黑龙江省哈尔滨市社区中老年人骨关节炎流行病学调查  

An epidemiological investigation on the prevalence of knee osteoarthritis in the middle-aged people in Heilongjiang Province

作　　者：王奕丹[1] 邢百芬[2] 荣杰生 朱琳[4] 秦正积[5] 陶雨春[6] 李丹娜[7] 姜珊[7] 赵亚双[4] 姜丽英[1] 

机构地区：[1]南通大学公共卫生学院流行病与医学统计学教研室,江苏南通226009 [2]哈尔滨医科大学附属第二临床医学院骨科,黑龙江哈尔滨150001 [3]哈尔滨市香坊区红旗社区卫生服务中心,黑龙江哈尔滨150040 [4]哈尔滨医科大学公共卫生学院流行病学教研室,黑龙江哈尔滨150086 [5]南通大学公共卫生学院医学统计学教研室,江苏南通226009 [6]哈尔滨医科大学公共卫生学院健康教育学教研室,黑龙江哈尔滨150086 [7]哈尔滨医科大学公共卫生学院教学实验中心,黑龙江哈尔滨150086

出　　处：《中华疾病控制杂志》2016年第6期582-585,594,共5页Chinese Journal of Disease Control & Prevention

基　　金：国家自然科学基金青年基金(81202261)

摘　　要：目的了解黑龙江省哈尔滨市社区年龄≥40岁中老年人群膝骨关节炎的患病情况。方法采用多阶段整群随机抽样方法,对所选取的社区中416名常住居民进行问卷调查和体格检查。结果膝骨关节炎男女患病率分别为7.23%和10.09%,女性患病率随年龄的增加而逐渐增高(X^2=8.12,P=0.012)。膝骨关节炎患者的体质指数(body mass index,BMI)与未患膝骨关节炎者的差异有统计学意义(t=1.07,P=0.038)。经Kendall相关分析,年龄与影像学分级之间呈现正相关关系(r=0.19,P=0.037)。日常慢跑可能是膝骨关节炎发病的保护因素(OR=0.67,95%CI:0.33~0.79)。结论 2013年该地区40岁及以上中老年人群膝骨关节炎患病率相比2005年有所下降,女性患病率仍然高于男性。合理适度的运动对膝骨关节炎的预防有重要意义。Objective The study was conducted to investigate the prevalence of knee osteoarthritis in Harbin, Heilongjiang Province. Methods A cross-sectional study was performed among 416 community residents aged I〉40 with multi-stage sampling . All subjects were given a questionnaire and asked to undergo a physical examination. Results The prevalence of knee osteoarthritis was 7.23% for men and 10. 09% for women, respectively. The prevalence of knee osteo- arthritis increased with aging among women people（ x2 = 8. 12, P = 0. 012）. The body mass index （BMI） of osteoarthritis patients was significantly higher than that of non-osteoarthritis （ t = 1. 07, P = 0. 038 ）. Positive association between age and radiological disease severity was approved by Kendall correlation analysis （r = 0. 19 ,P = 0. 037 ）. Jogging might be one of those protective factors（ OR =0. 67,95% Cl：0. 33-0. 79）. Conclusions The prevalence of knee osteoarthritis in 2013 de- creased as compared to that in 2005. The prevalence in female was higher than that in male. Proper and moderate physical activities may be crucial in the prevention of knee osteoarthritis development.

关 键 词：骨关节炎 膝 患病率 流行病学方法 

分 类 号：R336[医药卫生—人体生理学] R684.3[医药卫生—基础医学]