全膝关节置换流行病学分析:2008至2013年合肥市1146例回顾  

Epidemiology of total knee arthroplasty: a retrospective analysis among 1146 cases in Hefei City from 2008 to 2013

作　　者：许鹏飞[1] 尹宗生[1] 高维陆[1] 马志翔[1] 

机构地区：[1]安徽医科大学第一附属医院骨科,安徽省合肥市230022

出　　处：《中国组织工程研究》2015年第4期504-509,共6页Chinese Journal of Tissue Engineering Research

摘　　要：背景:众所周知膝关节骨关节炎普遍存在于亚洲的中老年人中,但是关于全膝关节置换开展情况的流行病学调查国内相关报道较少。目的:通过对合肥市相关医院进行全膝关节置换的病例资料进行回顾性分析,调查合肥市过去6年全膝关节置换患者年龄和性别的人口发展趋势。方法:回顾性分析2008-01-01/2013-12-31合肥市相关医院收治的诊断为膝骨关节炎并进行全膝关节置换的患者资料,病例资料来源于合肥市相关医院病案室数据库,调查内容包括性别、年龄、病程、教育水平、体质量指数及手术部位等。在其中一家医院调取更加详细的临床信息,便于更详细的对男女性别间临床特征的差异进行比较。结果与结论:2008至2013年共有1 146例患者因膝骨关节炎行全膝关节置换。全膝关节置换增长速率明显增快,且女性高于男性。其中在一家医院的调查结果显示,接受全膝关节置换的患者中,不同性别间在年龄、病程、教育水平、体质量指数及手术部位方面差异无显著性意义。调查结果发现合肥市从2008至2013年间接受全膝关节置换患者的数量稳步增长,且女性比例较男性高。但造成接受全膝关节置换患者数量差距的相关危险因素还有待进一步调查。BACKGROUND：Knee osteoarthritis is prevalent among the middle-aged and senior people in Asian countries, however, the epidemiology survey of total knee arthroplasty is rarely reported in China. OBJECTIVE： To retrospectively analyze the data of patients undergoing total knee arthroplasty from 2008 to 2013 in Hefei City, and explore the distribution of age and gender of these patients. METHODS： A retrospective analysis among patients undergoing total knee arthroplasty from January 1st 2008 to December 31st 2013 in Hefei City was performed. Data were extracted from the database of Medical Records Room of Relevant Hospitals in Hefei City, including the patient’s gender, age, disease duration, education level, body mass index and surgical site. In addition, more clinical information in one hospital were selected and analyzed, to compare the difference of clinical features between men and women. RESULTS AND CONCLUSION：From 2008 to 2013, totaly 1 146 patients underwent total knee arthroplasty due to knee osteoarthritis. The rate of total knee arthroplasty increased over the 6 years and was much higher in women than in men. The single-centre registry data revealed that there was no difference in age, disease duration, education level, and body mass index and surgical site between men and women. Our findings indicate＆nbsp;that, the rate of total knee arthroplasty is increasing steadily from 2008 to 2013 in Hefei City and is higher in women than in men. Risk factors that account for such disparity in total knee arthroplasty utilization need to be further investigated.

关 键 词：植入物 人工假体 关节炎 全膝关节置换 性别特性 流行病学 合肥市 危险因素 回顾性分析 年龄 病程 教育水平 

分 类 号：R318[医药卫生—生物医学工程]