{"nowTime30":1782524952158,"lyBarModerator":null,"metaSearch":{"description":"众所周的知，痛风与日常生活中饮食密切相关，但健康人群通过控制饮食就一定能避免患上痛风吗？痛风会遗传吗？\n\n痛风分为原发性痛风和继发性痛风，其中继发性痛风是指继发于其他疾病过程中的一种临床表现，也可因某些药物所致，所以痛风的遗传性与原发病的遗传相关。原发性痛风多半具有遗传性，约20%的痛风患者其近亲的","keywords":"痛风会遗传吗？且看中国人民解放军总医院专家怎么说_洞医","title":"痛风会遗传吗？且看中国人民解放军总医院专家怎么说_洞医","channels":null},"identificate":{"id":"0300b4bddfaf11e6a61c00163e04584d","isDel":0,"createAt":1484985344390,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","realName":"赵玉","certifiedStatus":2,"phone":"111111111111","email":"2276635444@qq.com","hospitalId":"31c19c1b453011e69d4700163e005165","departmentId":"2000","illName":"","illId":"793a72a2bb5f11e6a61c00163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1484985951761.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"儿科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"2592","isDel":0,"createAt":1503583332317,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":1512220086807,"updateBy":"sys","updateName":"system","userId":"b1a5ca4ddfad11e6a61c00163e04584d","name":"解放军总医院内分泌科","type":101,"twoCode":null,"image":"","provinceId":"110000","cityId":"请选择","illId":null,"hospitalId":"14614","keyWord":"解放军总医院内分泌科","totleTopic":300,"barDesc":null,"discussBarType":null,"metaSearch":"{\"description\":\"洞医为您提供：北京301医院内分泌科专家、301医院内分泌科在几层_解放军总医院内分泌科病友的治疗经验等相关信息，让您在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"北京301医院内分泌科专家_301医院内分泌科在几层_解放军总医院内分泌科_洞医\",\"title\":\"北京301医院内分泌科专家_301医院内分泌科在几层_解放军总医院内分泌科\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"5575","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"中国人民解放军总医院专家告诉你：痛风吃什么食物好","content":"<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp; </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">痛风是嘌呤代谢紊乱及尿酸排泄所引起的一组疾病，是一种富贵病，有很多忌口，那么痛风吃什么食物好，能减少发作次数呢？</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp;</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp;&nbsp;</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">在前些年，医学界主张用嘌呤或严格限制嘌呤的食物，但是，这样以来，也限制了蛋白质的进量，长期服用还会引起营养不良。现在的最新理念是禁食用含嘌呤高的食物，并根据病情决定膳食中嘌呤的含量。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp;</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">(1) </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">痛风患者急性期的膳食：应严格限制嘌呤在</span><span style=\"font-size: 16px; line-height: 200%;\">150mg/</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">天以下，可选用下列第四类含嘌呤很低的食物。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp;</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">(2) </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">痛风患者缓解期的膳食：禁用含嘌呤高的第一类食物；有限量地选用含嘌呤少量及中等量的第二、第三类食物。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp;</span></p>\n<p style=\"line-height: 200%;\"><strong><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">各种食物嘌呤含量数值表：</span></strong></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">第一类</span><span style=\"font-size: 16px; line-height: 200%;\">&nbsp; </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">含嘌呤高的食物（</span><span style=\"font-size: 16px; line-height: 200%;\">100-1000mg</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">嘌呤</span><span style=\"font-size: 16px; line-height: 200%;\">/100g</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">食物含）：</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp;&nbsp;</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">肝、肾、胰、心、脑、肉馅、肉汁、肉汤、鲭鱼、凤尾鱼、沙丁鱼、鱼卵、小虾、淡菜、鹅、斑鸡、石鸡、酵母</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp;</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">第二类</span><span style=\"font-size: 16px; line-height: 200%;\">&nbsp; </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">含嘌呤中等的食物（</span><span style=\"font-size: 16px; line-height: 200%;\">75-100mg</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">嘌呤</span><span style=\"font-size: 16px; line-height: 200%;\">/100g</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">食物）：</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp; (1) </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">鱼类：鲤鱼、鳕鱼、大比目鱼、鲈鱼、梭鱼、贝壳类、鳗鱼及鳝鱼</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp; (2) </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">肉类：熏火腿、猪肉、牛肉、牛舌、小牛肉、兔肉、鹿肉</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp; (3) </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">禽类：鸭、鸽子、鹌鹑、野鸡、火鸡</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">第三类</span><span style=\"font-size: 16px; line-height: 200%;\">&nbsp; </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">含嘌呤较少的食物</span><span style=\"font-size: 16px; line-height: 200%;\">(&lt;75mg</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">嘌呤</span><span style=\"font-size: 16px; line-height: 200%;\">/100g</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">食物）：</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp; (1) </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">鱼蟹类：青鱼、鲱鱼、鲑鱼、鲥鱼、金枪鱼、白鱼、龙虾、蟹、牡蛎</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp; (2) </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">肉食：火腿、羊肉、牛肉汤、鸡、熏肉</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp; (3) </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">麦麸：麦片、面包、粗粮</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp; (4) </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">蔬菜：芦笋、四季豆、青豆、豌豆、菜豆、菠菜、蘑菇、干豆类、豆腐</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">第四类</span><span style=\"font-size: 16px; line-height: 200%;\">&nbsp; </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">含嘌呤很少的食物：</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp; (1) </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">粮食：大米、小麦、小米、荞麦、玉米面、精白粉、富强粉、通心粉、面条、面包、馒头、苏打饼干、黄油小点心</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp; (2) </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">蔬菜：白菜、卷心菜、胡萝卜、芹菜、黄瓜、茄子、甘蓝、芜青甘蓝、甘蓝菜、莴笋、刀豆、南瓜、倭瓜、西葫芦、番茄、山芋、土豆、泡菜、咸菜</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp; (3) </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">水果：各种水果。蛋、乳类：鲜奶、炼乳、奶酪、酸奶、麦乳精</span><span style=\"font-size: 16px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">饮料：汽水、茶、咖啡、可可、巧克力</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp; (4) </span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">其它：各种油脂、花生酱、洋菜冻、果酱、干果等</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp;</span></p>\n<p>&nbsp;</p>","barId":"2592","topicTypeId":null,"topicThemeId":"1022","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"5573","isDel":0,"createAt":1503583849934,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"痛风会遗传吗？且看中国人民解放军总医院专家怎么说","content":"<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp; &nbsp;</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">众所周的知，痛风与日常生活中饮食密切相关，但健康人群通过控制饮食就一定能避免患上痛风吗？痛风会遗传吗？</span></p>\n<p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp;<img title=\"痛风会遗传吗\" src=\"http://01luntan.com/ly_img/uimgs/1503584091257.jpg\" alt=\"痛风会遗传吗\" width=\"600\" height=\"451\" /></span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp;&nbsp;&nbsp;</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">痛风分为原发性痛风和继发性痛风，其中继发性痛风是指继发于其他疾病过程中的一种临床表现，也可因某些药物所致，所以痛风的遗传性与原发病的遗传相关。原发性痛风多半具有遗传性，约</span><span style=\"font-size: 16px; line-height: 200%;\">20%</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">的痛风患者其近亲的亲属也患有痛风，从发病几率来讲，父母一方患了痛风，子女有</span><span style=\"font-size: 16px; line-height: 200%;\">40%~50%</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">的几率患痛风，若父母双方均患痛风，则子女患痛风的几率高达</span><span style=\"font-size: 16px; line-height: 200%;\">75%</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp;</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp;&nbsp;&nbsp;</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">临床上确诊由遗传因素引起的痛风只占就诊人数</span><span style=\"font-size: 16px; line-height: 200%;\">1%</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">左右，例如</span><span style=\"font-size: 16px; line-height: 200%;\">Lesch-Nyhan</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">综合征、</span><span style=\"font-size: 16px; line-height: 200%;\">I</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">型糖原累积症、家族性青少年高尿酸性肾病等，该部分疾病的遗传是有规律的，因此该部分痛风患者可以计算出它们遗传给下一代的概率。但除去这些罕见的遗传病外，剩下的绝大部分的痛风患者其遗传机制十分复杂，目前还未研究清楚，遗传的概率无法预知，所以父辈有痛风其子代不一定会患痛风。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp;</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp;&nbsp;&nbsp;</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">那么什么样的痛风可以怀疑是由遗传引起的呢？起病年龄小、血尿酸水平高、早期即有尿酸肾病、有阳性家族史的患者需要高度怀疑，其尿酸肾病通常在痛风性关节炎之前即可出现。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp;</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 16px; line-height: 200%;\">&nbsp;&nbsp;&nbsp;</span><span style=\"font-size: 16px; line-height: 200%; font-family: 宋体;\">综上所述，如果有阳性家族史，则这一家系的后代需做定期检查，争取早发现早治疗，对本病病情的延缓具有很强的意义。</span></p>\n<p>&nbsp;</p>","barId":"2592","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1637,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1503583849936,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1503583849936,"metaSearch":null,"rn":null},"userAllInfo":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":null,"password":null,"level":0,"nickName":null,"realName":null,"signName":null,"head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":0,"userType":0,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":0,"provinceId":null,"cityId":null,"userLevel":0,"modifyNameCount":0,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"forumUserActiveInfo":{"id":"b1ba5254dfad11e6a61c00163e04584d","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":1705892489293,"updateBy":"b1a5ca4ddfad11e6a61c00163e04584d","updateName":"小海螺","userId":"b1a5ca4ddfad11e6a61c00163e04584d","topicCount":2201,"replayCount":900,"favorteCount":0,"beFavorteCount":0,"creamCount":2,"focusCount":1,"fansCount":4,"integralCount":2357,"foodCouponCount":0,"lastLoginTime":0,"lastLoginIp":null,"downloadCount":0,"uploadCount":0},"newPass":null,"focusBar":null,"counter":null,"forumUserIdentificateDto":null},"theme":{"id":"1015","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"topicTypeId":"1","topicTypeName":"资讯","themeName":"专家观点","barType":"101","schemaName":2,"reward":0},"page":1,"favorties":true,"isSelf":false,"order":"asc"}