山东中部地区人群股骨头坏死流行病学调查研究  

Seroepidemiological survey and study on ischemic necrosis of femoral head

作　　者：王凤仪 马在山 马素英 苏成宝 陈思禄 李荣军 彭佐林 杨占清 贾恩礼 郭传岱 韩康祥 周胜勋[5] 刘伯军[5] 王启松[6] 葛文学[6] 陈为兰[6] 

机构地区：[1]鼓楼中医院,北京100009 [2]淄川医院 [3]济南军区医科所 [4]博山结防所 [5]莱钢医院 [6]日照市人民医院

出　　处：《中国骨伤》2001年第6期345-346,共2页China Journal of Orthopaedics and Traumatology

基　　金：1 998年度北京市中医药科技发展基金计划课题 (C类 )

摘　　要：目的　了解股骨头缺血性坏死患病率及其居住生活环境与患病率的关系。方法　选择调查地区人群常住人口为对象 ,对一岁以上的人口进行普查 ,逐村逐户与受检人见面进行查体 ,详细填写统一的调查表 ,体检发现阳性体征者 ,经X线检查确诊。结果　自 1998年 9月至 1999年 9月 ,五个协作组 ,动员了 10 0多名调查员 ,历时一年完成了 111,35 0人的调查。其患病率为平原农民 11 76 /万 ,城市居民 9 5 7/万 ,工人 7 92 /万 ,山区农民 6 2 9/万 ,沿海渔民 5 5 3/万。结论　调查结果表明不同的人群居住环境 ,患病率有显著差异 ,还对患病原因、时间、性别、年龄等进行了分析 。Objective To study the incidence of ischemic necrosis of femoral head(INFH) and to find out the relationship between its prevalence rate and the living environment.Methods The permanent residents who are above 1 year old in the survey area were chosen as samples;physical examination was done for them one by one,and the detailed questionnaire filled up.The diagnosis was confirmed by the positive signs demonstrated on physical examinations and the findings on the X ray films.Results The personals involved in this survey consisted of 5 teams and more than 100 investigators;111,350 serum samples were collected from Sep.1998 to Sep.1999.The prevalence rate was:11.76/10000(plain peasants);9.57/10000(city dwellers);7.92/10000(workers);6.29/10000(peasants in mountain area);5.53/10000(coastal fishermen).Conclusion The study indicated different living environment have considerable discrepancy in prevalence rate.The survey also analyzed the cause,time,sex and age of patients and provided scientific basis for the prevention and treatment of INFH.

关 键 词：山东 股骨头坏死 流行病学 

分 类 号：R681.801[医药卫生—骨科学]