西藏藏族居民大骨节病发病及影响因素分析  

Correlation between life factors and Kaschin-Beck disease in Tibet residents

作　　者：次央[1] 西绕若登[2] 央宗[1] 巴桑卓玛[1] 扎西桑珠[2] 马小红[3] 崔超英[1] 李涛[3] 

机构地区：[1]西藏大学医学院,拉萨850002 [2]西藏自治区疾病预防控制中心地方病防制研究所 [3]四川大学华西医学中心

出　　处：《中国公共卫生》2010年第9期1205-1206,共2页Chinese Journal of Public Health

基　　金：国家自然科学基金项目(30660165)

摘　　要：目的探讨大骨节病的发生与生活因素的相关关系,为大骨节病病因研究和防治提供科学依据。方法自制调查表,以面谈方式对拉萨市林周县、墨竹工卡县和山南地区桑日县大骨节病部分病区中905人进行一般情况、生活因素问卷调查。结果病区内家庭经济收入普遍偏低,月收入<300元占81.6%,Spearm an等级相关分析结果表明,家庭收入与大骨节病病情呈负相关(r=-0.106,P<0.01);大骨节病病人中97%为文盲和小学文化程度以下的成人人群中;病区内被调查者饮酒率为22.76%,其中男性为24.2%,女性为21.8%,饮酒者中大骨节病检出率为38.8%,不饮酒者中大骨节病检出率为20.1%,饮酒与大骨节病呈正相关(r=0.191,P<0.05);病区受检人群中大骨节病检出率以饮用泉水组居多,占32.89%,X线诊断10例阳性者中,50%为饮用泉水组。结论大骨节病的发生与病区人群的生活因素密切相关。Objective To explore the correlation between living factors and Kaschin-Beck disease for porviding scien- tific information on Kaschin-Beck disease prevention. Methods A self-designed questionnaire was administered in 905 par- ticipants to obtain information on general condition and living factors with face-to-face interview. The participants were from Lhundup,Medro Gongkar county of Lhasa municipality, and Sangri county of Lhoka Region. Results The household in- come was negatively correlated with Kaschin-Beck disease （ r = - 1. 106, P 〈 0.01 ） ; 99.5% of the Kadchin-Bced disease patients were illiterate or with low education. Spearmans rank analysis showed that alcohol drinkng was positively correlated with Kaschin-Beck diseas （r = 0. 191, P 〈 0.05 ）. The highest rate of Kaschin-Beck disease was observed in the residents drinking spring water. Conclusion There is a colse link between the occurrence of Kashin-Beck disease and living factors.

关 键 词：西藏 大骨节病 生活因素 

分 类 号：R599[医药卫生—内科学]