ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG BỆNH GÚT VÀ MỘT SỐ YẾU TỐ LIÊN QUAN TẠI BỆNH VIỆN HỮU NGHỊ ĐA KHOA NGHỆ AN

Abstract

Objectives: Describe the clinical and paraclinical characteristics of gout and some related factors at the Department of Musculoskeletal, Nghe An General Hospital. Methods: Cross-sectional study. The study included 116 patients diagnosed with gout according to EULAR 2015 criteria at the Department of Rheumatology, Nghe An General Hospital from August 2023 to August 2024. Results and conclusion: The proportion of gout patients is mainly over 60 years old (accounting for 57.8%). The location of the inflamed joints in the first acute gout attack is mainly the joints of the lower limbs, of which the metatarsophalangeal joint accounts for the highest proportion of 54.3%. The majority of patients have only one inflamed joint in the first gout attack, accounting for 82.8%. The proportion of patients with high pain level according to VAS scale in the first gout attack is 71.6%. The average blood uric acid concentration of the group of patients participating in the study was 452.4±125µmol/L, the double line sign was only found in 39.7% of the patients studied. The rate of hyperuricemia in chronic gout patients was 75.5% higher than that in the group of acute gout patients (p<0.05). This difference was statistically significant with p<0.05. The rate of chronic gout was higher in the group of patients who were farmers, workers and in the group of patients who had the habit of drinking alcohol and smoking (p<0.05). The factor of residence was not related to the type of gout.