了路，没扭着，也没伤着，就这周喝了点贡丸汤，又疼了，上 次是2年前疼痛来就诊过……"浙江医院风湿免疫科黄艳医师介绍，林先生是坐着轮椅被推进诊室的。 作为一位痛风"老"患者，林先生两年前开始接受降尿酸治疗，但复查并不规律。黄艳发现他同时患有高 血压、糖尿病、肥胖等合并症。此次进食一周贡丸汤后就医，左膝盖肿胀明显，尿酸超过421umol/L （痛风患者的尿酸应控制在300~360umol/L）。但更让人揪心的是，他的肌酐高达717μmol/L（正常成人 全血中的肌酐参考值为88.4~176.8μmoI/L），肾小球滤过率只有7.5mL/min/1.73m²（正常成年男性在 110~140mL/min/1.73m²）…… 这意味着患者确诊终末期肾病（尿毒症期），此阶段的大部分老年患者都要靠血液透析、腹膜透析或肾 移植维持生命。这让黄艳非常感 ...

转自：河北新闻网 【#每天2杯奶茶男子痛风到无法走路#】#40岁男子痛风直呼痛得像生孩子# 近日报道，据杭州市中医 院： 1月25日，浙江杭州。今年40岁的王先生是一名教师，平日里非常注重健康，严格忌口，不喝酒、 不吃海鲜、不吃动物内脏，体重也控制得不错。然而，他却频繁遭受痛风折磨，发作时疼痛难忍，大脚 趾关节红肿热痛，严重影响行走。直呼"痛得像生孩子一样"，被妻子质疑"夸张"。医生在详细询问王先 生的生活习惯后，发现为了提神和缓解工作压力，他养成了每天喝一到两杯奶茶的习惯。奶茶中隐藏的 果糖，是诱发痛风的"隐形杀手"。虽然王先生避开了肉、酒等常见诱因，但每天两杯奶茶的习惯，恰恰 是诱发他痛风急性发作的重要因素。#躲过了啤酒海鲜没躲过奶茶# 医生表示，"在门诊中，有些年轻患 者并没有饮酒习惯，生活作息看似也规律，却莫名其妙地痛风发作。在详细询问病史后，我们发现他们 有一个共同点：长期大量饮用含糖饮料，尤其是奶茶。"奶茶中通常含有大量的果糖。果糖与葡萄糖不 同，它会直接参与嘌呤代谢，导致尿酸生成增多，同时抑制尿酸的排泄。这种"双向打击"使得血液中的 尿酸水平迅速升高，从而诱发痛风。其次，奶茶往往伴随着高热量，也 ...

Core Viewpoint - The article emphasizes the importance of managing uric acid levels carefully, highlighting that rapid reduction can lead to severe health issues, including acute gout attacks and kidney damage. Group 1: Uric Acid Management - Over 150 million people in China suffer from hyperuricemia, with more than 15 million diagnosed with gout [1] - Rapidly lowering uric acid can exacerbate joint pain and swelling due to the instability of urate crystals in the joints [3][4] - A stable reduction in uric acid levels is recommended, ideally decreasing by 60 to 120 micromoles per liter each month to avoid acute gout attacks and protect kidney and cardiovascular health [5] Group 2: Medication Guidelines - Medication is suggested when uric acid levels exceed 420 micromoles per liter for men and postmenopausal women, and 360 micromoles per liter for premenopausal women [6] - For asymptomatic patients with uric acid levels below 480 micromoles per liter, lifestyle changes are preferred over immediate medication [8] - If uric acid exceeds 540 micromoles per liter, medication should commence regardless of gout symptoms [9] Group 3: Lifestyle Recommendations - Limiting high-purine foods, such as certain seafood and organ meats, is crucial for managing uric acid levels [11] - Staying hydrated with 2000 to 3000 milliliters of water daily is recommended, avoiding sugary drinks and alcohol [12] - Reducing fructose intake is advised as it can increase uric acid production and decrease its excretion [14] - Regular exercise and maintaining a healthy weight can help prevent complications associated with high uric acid levels [16][17] - Keeping warm during colder months is important to prevent uric acid crystallization in joints [18][19]

Core Viewpoint - The rising incidence of gout among younger populations is linked to various factors, and the claim that disodium inosinate is a primary cause lacks sufficient evidence [1][2]. Group 1: Disodium Inosinate and Gout - Disodium inosinate is a food additive found in many condiments, but there is no substantial research indicating that its normal use in food significantly increases the risk of gout [1]. - The amount of purine in commonly used condiments, such as oyster sauce, is very low, and its impact on uric acid levels is minimal compared to high-purine foods [1]. Group 2: Factors Contributing to Gout in Young People - The increase in gout cases among young individuals is attributed to genetics, poor dietary habits (high purine food intake), obesity, and alcohol consumption, particularly beer [2]. - Establishing a scientific lifestyle is crucial for preventing high uric acid levels and gout, rather than fearing specific food components [2]. Group 3: Recommendations for Gout Prevention - Dietary adjustments should include strict limitations on high-purine foods such as organ meats, certain shellfish, and rich broths, along with reduced alcohol intake [2]. - Weight control is essential, but rapid weight loss should be avoided as it may lead to increased ketone bodies, which can inhibit uric acid excretion and trigger acute gout attacks [2]. - Adequate hydration is recommended, with a daily intake of over 2000 milliliters for individuals with normal heart and kidney function to promote uric acid excretion [2][3]. - Regular physical activity, such as aerobic exercises, is beneficial for weight management and metabolic improvement [3]. - High-risk individuals, including those with a family history of gout, obesity, or poor dietary habits, should regularly monitor their blood uric acid levels [4].

Group 1 - The core issue of hyperuricemia is a metabolic disorder caused by purine metabolism, with an increasing prevalence of gout among younger populations, indicating a need for attention to abnormal uric acid levels in adolescents [1] - A case study highlights a 19-year-old diagnosed with gout due to a uric acid level of 589 μmol/L, attributed to poor lifestyle choices such as lack of exercise and excessive consumption of sugary drinks [2][3] - Medical professionals indicate that the rise in gout cases among young people is linked to unhealthy dietary habits, lack of physical activity, and other negative lifestyle factors [3][5] Group 2 - The normal fasting blood uric acid levels are defined as above 420 μmol/L for males and above 360 μmol/L for females, categorizing levels above these thresholds as hyperuricemia [7] - For children under 15 years, a blood uric acid level exceeding 357 μmol/L is typically classified as hyperuricemia [9]

Core Insights - The prevalence of gout is increasing, with younger populations, including adolescents, showing abnormal uric acid levels, indicating a growing health concern [1][3] Group 1: Disease Overview - Hyperuricemia is a metabolic disorder caused by purine metabolism disruption, often preceding gout in patients [1] - A case study highlighted a 19-year-old diagnosed with gout due to a uric acid level of 589 μmol/L, attributed to poor lifestyle choices such as lack of exercise and high consumption of sugary drinks [1] Group 2: Contributing Factors - Key factors contributing to gout in adolescents include poor dietary habits, lack of physical activity, and unhealthy lifestyle choices [3] - Consumption of fructose-rich beverages, high-purine foods, and alcohol significantly increases uric acid production [5] Group 3: Health Risks - Hyperuricemia does not equate to gout but poses significant health risks, including the potential for joint inflammation and kidney issues [9] - Elevated uric acid can lead to deposits in organs, causing conditions like kidney stones, uric acid nephropathy, and increased cardiovascular risks due to arterial damage [9] Group 4: Management and Prevention - Management strategies for high uric acid levels include dietary modifications, lifestyle changes, and regular monitoring [11] - Recommendations include reducing intake of high-purine foods, increasing water consumption, maintaining a healthy weight, and ensuring adequate hydration to facilitate uric acid excretion [11]

Core Viewpoint - Gout, known as the "disease of kings," has become the second most prevalent metabolic disease in China, following diabetes, and is characterized by elevated uric acid levels leading to severe pain and potential long-term health risks [1] Group 1: Disease Overview - Gout is fundamentally a disorder of purine metabolism, resulting in the accumulation of uric acid crystals in joints and tissues, causing intense pain [1] - Misconceptions about the disease lead many patients to only seek treatment during painful episodes, contributing to the worsening of their condition [1] Group 2: Expert Engagement - Professor Ye Hua from Peking University People's Hospital will provide a live session on accurate diagnosis, staged treatment, and long-term management strategies for gout [1][5] Group 3: Live Broadcast Information - The live session can be accessed through the People's Good Doctor App, under the "Famous Doctor Live" section [6] - Viewers can also follow the People's Health public WeChat account for additional health resources and to download the app [8]