山西省农村地区症状性骨关节炎流行状况调查  

Prevalence of symptomatic osteoarthritis in rural areas of Shanxi Province

作　　者：张军锋[1] 宋玲花[2] 董海原 刘桂芬[1] 

机构地区：[1] 山西医科大学卫生统计教研室,太原030001 [2] 山西医科大学附属山西省心血管病医院心内科 [3] 中华风湿病学杂志社

出　　处：《中华风湿病学杂志》2014年第7期444-448,共5页Chinese Journal of Rheumatology

基　　金：国家自然科学基金（81102198）;山西省卫生厅科技攻关计划项目（200671） 志谢 感谢山西省阳城县人民医院及偏关县人民医院在本调查中给予的支持和帮助

摘　　要：目的 了解山西省农村地区症状性OA流行状况.方法 在山西省阳城县、偏关县采用多阶段分层整群抽样法选取乡镇和村,对选中村的16岁以上居民按WHO社区控制风湿病规划（COPCORD）程序进行调查,所有被调查者均签署知情同意书.有症状者由风湿科医生即时进行体检.可疑OA者10d内拍摄相应部位X线片.X线片由2名放射科医生独立进行读片,最后由3名风湿科医生根据检查结果做出诊断.采用SPSS 13.0和SAS 9.2软件进行统计学分析.率的比较采用r检验,以P＜0.05为差异有统计学意义.结果 两地共调查常住居民7 126名,检查出症状性OA患者1 734例,患病率24.3％.在各关节患病率中,膝OA患病率最高,为13.8％（983/7 126）;其次分别为腰椎、颈椎、手、肩、肘、踝、髋、腕、胸椎和足.其中膝、踝、颈、肩、手患病率不同性别间差异有统计学意义（P＜0.05）.结论 山西省农村人群症状性OA患病率总体较高,相关危险应引起足够重视.Objective To study the prevalence of symptomatic osteoarthritis （OA） in rural areas of Shanxi,China.Methods All the residents above 16 years old from the villages chosen by multi-stage stratified cluster sampling in Yangcheng County and Pianguan County in Shanxi Province were investigated with COPCORD procedure of WHO.All the respondents signed the informed consent forms.All statistical analysis were carried out using SAS 9.2 and SPSS standard version 13.0.Chi-square test was used for statistical analysis.P value ＜0.05 was regarded as statistically significant.Results The investigation in these two counties covered 7 126 residents,including 1 734 symptomatic OA patients,with a prevalence rate of 24.3％,where knee OA had the highest prevalence rate [13.8％（983/7 126）],other figures were as follows：lumbar vertebra,neck,hand,shoulder,elbow,ankle,hip,wrist,thoracic vertebra and foot.There were statistical differences in the prevalence of knee,ankle,neck,shoulder and hand between the two genders （P＜0.05）.Conclusion The prevalence of symptomatic OA in rural areas of Shanxi,China is relatively high,but the risk factors still need to be further studied and proved.

关 键 词：骨关节炎 患病率 农村卫生 

分 类 号：R181.3[医药卫生—流行病学] R684.3[医药卫生—公共卫生与预防医学]