什么是嘌呤?
嘌呤是一种有机化合物,存在于各种食物中,也是 由人体细胞自然产生 as part of normal metabolism. Purines are essential components of DNA, RNA, and other important molecules involved in cellular function and energy metabolism.
嘌呤含量高的食物包括红肉、内脏(如肝脏和肾脏)、某些类型的海鲜(如沙丁鱼、凤尾鱼和贝类)以及某些类型的豆类和豆类。
以下是食物嘌呤表:
嘌呤含量 | 食物类别 | 食物清单 |
超高嘌呤食物 (嘌呤含量>150毫克/100克) | 动物内脏 部分水产 部分汤 | 肝、肾、脑、脾、肠等 小龙虾、鱼子酱、龙虾、扇贝、沙丁鱼等 浓肉汤、浓鱼汤、海鲜火锅汤 |
中高嘌呤食物 (嘌呤含量在75~150毫克/100克之间) | 各种畜肉 禽肉 部分鱼类 甲壳类 干豆类 | 猪、牛、羊、驴肉等 鸡、鸭等 鲈鱼、鲤鱼、鲫鱼、鲍鱼等 虾、贝类、螃蟹等 黄豆、黑豆、绿豆等 |
中低嘌呤食物 (嘌呤含量在30~75毫克/100克之间) | 深绿色嫩茎叶蔬菜 花类蔬菜 嫩豆类蔬菜 部分水产 大豆制品 | 菠菜等绿叶菜、芦笋等嫩茎 白色菜花等 毛豆、嫩豌豆等 三文鱼、金枪鱼等 豆浆、豆干、豆皮、腐竹、豆腐等 |
低嘌呤食物 (嘌呤含量<30毫克/100克) | 牛奶 蛋类 浅色叶菜 根茎类蔬菜 茄果类蔬菜 瓜类蔬菜 部分杂粮 水果 精米白面 | 牛奶 鸡蛋等 大白菜等 土豆、芋头、白薯、木薯 番茄、茄子等 冬瓜等 小米、荞麦、燕麦 葡萄、苹果、草莓等 米饭、馒头等 |

以下是7种帮助降低尿酸水平的食物::
奶制品
低脂奶制品 可降低血尿酸水平,减少痛风的发病率.
豆类
豆制品(如豆腐脑、豆腐、豆浆等)可弥补限制红肉摄入带来的蛋白质摄入减少, 还可降低冠心病的发病风险.
蔬菜
近年多项研究表明 进食富含嘌呤的蔬菜并不增加血尿酸水平及痛风的发病率,进食大量的蔬菜可碱化尿液有利于尿酸排泄,从而降低血尿酸水平。
水果
选择 含果糖量较低的水果 如青梅、青瓜、西瓜、椰子水、草莓、樱桃、菠萝、桃子、李子、橄榄等摄入。
建议痛风患者 少吃苹果、无花果、橙子、荔枝、柿子、桂圆、香蕉、杨梅、石榴等 果糖较高的水果。
维生素C
口服维生素C的降尿酸作用已被应用于临床实践,平均剂量为500mg/d(成人每日摄入量不应超过2000mg)。
维生素C 可能通过促进尿酸排泄和抑制尿酸降低血尿酸.
茶
茶有类似咖啡的降尿酸机制,但茶中也有升高血尿酸的成分,二者作用相互抵消, 饮茶对血尿酸水平无显著影响,痛风患者可根据自己的喜好选择是否饮茶。
多喝水
每日喝水2000毫升,多饮白开水可以稀释尿酸,加速排泄,使尿酸水平下降。
少喝肉汤、鱼汤、鸡汤、火锅汤等,因为 这些汤中含有大量嘌呤成分.
适当补肾
肾主排泄, 想要尿酸尽快排泄出去,就得依仗肾功能。肾好,自然排泄就好,平时可以多吃一些固肾的食物如熟地、山茱萸、山药、泽泻、丹皮、茯苓能起到滋阴补肾的功效。

高尿酸患者能服用麦片吗?为什么?
1. 尿酸高患者是可以吃麦片的。 尿酸高患者不宜吃嘌呤含量较高的食物,而100克麦片中含有嘌呤24.4毫克,属于低嘌呤食物,适合尿酸高患者食用。
2. 麦片富含淀粉、蛋白质、脂肪、膳食纤维、B族维生素、尼克酸、叶酸、泛酸、钙、铁等营养成分,具有促进肠胃蠕动,降低血糖、血脂、血压的功效。
3. 麦片 含有植物性蛋白,可以补充蛋白质。一般成人每公斤体重需求燕麦片0.8-1克左右,可根据当日饮食酌情增减,建议 体重50千克的成人每天食用燕麦片50-100克。建议 尿酸高患者每周食用麦片1-3次左右.
4. 尿酸高的饮食原则是低脂低盐,糖也不要多放,可以直接用热水冲泡麦片,吃牛奶麦片,或者将麦片与大米、小米等煮成粥喝。 麦片中还可以适量加入富含维生素B和维生素C的蔬菜,有助于尿酸的排出。 由于大米、小米、玉米等主食的嘌呤含量均低于麦片,建议将麦片与其他主食混着吃,以降低嘌呤摄入量。

尿酸高该怎么办呢?要如何清除?
在检查发现有尿酸高但是没有症状的情况下,并且在医生建议治疗的情况下, 最推荐的是多喝水服用淆杞丸加菊苣两即可,若尿酸高到身体出现症状就要服用一定的抗生素如别嘌呤醇+碳酸氢钠+淆杞丸,药物疗程7天,淆杞丸50天,一般三周内尿酸值即可降低,降低率为百分之89。在服药期间一般不要饮酒以及熬夜,对海鲜食品也要严格管控。
Nuewee有机蛋白粉可以提供饱腹感并减少饮食量。
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