| 摘要 |
[Objectives] To analyze the clinical characteristics, distribution of traditional Chinese medicine (TCM) syndrome types, spectrum of comorbidities, and complications among inpatients with gout. [Methods] Data from 592 gout patients admitted in the Department of Rheumatology at Wuxi Traditional Chinese Medicine Hospital between January 2018 and December 2024 were retrospectively collected. The data collected encompassed patient gender, age, TCM syndrome types, underlying comorbidities, infection status, and major complications, including renal insufficiency, interstitial lung disease, and osteoporosis. Descriptive statistical analyses were subsequently performed. [Results] Among the 592 inpatients, 80.75% were male and 19.25% were female. A total of 94.76% patients had at least one underlying condition, with hypertension (80.74%), cerebral infarction (29.59%), heart disease (24.24%), and diabetes (21.56%) being the most prevalent. The primary TCM syndrome types identified were damp-heat obstruction syndrome (63.51%) and phlegm-stasis obstruction syndrome (21.11%). During hospitalization, 20.94% of patients experienced concurrent infections, predominantly pulmonary infections (38.10%). The principal complications observed included renal insufficiency (32.09%), interstitial lung disease (18.75%), and osteoporosis (9.29%). [Conclusions] Inpatients diagnosed with gout often present with complex conditions and a high burden of comorbidities, predominantly cardiovascular and cerebrovascular diseases, as well as metabolic disorders. Additionally, there is a high incidence of infections and renal insufficiency within this population. TCM syndrome types in these patients are primarily characterized by damp-heat obstruction. In clinical practice, a comprehensive management approach that incorporates multidisciplinary collaboration is recommended. Alongside the control of uric acid levels and joint inflammation, proactive screening and management of comorbidities and related complications are essential. |
