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2015 ACR/EULAR 痛风分类
用途适用： structured classification after ≥1 symptomatic peripheral joint/bursa episode.
加载计算器…
分层Classifies vs not — still not a standalone clinical diagnosis.
局限不适用： without entry criterion, or to force ULT decisions alone. · 易错点： forgetting negative SF (−2) or very low urate (−4). · Septic arthritis must be excluded clinically when indicated.
出处中华医学会风湿病学分会痛风诊疗规范 on zh
⚠️ 本地计算、不上传 PHI；结果仅供执业医师参考，不替代临床判断。
本机记录，用于回访提醒
本班次下一步
评完分数后：进场景连算、看相邻评分、打开对应路径。本地参考，不写入 HIS。
含评分/版本；仅供参考·不替代诊疗 · 不写入 HIS
方法学 · 公式代入、指南要点与完整说明
适用场景
适用： structured classification after ≥1 symptomatic peripheral joint/bursa episode.
需要填写的项目
- ≥1 episode swelling/pain/tenderness in a peripheral joint or bursa · 选项
- MSU crystals in symptomatic joint/bursa or tophus (sufficient) · 选项
- Joint/bursa pattern (highest ever) · 选项
- Episode characteristics count (erythema / can't bear touch / can't use joint) · 选项
- Typical time-course episodes (≥2 of: max pain <24h, resolve ≤14d, complete intercritical resolution) · 选项
- Clinical tophus · 选项
- Serum urate (highest, ideally off ULT) · 选项
- Synovial fluid of symptomatic joint MSU-negative · 选项
- Imaging urate deposition (US double-contour or DECT) · 选项
- Radiographic gout-related erosion (hands/feet) · 选项
计算方法与公式
MSU in symptomatic joint/tophus = sufficient. Else sum domains (pattern, characteristics, time-course, tophus, urate, SF−2, imaging urate, erosion); ≥8 classifies.
Score highest category ever within each hierarchical domain; use highest urate off ULT when possible.
公式代入演示
下列数值取自本工具各输入项的示例值，用本页公式在服务端实际算出，供快速核对计算过程。仅演示代入方法，不构成临床建议，也不代表任何真实病例。
| ≥1 episode swelling/pain/tenderness in a peripheral joint or bursa | 否 |
|---|---|
| MSU crystals in symptomatic joint/bursa or tophus (sufficient) | No / not demonstrated |
| Joint/bursa pattern (highest ever) | Ankle or midfoot mono/oligo without 1st MTP (1) |
| Episode characteristics count (erythema / can't bear touch / can't use joint) | One (1) |
| Typical time-course episodes (≥2 of: max pain <24h, resolve ≤14d, complete intercritical resolution) | One typical episode (1) |
| Clinical tophus | 否 (0) |
| Serum urate (highest, ideally off ULT) | 6–<8 mg/dL (2) |
| Synovial fluid of symptomatic joint MSU-negative | Not done / not negative (0) |
| Imaging urate deposition (US double-contour or DECT) | Absent / not done (0) |
| Radiographic gout-related erosion (hands/feet) | Absent / not done (0) |
→ACR/EULAR GoutNot applicable
- Entry：Requires ≥1 peripheral joint/bursa symptomatic episode.
| ≥1 episode swelling/pain/tenderness in a peripheral joint or bursa | Yes (required) |
|---|---|
| MSU crystals in symptomatic joint/bursa or tophus (sufficient) | Yes — sufficient for classification |
| Joint/bursa pattern (highest ever) | 1st MTP mono/oligo (2) |
| Episode characteristics count (erythema / can't bear touch / can't use joint) | Three (3) |
| Typical time-course episodes (≥2 of: max pain <24h, resolve ≤14d, complete intercritical resolution) | Recurrent typical episodes (2) |
| Clinical tophus | 是 (4) |
| Serum urate (highest, ideally off ULT) | ≥10 mg/dL (4) |
| Synovial fluid of symptomatic joint MSU-negative | MSU-negative (−2) |
| Imaging urate deposition (US double-contour or DECT) | Present (4) |
| Radiographic gout-related erosion (hands/feet) | Present (4) |
→ACR/EULAR GoutClassifies (MSU sufficient)
- Pathway：Sufficient criterion met — score not required
结果判读与分层
Classifies vs not — still not a standalone clinical diagnosis.
指南要点（原创整理）
- Entry gate + MSU sufficient pathway.
- ≥8 classifies.
- 下一步： gout flare pathway; CN gout guideline on zh.
以上为依据相应指南的关键推荐、由本站用自己的语言归纳整理（非指南原文）；完整内容请见下方官方来源。
注意事项与局限
- 不适用： without entry criterion, or to force ULT decisions alone.
- 易错点： forgetting negative SF (−2) or very low urate (−4).
- Septic arthritis must be excluded clinically when indicated.
核对与出处 · 可验证治理
参考指南与出处
- [指南 / 主要来源]中华医学会风湿病学分会痛风诊疗规范 on zh
- Neogi T, et al. Arthritis Rheumatol / Ann Rheum Dis 2015 · 来源 ↗
指南全文版权归相应学会/期刊所有；本工具仅实现其决策算法并注明出处，全文请经上方官方来源获取。
依据文献年份见参考 · 数据集整理日 2026-10-08
常见问题
常见问题
- 2015 ACR/EULAR 痛风分类的计算是否上传患者数据？在哪里计算？
- 计算在浏览器本地完成，输入与结果不上传服务器；结果仅供执业医师参考，须结合病史、检查与本机构方案判断，不构成诊断或处方依据。
- 2015 ACR/EULAR 痛风分类怎么代入计算？能举个例子吗？
- 代入: ≥1 episode swelling/pain/tenderness in a peripheral joint or bursa 否、MSU crystals in symptomatic joint/bursa or tophus (sufficient) No / not demonstrated、Joint/bursa pattern (highest ever) Ankle or midfoot mono/oligo without 1st MTP (1)、Episode characteristics count (erythema / can't bear touch / can't use joint) One (1)、Typical time-course episodes (≥2 of: max pain <24h, resolve ≤14d, complete intercritical resolution) One typical episode (1)、Clinical tophus 否 (0)、Serum urate (highest, ideally off ULT) 6–<8 mg/dL (2)、Synovial fluid of symptomatic joint MSU-negative Not done / not negative (0)… → 结果: ACR/EULAR Gout Not applicable（Entry: Requires ≥1 peripheral joint/bursa symptomatic episode.） 代入: ≥1 episode swelling/pain/tenderness in a peripheral joint or bursa Yes (required)、MSU crystals in symptomatic joint/bursa or tophus (sufficient) Yes — sufficient for classification、Joint/bursa pattern (highest ever) 1st MTP mono/oligo (2)、Episode characteristics count (erythema / can't bear touch / can't use joint) Three (3)、Typical time-course episodes (≥2 of: max pain <24h, resolve ≤14d, complete intercritical resolution) Recurrent typical episodes (2)、Clinical tophus 是 (4)、Serum urate (highest, ideally off ULT) ≥10 mg/dL (4)、Synovial fluid of symptomatic joint MSU-negative MSU-negative (−2)… → 结果: ACR/EULAR Gout Classifies (MSU sufficient)（Pathway: Sufficient criterion met — score not required）
核对流程与方法学
核对与依据
本工具的公式与计算方法已在本页明示、公开可逐一核查。其公式、系数与阈值依据上方「参考指南与出处」列出的权威来源核对。想了解本站对全部临床工具的核对流程与出处覆盖情况，见 临床工具核对表与方法学 →