城市中老年居民手骨关节病患病情况调查

A Survey on Radiologically Defined Osteoarthrosis in the Hand Joints of Adult Residents of Harbin City

采用Ｋａｌｍａｎ等人的诊断标准，对哈尔滨市４０岁以上２３５例普通居民手骨关节病（ｏｓｔｅｏａｒｔｈｒｉｔｉｓ，ＯＡ）进行Ｘ线检查。结果表明，无论男女，手ＯＡ检出率（％）和记分均值均随着年龄增加而升高，远端关节高于近端，但男性高于女性。ＯＡ记分均值最大的关节是拇指指间关节，最小的是食指近端关节。Ｘ线总检出率，男性：４０～４９岁，占４６７％，５０～５９岁，占６８８％，６０～６９岁占７６２％，７０岁以上占８７５％；女性：４０～４９岁，占３６４％，５０～５９岁，占５６９％，６０～６９岁，占６９８％，７０岁以上占８３３％。

Degenerative changes in the hand joints were studied in 235 Harbin city inhabitants,above the age of 40.Radiographs of left hand were taken and osteoarthrosis of the hand was scored according to the new X ray grading scheme proposed by Kallman et al.The prevalence rate of the hand OA and scores mean indicating the severity of OA increased sharply with age for both sexes,and at all groups of age,the prevalence rates of distal interphalangeal (DIP) joints were more often involved than that of the proximal ones (PIP),and the prevalence rates of most joints in hand were higher for males.There was the largest scores in first DIP joint,and the least scores mean in second PIP joint.Total prevalence rates of left hand were 46.7,68.8,76.2 and 87.5% for men aged 40～49,50～59,60～69 and 70 or more years,respectively,and in women aged 40～49,50～59,60～69 and 70 or more years,total prevalence rates of letf hand were 36.4,56.9,69.8 and 83.3% respectively.The main signs of the hand OA were joint space narrowing and osteophytes.