基于山西农村社区人群调查的症状性骨关节炎危险因素分析  

Analysis on the survey of risk factors of symptomatic osteoarthritis in Shanxi rural community

作　　者：张瑞平[1] 柳芳超 张军锋[2] 董海原 刘桂芬[2] 

机构地区：[1]山西医科大学第一医院CT室,太原030001 [2]山西医科大学公共卫生学院卫生统计教研室 [3]中华风湿病学杂志社

出　　处：《中华风湿病学杂志》2015年第6期404-406,共3页Chinese Journal of Rheumatology

基　　金：山西省卫生和计划生育委员会科研课题（2014169）

摘　　要：目的：通过现场流行病学调查，探讨影响山西农村社区人群骨关节炎患病的危险因素。方法按WHO社区控制风湿病规划（COPCORD）程序对山西省阳城县和偏关县部分乡镇和村16岁以上的居民进行骨关节炎现场流行病学调查，并对危险因素进行筛查，所有被调查对象知情同意。单因素比较采用χ2检验，多因素筛查采用Logistic回归分析。结果两地共调查常住居民7126名，筛查出骨关节炎患者1734例。以有无骨关节炎作为反应变量，将单因素分析有统计学意义的变量引入Logistic回归分析模型，采用前进法进行变量筛选，入选标准设定为0.10，结果显示，年龄、居室取暖及通风情况、婚姻状况、职业、学历、从事过煤矿井下工作和伴发心血管疾病均为影响骨关节炎患病的因素。结论影响山西农村社区人群骨关节炎患病的因素较多，其中生活方式在其中可能发挥了重要作用，尽早对危险因素进行干预，可能对降低患病率有积极作用。Objective To investigate the factor that affecting the prevalence of osteoarthritis in rural areas of Shanxi, China. Methods All the residents above 16-year-old from the villages chosen by multi-stage stratified cluster sampling in Yangcheng County and Pianguan County in Shanxi Province were investigated by COPCORD procedure of WHO. All respondents signed the informed consent forms. Chi-square test and multivariable logistic regression analysis were used for the risk factor analysis. Results Seven thousand one hundred and twenty-six permanent residents in the two counties were investigated, of which 1734 cases of patients with osteoarthritis were identified. Take with or without osteoarthritis as response variables, statistically significant variables in the univariate analysis were substituted into the logistic regression model. Forward method was used for the variable selection. The inclusion criteria set as 0.10. The results showed that, age, room heating and ventilation, marital status, occupation, education, engaged in coal mine work, accompanied cardiovascular disease were the risk factors for osteoarthritis disease. Conclusion There were many factors that affect the prevalence of osteoarthritis in Shanxi rural communities, in which lifestyle may play an important role. Early intervention on risk factors may have a significant effect on reducing the prevalence.

关 键 词：骨关节炎 危险因素 农村 横断面研究 

分 类 号：R684.3[医药卫生—骨科学]