机构地区：[1]山西省中医院脊柱外科
出 处：《中国中医骨伤科杂志》2019年第11期48-50,54,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics
摘 要：目的:分析ABO血型、性别、伴发疾病、发病时体质量指数与膝骨性关节炎的相关性。方法:对2012年7月至2019年6月山西省中医院骨科系统门诊及住院部782例40岁及以上,籍贯为山西、民族为汉族,膝骨性关节炎患者的ABO血型等因素进行问卷调查。结果:女630例,男152例;A型202例(女162例、男40例),B型244例(女200例、男44例),AB型74例(女52例、男22例),O型262例(女216例、男46例);女性患者构成比明显高于男性。与汉族人血型构成比比较,采用双向无序R×C表独立性检验,山西汉族膝骨性关节炎患者与汉族人血型总体构成比不同,差异有统计学意义(P<0.05);AB型男性患者构成比高于其他血型男性患者构成比,女性患者构成比低于其他血型女性患者构成比。位居前三的伴发疾病是腰椎退行性疾病、高血压病、糖尿病。发病时体质量指数≤23 kg/m^2者268例,平均发病年龄48.88岁;23 kg/m^2<体质量指数<28 kg/m^2者356例,平均发病年龄47.73岁;体质量指数≥28 kg/m^2者158例,平均发病年龄52.67岁。体质量指数≥28 kg/m^2组平均发病年龄大于23 kg/m^2<体质量指数<28 kg/m^2组平均发病年龄。结论:40岁及以上山西汉族膝骨性关节炎发病率女性高于男性。山西汉族膝骨性关节炎患者与汉族人血型总体构成比不同;AB血型男性罹患膝骨性关节炎的风险高于其他血型男性,AB血型女性罹患膝骨性关节炎的风险低于其他血型女性。腰椎退行性疾病、高血压病、糖尿病是膝骨性关节炎常见伴发疾病。体质量指数大者膝骨性关节炎发病不一定早。Objective:Analysis of ABO blood type,gender,concomitant disease,body mass index at onset and knee osteoarthritis.Methods:To investigate the ABO blood typeand other factorsof 782 patients with knee osteoarthritis in Shanxi Han population 40 years old and above in the outpatient department and inpatient department of orthopedic system of Shanxi provincial hospital of traditional Chinese medicine between July 2012 and June 2019.Results:630 females,152 males;A type 202 cases(female 162 cases,male 40 cases),B type 244 cases(200 cases of female,44 cases of male),AB type 74 cases(52 females,22 males),O type 262 cases(216 females,46 males);Female patients constitute significantly higher than men.Compared with the Han people's blood type ratio,using the two-way disordered R×C table independence test,the overall composition ratio of the blood type of knee osteoarthritis patients in Shanxi Han and Han people was different,the difference was statistically significant(P<0.05).The composition of male AB patients is higher than that of male patients with other blood types,and the composition of female patients is lower than that of female patients with other blood types.The top three concomitant diseases are lumbar degenerative diseases,hypertensionand diabetes.Body mass index≤23 kg/m^2268 cases,the average age of onset 48.88 years;23 kg/m^2<body mass index<28 kg/m^2356 cases,the average age of onset 47.73 years;Body nmss index≥28 kg/m^2158 cases the average age of onset 52.67 years.The average age of onset of body mass index≥28 kg/m^2 group is greater than the average age of onset of 23 kg/m^2<body mass index<28 kg/m^2 group.Conclusion:The incidence of knee osteoarthritis in Shanxi Han population 40 years old and above was higher than that in men.The overall composition ratio of the blood type of knee osteoarthritis patients in Shanxi Han and Han people was different.The risk of knee osteoarthritis in men with AB blood type is higher than that of other blood type men,and the risk of knee osteoarthritis in women with AB
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