基于西安市红会医院股骨头坏死数据库分析酒精性股骨头坏死患者的特征  

Analysis of the characteristics of patients with alcohol-induced osteonecrosis of the femoral heads(ONFH)based on Xi’an Honghui Hospital ONFH database

作　　者：张高魁 郝阳泉[2] 许鹏[2] 王秋霞 李欢欢 胡守业 鲁超 ZHANG GaoKui;HAO Yangquan;XU Peng;WANG Qiuxia;LI Huanhuan;HU Shouye;LU Chao(The Affiliated Hospital of Shanxi University of Chinese Medicine,Xianyang 712000,Shanxi,China;Honghui Hospital Affiliated to Xi’an Jiaotong University,Xi’an 710054,Shanxi,China)

机构地区：[1]陕西中医药大学附属医院,陕西咸阳712000 [2]西安交通大学附属红会医院,陕西西安710054

出　　处：《中医正骨》2020年第9期35-38,45,共5页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：中国博士后科学基金项目(2017M613179);陕西省长安郭氏骨伤学术流派工作室建设项目(陕中医药发[2018]40号)。

摘　　要：目的:分析酒精性股骨头坏死患者的特征。方法:从西安市红会医院股骨头坏死数据库(http://ggt.keyanyun.com/index.php/login)中选择2014年1月至2017年12月就诊的酒精性股骨头坏死患者的病例资料进行分析,包括性别、年龄、职业、文化程度、体质量指数、发病侧别、病程(出现症状至确诊为股骨头坏死的时间)、ARCO分期、首次就诊医院等级、饮酒史、每周饮酒量、每周饮酒次数、日常饮酒(500 mL)价格和饮酒种类等信息。结果:①基本情况。2014年1月至2017年12月在西安交通大学医学院附属红会医院就诊的非创伤性股骨头坏死患者共1062例,其中酒精性股骨头坏死患者306例,最终纳入256例。以男性患者为主,男255例(99.61%)、女1例(0.39%);年龄多为41~60岁,其中41~50岁56例(21.88%)、51~60岁172例(67.19%);职业为农民的患者121例(47.27%),职员和工人各37例(14.45%);文化程度以高中及以下文化程度为主,其中高中66例(25.78%)、初中76例(29.69%)、小学72例(28.13%);体质量正常(18.5 kg·m^-2≤体质量指数<25 kg·m^-2)的患者186例(72.66%),肥胖前期(25 kg·m^-2≤体质量指数<30 kg·m^-2)的患者55例(21.48%)。②发病情况。双侧发病患者17例(69.92%);病程多在6个月以内,其中病程≤3个月的患者105例(41.02%)、病程4~6个月的患者69例(26.95%);ARCO分期多属中晚期,其中Ⅲ期180髋(41.38%)、Ⅳ期138髋(31.72%);首次就诊医院为一级医院的患者97例(37.89%),三级医院的患者123例(48.05%)。③饮酒情况。饮酒史16~20年的患者93例(36.33%),饮酒史6~10年的患者66例(25.78%);每周饮酒量≤500 mL的患者139例(54.30%,中位数400 mL),每周饮酒量501~1000 mL的患者55例(21.48%);每周饮酒2次的患者132例(51.56%),每周饮酒3次的患者51例(19.92%),每周饮酒4次的患者27例(10.55%);日常饮酒价格多低于120元,其中饮酒价格≤15元的患者82例(32.03%)、16~30元的患者68例(26.56%)、31~60元的患者27例(10.55%)�Objective:To analyze the characteristics of patients with alcohol-induced ONFH.Methods:The medical records of patients with alcohol-induced ONFH who were treated in Honghui Hospital Affiliated to Medical College of Xi’an Jiaotong University from January 2014 to December 2017 were selected out from Xi’an Honghui Hospital ONFH database(http://ggt.keyanyun.com/index.php/login),and the patients’information,including gender,age,occupation,education degree,body mass index(BMI),onset side,disease course,ARCO stage,first-visit hospital grade,alcohol-drinking history,weekly alcohol consumption,weekly drinking times,daily alcohol-drinking(500 mL)price and type,were extracted from their medical records and were analyzed.Results:A total of 1062 non-traumatic ONFH patients were treated in Honghui Hospital Affiliated to Medical College of Xi’an Jiaotong University from January 2014 to December 2017,in which 306 cases with alcohol-induced ONFH were found.After screening,256 cases were included in the final analysis.The patients include 255 males(99.61%)and 1 female(0.39%),and mainly ranged in age from 41 to 50 years(56 cases,21.88%)and 51 to 60 years(172 cases,67.19%).Their occupation were mainly farmers(121 cases,47.27%),employees(37 cases,14.45%)and workers(37 cases,14.45%),and education degrees were mainly senior high school(66 cases,25.78%),junior high school(76 cases,29.69%)and primary school(72 cases,28.13%).There were 186(72.66%)patients with normal BMI(18.5 kg/m(2)≤BMI<25 kg/m(2)),and 55(21.48%)pre-obese(25 kg/m(2)≤BMI<30 kg/m(2))patients.Most patients(179 cases,69.92%)got bilateral ONFH and the disease courses were less than 3 months in 105 cases(41.02%)and ranged from 4 to 6 months in 69 cases(26.95%).The ONFH mainly belonged to ARCO phaseⅢ(180 hips,41.38%)and phaseⅣ(138 hips,31.72%)and the patients were firstly treated in first-grade hospitals(97 cases,37.89%)and third-grade hospitals(123 cases,48.05%).The alcohol-drinking history ranged from 16 to 20 years in 93 cases(36.33%)and ranged from 6 to 10 y

关 键 词：股骨头坏死 酒精性饮料 流行病学研究 数据库 

分 类 号：R681.8[医药卫生—骨科学]