石家庄市区1233名成年人外翻病因学调查  

Etiological study on hallux valgus of 1233 adults in Shijiazhuang

作　　者：吴昊天[1] 张英泽[1] 刘殿武[2] 刘建波[2] 宋朝晖[1] 张奉琪[1] 姚双权[1] 赵立力[1] 唐龙妹[2] 韩长伶[1] 

机构地区：[1]河北医科大学第三医院创伤急救中心,石家庄050051 [2]河北医科大学流行病学教研室,石家庄050017

出　　处：《中国矫形外科杂志》2007年第11期863-866,874,共5页Orthopedic Journal of China

基　　金：河北省科技攻关资助项目(NO.062761885);河北省医学科学研究重点课题(No.06039)

摘　　要：调查普通人群拇外翻角度值（hallux valgus angle，HA）及拇外翻（halluxvalgus，HV）患病原因。[方法]采用随机整群抽样法对石家庄市区1233名成年人逐人进行测查。调查项目包括性别、年龄、民族、文化程度、在调查地居住时间、出现症状年龄、首发症状、加重因素、减轻因素、家族史、生活习惯及生活方式共30项内容。采用量角器外测量法获得HA值。HA〉15°确定为HV患者。调查资料进行logistic多元回归分析。[结果]男性HA平均值为（8．31±4．93）°，女性HA平均值为（9．72±7．12）°。共发现HV病例98例，患病率为7．95％，男性HV患病率为1．29％，女性HV患病率为11．00％，男女患病率比为1：8．53。HV出现时间平均22岁。出现症状年龄20～45岁，平均25岁。HV患者中有家族史者占79．6％（78／98）。影响HV因素依其影响力大小依次为：遗传、性别、扁平足。影响女性HV的因素依其影响大小依次为：遗传、高跟鞋始穿年龄。HV与鞋跟高度及每日穿鞋时间无关。HV症状加重原因依次为：穿高跟鞋、长时间站立、长时间行走；症状减轻原因依次为：穿宽头平跟鞋、休息、热水泡脚、按摩。[结论]女性较男性易患HV，HV的患病主要与遗传有关，何时开始穿高跟鞋对女性患HV有重要影响。[Objective] To investigate the hallux valgus angle and pathogenesis of hallux valgus in general population. [ Method] A total of 1 233 adult population in Shijiazhuang were selected for this study by random cluster sampling method, then a questionnaire survey was participated including gender, age, nation, culture degree, inhabitate time, symptome occurfence time, original symptome, aggravate factors, relieve factors, family medical history, living habit, life style, et al. Hallux valgus angle was measured by protracter. The angle exceed 15° was confirmed the hallux valgus. The data was analysised with logistic multiple regression analysis. [ Result ] The average hallux valgus angle was （ 8.31 ± 4. 93 ）° of male and （ 9. 72 ± 7. 12）° of female. There were 98 hallux valgus patients in this study, and the morbidity rate was 7.95 %. The morbidity rate was 1.29% of male and 11.00% of female. Ratio of male to female was 1 ： 8.53. The average age was 22 years old. The concentrated symptome occurrence time was 20 to 45 years old; the average age was 25 years old. 78 hallux valgus patients had a family medical history （79. 6% ） . The dangerous factors of hallux valgus were inheritance, gender, flatfoot. The effective factors in female related to inheritance, the age that start wearing high-heel shoes but not to the height of the heel and the full time who were high-heel shoes. The aggravate factors were as follow： wearing high-heel shoes, long time standing, long time walking. The relieving factors were as follow： wearing flat and low-hell shoes, a warm water bath for foot, massage. [ Conclusion ] Female has a high risk to have hallux valgus. The hallux valgus has a close relationship with inheritance, and the age who start wearing high-heel shoes influences the incidence in female.

关 键 词：足 拇外翻 流行病学 病因 

分 类 号：R682.6[医药卫生—骨科学]