四川省中老年居民骨关节炎流行现况调查  

Survey of Osteoarthritis Prevalence in the Middle-aged and Elderly Residents in Sichuan Province

作　　者：胡晓琴[1] 杨静[2] 侯丰苏[1] 李娟[1] 李婷[1] 刘之月[1] 向莹君[1] 曾子倩[1] 袁萍[1] 

机构地区：[1]四川大学华西公共卫生学院流行病学教研室,四川成都610041 [2]四川大学华西医院骨科

出　　处：《中国慢性病预防与控制》2011年第1期20-22,共3页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的了解四川省40岁及以上居民骨关节炎(OA)的患病情况,比较不同特征人群OA的患病率,分析OA发病的相关影响因素,为该病的早期预防及干预提供科学依据。方法通过多阶段随机抽样方法,对四川省部分市县848名40岁及以上居民进行问卷调查、骨科体检并拍摄X线片。结果骨关节炎总患病率为42.0%,随着年龄的增加,骨关节炎患病率也随之增高(χ2=62.25,P<0.001);城市居民颈椎患病率高于农村居民(χ2=7.79,P=0.005),而腰椎患病率低于农村居民(χ2=9.05,P=0.003);女性膝关节和手关节患病率均高于男性(χ2=8.30,P=0.004;χ2=4.29,P=0.038);体质指数(BMI)正常、超重、肥胖者的患病率呈递增趋势(χ2=10.93,P=0.012);高血压、动脉粥样硬化、糖尿病、骨质疏松患者,OA的患病率均比非患者的患病率高,差异均有统计学意义(χ2=27.04,P<0.001;χ2=21.67,P<0.001;χ2=22.77,P<0.001;χ2=27.39,P<0.001)。结论四川省中老年居民OA患病率较高。年龄、性别、地区、BMI、高血压、动脉粥样硬化、糖尿病、骨质疏松等是OA患病的影响因素。Objective To investigate the prevalence of osteoarthritis （OA） among middle-aged and elderly people in Sichuan province, and compare the prevalence of OA between different kinds of people and explore the relative factors for occurrence of OA. Methods With multi-stage random sampling, 848 people aged over 40 yrs were investigated by questionnaire, orthopedic physical examination and radiographic examination in Sichuan province. Results The total prevalence rate of osteoarthritis was 42.0% and it was increased with aging （X2=62.25, P〈0.001）. The cervical OA prevalence of urban residents was higher tban that of rural residents （x2=-7.79, P=-0.005）, while the lumber OA prevalence of urban residents was lower than that of rural residents （x2=9.05, P=0.003）. The OA prevalence of knee and hand joints in female were higher than those in male （x2=8.30, P=0.004; x2=4.29, P= 0.038）. The prevalence was increased with the BMI increase （x2=10.93, P=0.012）. The respondents who had the disease of hypertension, atherosclerotic diabetes and osteoporosis possessed higher OA prevalence than those who hadn＇t （x2=27.04, P〈0.001; X2=21.67, P〈0.001; X2=22.77, P〈0.001; X2=27.39, P〈0.001）. Conclusion The prevalence of osteoarthritis is relatively high in middle-aged and elderly in Sichuan. Age, gender, region, BMI, hypertension, atherosclerosis and diabetes are influencing factors for OA.

关 键 词：骨关节炎 现况调查 患病率 影响因素 

分 类 号：R181.3[医药卫生—流行病学]