本文關(guān)鍵詞： 膝關(guān)節(jié) 骨性關(guān)節(jié)炎 流行病學(xué)　出處：《山東中醫(yī)藥大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:通過調(diào)查研究411例膝關(guān)節(jié)骨性關(guān)節(jié)炎患者的臨床資料,對(duì)其致病因素、發(fā)病特點(diǎn)、變化規(guī)律等資料進(jìn)行系統(tǒng)統(tǒng)計(jì)分析,了解膝關(guān)節(jié)骨性關(guān)節(jié)炎的流行病學(xué)特點(diǎn),探究膝關(guān)節(jié)骨性關(guān)節(jié)炎的發(fā)生發(fā)展規(guī)律,指導(dǎo)對(duì)膝關(guān)節(jié)骨性關(guān)節(jié)炎的臨床診療工作。方法:自2013年01月01日至2014年12月31日,山東中醫(yī)藥大學(xué)附屬醫(yī)院關(guān)節(jié)骨科收治膝關(guān)節(jié)骨性關(guān)節(jié)炎患者總計(jì)472例,其中符合本課題納入標(biāo)準(zhǔn)的411例,采用病例資料統(tǒng)計(jì)配合電話回訪的方式統(tǒng)計(jì)所有這些患者的臨床資料,包括性別、職業(yè)、出入院時(shí)間、入院年齡、發(fā)病年齡、體重指數(shù)、患膝內(nèi)外翻畸形有無等相關(guān)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)整理,并應(yīng)用統(tǒng)計(jì)學(xué)方法進(jìn)行系統(tǒng)歸納分析,主要包括獨(dú)立樣本t檢驗(yàn)和單樣本t檢驗(yàn),以P值等于0.05作為判斷統(tǒng)計(jì)結(jié)果具有顯著性差異的標(biāo)準(zhǔn)。成果:411例患者均獲得完整的臨床資料,其中男性患者87人,占27.97%,女性患者324人,占78.83%,男女比例1:3.72,平均年齡65.2±8.1歲,平均發(fā)病年齡55.6±10.8歲。對(duì)其進(jìn)行的獨(dú)立樣本t檢驗(yàn)表明,男女患者的年齡分布有顯著性差異(P0.05),女性患者的發(fā)病年齡要明顯早于男性患者。在體重指數(shù)方面的統(tǒng)計(jì)結(jié)果分析顯示,與體重指數(shù)=23這一超重臨界值相比,411例患者有明顯的超重傾向(P0.05),然而,男女患者在體重指數(shù)方面的對(duì)比并無明顯不同。絕大多數(shù)患者存在不同程度的膝關(guān)節(jié)內(nèi)外翻畸形,其中以內(nèi)翻畸形最為常見,外翻畸形少見,也有極少部分患者并沒有膝關(guān)節(jié)內(nèi)外翻畸形。對(duì)于患者發(fā)病部位的統(tǒng)計(jì)分析結(jié)果顯示,雙膝發(fā)病的患者207人,占患者總?cè)藬?shù)的50.36%,單膝發(fā)病的患者204人,占患者總?cè)藬?shù)的49.64%,其中左右膝發(fā)病率基本持平,其差異無統(tǒng)計(jì)學(xué)意義�；颊叩穆殬I(yè)分布及城鄉(xiāng)分布情況經(jīng)統(tǒng)計(jì)學(xué)分析無明顯統(tǒng)計(jì)學(xué)差異。相比較與2012年同一時(shí)期,2013年收治的膝關(guān)節(jié)骨性關(guān)節(jié)炎患者的數(shù)量所占比例有明顯增高。結(jié)論:年齡、性別、體重指數(shù)對(duì)膝關(guān)節(jié)骨性關(guān)節(jié)炎的發(fā)病有一定程度的影響。膝關(guān)節(jié)骨性關(guān)節(jié)炎一般好發(fā)于40~70歲的患者,在50~60歲的人群中,膝關(guān)節(jié)骨性關(guān)節(jié)炎的發(fā)病率最高;肥胖是膝關(guān)節(jié)骨性關(guān)節(jié)炎發(fā)病的誘導(dǎo)因素之一,體重指數(shù)較高的人有更高的幾率患膝關(guān)節(jié)骨性關(guān)節(jié)炎。膝關(guān)節(jié)骨性關(guān)節(jié)炎可以引起患者的膝關(guān)節(jié)內(nèi)外翻畸形,一般來說,膝關(guān)節(jié)骨性關(guān)節(jié)炎更容易引起膝關(guān)節(jié)內(nèi)翻畸形,較少導(dǎo)致膝關(guān)節(jié)外翻畸形。職業(yè)及城鄉(xiāng)分布與膝關(guān)節(jié)骨性關(guān)節(jié)炎的發(fā)病并沒有顯著關(guān)系,城鄉(xiāng)居民的膝關(guān)節(jié)骨性關(guān)節(jié)炎發(fā)病幾率基本相同。隨著時(shí)間的發(fā)展,膝關(guān)節(jié)骨性關(guān)節(jié)炎的發(fā)病率有增多的趨勢(shì),應(yīng)當(dāng)引起醫(yī)務(wù)人員和好發(fā)人群更多的關(guān)注。
[Abstract]:Objective: to investigate the clinical data of 411 patients with knee osteoarthritis, and to analyze systematically the pathogenic factors, the characteristics of the disease and the changes of the disease, so as to understand the epidemiological characteristics of the osteoarthritis of the knee. To explore the occurrence and development of knee osteoarthritis and to guide the clinical diagnosis and treatment of knee osteoarthritis. Methods: from January 1st 2013 to December 31st 2014, A total of 472 patients with knee osteoarthritis were admitted to the Department of Orthopaedics of the affiliated Hospital of Shandong University of traditional Chinese Medicine. The clinical data of all these patients, including sex, occupation, time out of hospital, admission age, age of onset, body mass index, were analyzed by using case statistics and telephone return visits. The related data such as the existence or absence of varus genicularis were statistically analyzed, and the statistical methods were used to analyze them systematically, including independent t-test and single-sample t-test. Results the clinical data of 411 patients were obtained, including 87 male patients (27.97%) and 324 female patients (78.833%). The ratio of male to female was 1: 3.72, with an average age of 65.2 鹵8.1 years. The average age of onset was 55.6 鹵10.8 years old. T test of independent sample showed that there was a significant difference in age distribution between male and female patients (P 0.05). The age of onset in female patients was significantly earlier than that in male patients. The statistical results of body mass index showed that the age distribution of female patients was significantly earlier than that of male patients. Compared with the critical value of body mass index (BMI) of 23, 411 patients had significant tendency to be overweight, however, there was no significant difference in body mass index between male and female patients. Most of the patients had different degrees of knee joint varus deformity. Varus deformities are the most common, valgus deformities are rare, and few patients do not have varus deformities of the knee. Accounting for 50.36% of the total number of patients, 204 patients with single knee disease, accounting for 49.64% of the total number of patients, the incidence of left and right knees was basically equal. There was no statistical difference between them. There was no statistical difference in the occupational distribution and urban and rural distribution of the patients. Compared with the same period on 2012, the proportion of patients with osteoarthritis of knee joint treated in 2013 was higher than that in the same period on 2012. There was a marked increase in the number of cases. Conclusion: age, Sex and body mass index (BMI) had a certain influence on the incidence of knee osteoarthritis. The incidence of knee osteoarthritis was the highest in the population of 50 to 60 years old. Obesity is one of the leading factors in the development of knee osteoarthritis, and people with higher BMI are more likely to develop osteoarthritis of the knee. Knee osteoarthritis is more likely to cause varus deformity of the knee joint and less to the valgus of knee joint. There is no significant relationship between occupation and urban and rural distribution of knee joint osteoarthritis. The incidence rate of knee osteoarthritis in urban and rural residents is basically the same. With the development of time, the incidence of knee osteoarthritis has an increasing trend, which should be paid more attention to by medical staff and people who are prone to knee joint osteoarthritis.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R684.3

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 程崇典,劉德貴,黃濤,崔玉琴;眼瞼外翻畸形的治療探討[J];成都軍區(qū)醫(yī)院學(xué)報(bào);2003年01期

2 魯英;楊波;高化;陳浩;;老年人銁外翻畸形圍手術(shù)期處理[J];中國矯形外科雜志;2007年21期

3 翁旭豪;張勇;楊學(xué)榮;;燒傷后眼瞼外翻畸形138只眼治療體會(huì)[J];臨床軍醫(yī)雜志;2012年01期

4 賈連順,劉正平,張文明,韓平良;銁外翻畸形的治療(附35例51個(gè)足手術(shù)治療報(bào)告)[J];第二軍醫(yī)大學(xué)學(xué)報(bào);1984年04期

5 蔚百艷,張吉?jiǎng)?內(nèi)臟外翻畸形1例[J];陜西新醫(yī)藥;1985年12期

6 孫俊英,董天華;，

本文編號(hào)：1547904