痛风膝盖疼如何治疗配图,仅供参考
In addition to nonspecific measures (EN III) such as resting and cooling the affected limb,nonsteroidal anti-inflammatory drugs (NSAIDs) are used ). The first line of treatment is early,short-term treatment with an NSAID such as diclofenac (up to 250 mg/d) or ibuprofen (up to 2400 mg/d) or indomethacin (up to 150 mg/d),and the cyclooxygenase-2 inhibitor etoricoxib (120 mg/d) (EL Ib) ). If the patient has a history of gastrointestinal ulcers or bleeding,proton pump inhibitors should be given in addition ). Alternatively,so long as renal function is normal,colchicine may be given; at a dosage of 0.5 mg every 2 hours,this settles the gout attack within 1 day for 80% of patients ). However,high doses often lead to nausea and diarrhea. Given up to three times at a dose of 0.5 mg/d,it is usually well tolerated and adequately effective (EL Ib) ). As a further option,especially where there are contraindications,intolerance,or advanced kidney failure,glucocorticosteroids (20 to 40 mg prednisolone equivalent/d) may be given (EL Ib) ) ).","department":"