俞钟明 陈剑 孙培芳 王鑫 孙佳颖 岳丽霞 汪佳佳

[摘要] 目的 探討在社区进行综合防治技术（痛风和高尿酸血症）教育实施规范化管理的效果。 方法 选取2019年1—12月三个社区作为研究组，同期选取三个社区为对照组。对研究组社区的基层医生进行集体综合防治技术（痛风和高尿酸血症）教学培训、现场指导、规范化操作流程及对患者的健康信息登记、监测与回访，最终与未参加项目的社区进行痛风和高尿酸血症的发病率和复发率进行比较。 结果 研究组经过综合防治技术后，基层医务人员在相关痛风和高尿酸血症考试时均取得A评价，未经培训的对照组均取得B评价;防治后研究组患者血尿酸（380.50±34.17）μmol/L、胆固醇（4.32±1.11）μmol/L、三酰甘油（1.44±0.25）mmol/L、血糖（3.17±0.84）mmol/L，均显著低于对照组的（459.31±45.23）μmol/L、胆固醇（5.02±1.14）μmol/L、三酰甘油（2.02±0.49）mmol/L、血糖（4.86±1.03）mmol/L，两组比较，差异均有统计学意义（P<0.05）。防治后研究组社区居民的发病率为3.33%，明显低于对照组的14.44%，两组比较，差异有统计学意义（P<0.05）。研究组痛风和高尿酸血症发病率低于对照组（P<0.05）。 结论 加强对基层医务人员的综合防治技术（痛风和高尿酸血症）知识的教育培训，能够有效地控制社区居民痛风和高尿酸血症生化指标，降低痛风和高尿酸血症发病率。

[关键词] 痛风;高尿酸血症;防治;社区

[中图分类号] R692          [文献标识码] B          [文章编号] 1673-9701（2021）32-0051-04

[Abstract] Objective To explore the effect of standardized management of comprehensive prevention and treatment technology （gout and hyperuricemia） education in community. Methods Three communities from January 2019 to December 2019 were selected as the study group， and three communities were selected as the control group during the same period. Grass-roots doctors in the study group were given the education and training of collective comprehensive prevention and treatment （gout and hyperuricemia），on-site guidance and standardized operation procedures.While registration， monitoring and follow-up of patient′s health information were done. The incidence and recurrence rate of gout and hyperuricemia were compared between the study group and the control group. Results After the comprehensive prevention and treatment technology， the basic medical staff in the research group got grade A in the examination of excellent gout and hyperuricemia， while the untrained control group got grade B. Serum uric acid （380.50±34.17） μmol/L， cholesterol （4.32±1.11）μmol/ L， triglyceride （1.44±0.25）mmol/L， and blood glucose （3.17±0.84） mmol/L in the study group were significantly lower than those in the control group[（459.31±45.23）μmol/L，（5.02±1.14）μmol/L，（2.02±0.49） mmol/L and （4.86±1.03） mmol/L]， and the differences between the two groups were statistically significant （P<0.05）. After prevention and treatment， the incidence rate of the study group was 3.33%， which was significantly lower than that in the control group （14.44%）， and the difference between the two groups was statistically significant（P<0.05）.The incidence of gout and hyperuricemia in the study group was lower than that in the control group（P<0.05）. Conclusion Strengthening the education and training of comprehensive prevention and treatment techniques （gout and hyperuricemia） for grassroots medical staff can effectively control the biochemical indexes of gout and hyperuricemia in community residents and reduce the incidence of gout and hyperuricemia.

[Key words] Gout; Hyperuricemia; Prevention and control; Community

随着人们生活水平的提高，慢性病已经日趋年轻化，其中痛风和高尿酸血症的患病率和发病率呈指数增长的趋势[1]。根据不同时间、不同地区报告，我国痛风的患病率在1%～3%，呈逐年上升趋势。……