2023年6月第43卷第6期中国实用内科杂志461指南与共识D0:10.19538M.nk2023060106中国高尿酸血症相关疾病诊疗多学科专家共识(2023年版)中国民族卫生协会重症代谢疾病分会高尿酸血症相关疾病诊疗多学科共识专家组摘要：中国高尿酸血症(HUA)患病率逐年增高，已成为仅次于糖尿病的第二大代谢性疾病。血尿酸升高除引起痛风之外，还与肾脏、内分泌代谢、心脑血管等系统疾病的发生和发展有关。共识在《中国高尿酸血症相关疾病诊疗多学科专家共识》(2017版)基础上，由风湿免疫、肾脏、内分沁代谢、心血管、种经、沁尿、营养、儿科、老年、药学、影像、血液肿瘤、呼吸、重症、中医学和病理共16个学科专家共同更新、修订而成，旨在持续推动全国各相关学科对HUA相关族病的认识，规范和指导其临床实践，改善患者预后，为相关学科的各级临床医师提供参考。关键词：高尿酸血症：高尿酸血症相关疾病：珍断：治疗：专家共识中图分类号：R589.7文献标识码：AChina multi-disciplinary expert consensus on diagnosis and treatment of hyperuricemia and related diseases(2023edition).Critical Metabolism Branch of China National Health Association,Multi-disciplinary Expert Group onDiagnosis and Treatment of Hyperuricemia and Related DiseasesCorresponding author:ZOU He-jian,E-mail:hjzou@fudan.edu.cn;GAO Xin,E-mail:happy20061208@126.com;LI Lin,E-mail lilin_616@163.comAbstract:The prevalence of hyperuricemia (HUA)in China has been increasing year by year and it has stepped up to thesecond most common metabolic disease following diabetes mellitus.Besides gout,HUA is also related to the occurrence anddevelopment of kidney,endocrine metabolism,cardiovascular and cerebrovascular diseases.The expert consensus is basedon Chinese multi-disciplinary consensus on the diagnosis and treatment of HUA and its related diseases in 2017,which wasupdated and revised by rheumatologists,nephrologists,endocrinologists,cardiologists,neurologists,urologists,nutritionists,pediatrians,gerontologists,pharmacists,radiologists,oncologists,respiratory physicians,critical medicinespecialists,traditional Chinese medicine specialists and pathologists.The consensus aims to continuously promote theknowledge of HUA-related diseases in all relevant disciplines,standardize and guide clinical practice and improve theprognosis of patients,and provide references for clinicians from related disciplines at all levels.Keywords:hyperuricemia;hyperuricemia-related diseases;diagnosis;treatment;expert consensus随着社会经济发展，人们生活方式及饮食结构呼吸、重症、中医学和病理等学科专家，对2017年版改变，我国高尿酸血症(hyperuricemia,.HUA)的患病《中国高尿酸血症相关疾病诊疗多学科专家共识》率也逐年增高，并呈年轻化趋势，已成为仅次于糖内容进行更新，旨在推动多学科协作，指导和规范尿病的第二大代谢性疾病。血尿酸水平升高除可HUA相关疾病的临床实践-网。引起痛风外，还与肾脏、内分泌代谢、心脑血管等系1HUA定义统疾病的发生发展有关。本共识参照系统医学模式，联合风湿免疫、肾脏、内分泌代谢、心血管、神高尿酸血症是指成人在正常嘌呤饮食情况下，经、泌尿、营养、儿科、老年、药学、影像、血液肿瘤、不分男女，非同日2次空腹血尿酸水平超过420mol/L。基金项目：上海市申康医院发展中心重大临床研究项目(SHDC2020CR 1013B)2HUA流行病学通信作者：邹和建，电子信箱：j2ou@fdan.edu.cn:高鑫，电子信箱：happy20061208@126.c0m:李林，电子信箱：lilin_616@163.cm血尿酸水平受年龄、性别、种族、遗传、饮食习
