本文關(guān)鍵詞：南寧市城區(qū)中老年人膝骨關(guān)節(jié)炎流行病學(xué)調(diào)查及中醫(yī)證型分析　出處：《海南醫(yī)學(xué)》2016年22期 　論文類型：期刊論文

  更多相關(guān)文章： 膝骨性關(guān)節(jié)炎 流行病學(xué)調(diào)查 中醫(yī)證型 Logistic回歸分析

【摘要】：目的了解南寧市青秀區(qū)中老年人膝骨關(guān)節(jié)炎(knee Osteoarthritis,KOA)的流行病學(xué)和相關(guān)危險(xiǎn)因素及中醫(yī)證型分布情況。方法于2014年3月1日至2015年12月31日,采用《KOA危險(xiǎn)因素調(diào)查表》和自制膝痹病中醫(yī)辨證分型調(diào)查表,對南寧市青秀區(qū)常住居民進(jìn)行流行病學(xué)問卷調(diào)查和中醫(yī)的辨證調(diào)查。采用非條件Logistic回歸分析篩選出膝骨關(guān)節(jié)炎的危險(xiǎn)因素。結(jié)果發(fā)放調(diào)查問卷2 000份,收回完整有效問卷1 859份。最后322例居民被確診為KOA,發(fā)病率為17.3%(322/1 859);中醫(yī)辨證分型中,各類型為:肝腎虧虛證169例(52.5%)、氣滯血瘀證84例(26.1%)、寒濕痹阻證35例(10.9%)和氣血虛弱33例(10.2%);經(jīng)非條件Logistic回歸分析結(jié)果顯示,性別(OR=1.045)、年齡(OR=1.086);高層無電梯樓房(OR=1.933)、BMI(OR=1.072)、關(guān)節(jié)經(jīng)常負(fù)重(OR=3.273)、膝關(guān)節(jié)既往外傷史(OR=5.832),吸煙(OR=1.456)是膝骨關(guān)節(jié)炎的危險(xiǎn)因素,而民族、腰圍、職業(yè)、受教育情況與膝關(guān)節(jié)骨性關(guān)節(jié)炎不相關(guān)。結(jié)論膝骨性關(guān)節(jié)炎發(fā)病受到性別、高層無電梯樓房、關(guān)節(jié)經(jīng)常負(fù)重以及膝關(guān)節(jié)既往外史的影響;膝骨性關(guān)節(jié)炎中醫(yī)證型以肝腎虧虛證最多,與中老年人肝腎虧虛為主相一致,氣滯血瘀證次之,可能是與膝關(guān)節(jié)外傷史有關(guān)。
[Abstract]:Objective to understand the knee Osteoarthritis of the middle-aged and elderly in Qingxiu District of Nanning. Methods from March 1st 2014 to December 31st 2015, the epidemiology, related risk factors and the distribution of TCM syndromes were analyzed. The questionnaire of KOA risk factors and TCM syndrome differentiation questionnaire of knee arthralgia were used. Epidemiological questionnaire survey and TCM syndrome differentiation investigation were carried out among the residents of Qingxiu District, Nanning City. The risk factors of knee osteoarthritis were screened by non-conditional Logistic regression analysis. 1,000 copies. 1 859 complete and effective questionnaires were collected. 322 residents were diagnosed as KOA.The incidence rate was 17. 3% (322 / 1 859). In TCM syndrome differentiation, each type is: liver and kidney deficiency syndrome 169 cases of deficiency of liver and kidney with 52.5D, Qi stagnation and blood stasis 84 cases with 26. 1). There were 35 cases with cold dampness obstruction syndrome and 33 cases with asthenia of qi and blood. The results of non-conditional Logistic regression analysis showed that the sex was 1.045 and the age was 1.086. The upper building without elevators was 1.933 BMIORA 1.072, the joints were often loaded with OR3.273, and the knee joint had a history of previous trauma (5.832). Smoking was the risk factor of knee osteoarthritis, but nationality, waist circumference, occupation and education were not related to knee osteoarthritis. Conclusion the incidence of knee osteoarthritis is gender. There were no elevators in the high-rise buildings, the joints were often loaded with weight and the influence of the previous history of the knee joint; The TCM syndromes of knee osteoarthritis are mostly deficiency of liver and kidney, consistent with deficiency of liver and kidney in middle and old people, followed by stagnation of qi and blood stasis, which may be related to the history of knee joint trauma.
【作者單位】： 廣西江濱醫(yī)院骨傷康復(fù)科;湖南中醫(yī)藥大學(xué);
【基金】：廣西壯族自治區(qū)衛(wèi)生廳自籌經(jīng)費(fèi)科研課題資助(編號:Z2014171)
【分類號】：R684.3
【正文快照】： 膝骨關(guān)節(jié)炎(knee osteoarthritis,KOA)是中老年人常見疾病,以疼痛、關(guān)節(jié)活動障礙為主要特征的慢性退行性疾病[1]。多見于40歲以上的中老年人,女性多于男性。國外文獻(xiàn)報(bào)道70歲以下人群中放射學(xué)診斷的膝關(guān)節(jié)骨性關(guān)節(jié)炎患病率為27.4%,80歲以上達(dá)43.7%[2],相比之下,15~44歲人群患

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