南宁市城区中老年人膝骨关节炎流行病学调查及中医证型分析

发布时间：2018-01-13 14:09

本文关键词：南宁市城区中老年人膝骨关节炎流行病学调查及中医证型分析　出处：《海南医学》2016年22期 　论文类型：期刊论文

【摘要】：目的了解南宁市青秀区中老年人膝骨关节炎(knee Osteoarthritis,KOA)的流行病学和相关危险因素及中医证型分布情况。方法于2014年3月1日至2015年12月31日,采用《KOA危险因素调查表》和自制膝痹病中医辨证分型调查表,对南宁市青秀区常住居民进行流行病学问卷调查和中医的辨证调查。采用非条件Logistic回归分析筛选出膝骨关节炎的危险因素。结果发放调查问卷2 000份,收回完整有效问卷1 859份。最后322例居民被确诊为KOA,发病率为17.3%(322/1 859);中医辨证分型中,各类型为:肝肾亏虚证169例(52.5%)、气滞血瘀证84例(26.1%)、寒湿痹阻证35例(10.9%)和气血虚弱33例(10.2%);经非条件Logistic回归分析结果显示,性别(OR=1.045)、年龄(OR=1.086);高层无电梯楼房(OR=1.933)、BMI(OR=1.072)、关节经常负重(OR=3.273)、膝关节既往外伤史(OR=5.832),吸烟(OR=1.456)是膝骨关节炎的危险因素,而民族、腰围、职业、受教育情况与膝关节骨性关节炎不相关。结论膝骨性关节炎发病受到性别、高层无电梯楼房、关节经常负重以及膝关节既往外史的影响;膝骨性关节炎中医证型以肝肾亏虚证最多,与中老年人肝肾亏虚为主相一致,气滞血瘀证次之,可能是与膝关节外伤史有关。
[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.
【作者单位】：广西江滨医院骨伤康复科;湖南中医药大学;
【基金】：广西壮族自治区卫生厅自筹经费科研课题资助(编号:Z2014171)
【分类号】：R684.3
【正文快照】： 膝骨关节炎(knee osteoarthritis,KOA)是中老年人常见疾病,以疼痛、关节活动障碍为主要特征的慢性退行性疾病[1]。多见于40岁以上的中老年人,女性多于男性。国外文献报道70岁以下人群中放射学诊断的膝关节骨性关节炎患病率为27.4%,80岁以上达43.7%[2],相比之下,15~44岁人群患

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