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广州地区中老年人症状性膝关节骨关节炎流行病学的调查研究
引用本文:苏阳,朱志刚,蔡裕兴,金大地,薛庆云.广州地区中老年人症状性膝关节骨关节炎流行病学的调查研究[J].中华关节外科杂志(电子版),2010,4(4):2-6.
作者姓名:苏阳  朱志刚  蔡裕兴  金大地  薛庆云
作者单位:1. 南方医科大学第三附属医院骨外科,广州,510630
2. 南方医科大学南方医院脊柱骨病外科,广州,510515
3. 南方医科大学南方医院放射科,广州,510515
4. 卫生部北京医院骨科,100730
摘    要:目的了解广州地区中老年人症状性膝关节骨关节炎(OA)的患病率及其相关因素。方法抽取广州地区具有当地正式户口的40岁及以上居民进行膝关节OA的流行病学问卷调查。对有症状者进行X线拍照,摄取膝关节正侧位片。症状性膝关节OA的最终诊断为最严重节段有膝关节OA临床症状合并影像学KellgrenLawrence分级2级及以上者。结果共分析1339例40岁以上人群资料,症状性膝关节OA总患病率为15.0%,女性多于男性(20.5%vs9.1%,P0.001)。膝关节OA的患病率随年龄增长而升高(P0.001);髌股关节OA的发病率为12.4%,高于周围节段;月经OR=4.187,95%CI(2.419,7.246)]及跑步OR=2.689,95%CI(1.018,7.100)]是膝关节OA的好发因素,文职类工作OR=0.160,95%CI(0.037,0.068)]则为保护性因素。结论调查结果说明广州地区症状性膝关节OA患病率较高,严重影响中老年人生活质量,应当引起重视。

关 键 词:中年人  老年人    骨关节炎  流行病学

Epidemiological investigation of symptomatic osteoarthritis in middle-aged and senior residents in district of Guangzhou
SU Yang,ZHU Zhi-gang,CAI Yu-xing,JIN Da-di,XUE Qing-yun.Epidemiological investigation of symptomatic osteoarthritis in middle-aged and senior residents in district of Guangzhou[J].Chinese Journal of Joint Surgery(Electronic Version),2010,4(4):2-6.
Authors:SU Yang  ZHU Zhi-gang  CAI Yu-xing  JIN Da-di  XUE Qing-yun
Institution:SU Yang,ZHU Zhi-gang,CAI Yu-xing,JIN Da-di,XUE Qing-yun.Department of Orthopedic Surgery,Third Hospital of Southern Medical University,Guangzhou 510630,China
Abstract:Objective To investigate the prevalence of symptomatic knee osteoarthritis,assosiated factors and other items in middle-aged and senior residents in district of Guangzhou.Methods A survey was performed in Guangzhou including urban and rural areas on the people who have a formal account with the age above 40 years.The subject were undergone the X-ray fluoroscopy who have the symptoms of osteoarthritis.The final diagnostic criteria for symptomatic osteoarthritis was osteoarthritis symptoms and Kellgren & Lawr...
Keywords:Middle aged  Aged  Knee  Osteoarthritis  Epidemiology  
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