哈尔滨市中老年人群骨皮质增厚的流行病学研究  

EPIDEMIOLOGICAL STUDY ON OSTEAL CORTEX HYPERSTOSIS IN ELDER PERSONS AT HARBIN

作　　者：杨立嵘[1] 赵宏[1] 王志武[2] 李群伟[3] 高本[2] 刘宁[2] 

机构地区：[1]青海大学医学院公共卫生系 [2]中国疾病预防控制中心地方病控制中心 [3]泰山医学院

出　　处：《青海医学院学报》2006年第1期21-23,共3页Journal of Qinghai Medical College

摘　　要：目的用流行病学方法研究骨皮质增厚现象在中老年人群中的特征,探讨骨皮质增厚的判定方法。方法采用中老年人群右手X线片,选右手的三个部位的指骨骨体作为研究对象,参照其他标准定义骨皮质增厚程度的分级和增厚的类型,并对骨皮质增厚的相关情况进行描述性和单因素分析。结果骨皮质增厚的检出率为27.7%;以I度和Ⅱ度骨皮质增厚为主;形态以丘状为主;骨皮质增厚与性别、体力劳动强度史和风湿病史,骨关节病史等关系密切。结论骨皮质增厚检出率较高,男性高于女性;检出率随年龄增大而增高;从事过重体力劳动者骨皮质增厚的X线检出率高于从事轻体力劳动者;有风湿病史者骨皮质增厚X线检出率高于无风湿病史者;有关节病史者骨皮质增厚X线检出率高于无关节病史者。骨皮质增厚判定方法简便易行,适于大规模流行病学调查研究。*Objective To describe the characteristics of osteal cortex hyperstosis in the elder and determine the method of osteal cortex hyperstosis. Methods Select three positions of right hand phalanx X - ray examination as object of study. The degree and shape grade of osteal cortex hyperstosis were defined referring to other criteria. Description and relevant factors of osteal cortex hyperstosis were given. Results The X - ray detective rate of osteal cortex hyperstosis is 27.7% in this study. Grade Ⅰ and Ⅱ ,mound shape of osteal cortex hyperstosis were seen mostly. osteal cortex hyperstosis was related to sex, the history of rheumatism,arthritis and great intensity of labor. Conclusion In its X -ray detective rate, female is lower than male. With age increasing, its detective rate increased gradually. People engaged in heavy manual labor have higher X - ray detective rates than others engaged in light manual labor. The persons who having history of rheumatism and arthritis were prone to occur osteal cortex hyperstosis. It is simple and easy method to study osteal cortex hyperstosis by X -ray photograph on right hand, so it is suitable for large - scale of epidemiological survey.

关 键 词：中老年 骨皮质增厚 手骨X线片 流行病学 

分 类 号：R681[医药卫生—骨科学]