膝关节疼痛898例临床分析

A clinical analysis of 898 cases of Knee pain

目的:探讨膝关节疼痛的不同病种特点及其与年龄的关系。方法:对2007年1～6月因膝关节疼痛入院的898例(965膝)患者进行疾病分类,并观察不同病种的疼痛特点及其与年龄的关系。结果:(1)全身性疾病引起膝关节疼痛151例(16.8%),膝关节本身疾病引起疼痛695例(77.34%),膝外关节疾病造成的膝关节疼痛52例(5.79%)。(2)类风湿性关节炎以持续固定痛为主(81.3%),痛风以触痛为主(100%),结核以胀痛(84.2%)、持续固定痛为主(78.9%),滑膜软骨瘤病以胀痛为主(100%),创伤性关节炎以持续固定痛(100%),锐痛(95.5%)为主,感染性关节炎以持续固定痛(83.3%)为主,骨性关节炎以持续固定痛(85.3%)为主,腰部疾病以刺痛(47.1%)为主,髋部疾病以牵扯痛(50.0%)为主。(3)痛风、结核及创伤性关节炎的高发年龄为20～40岁,类风湿性关节炎的高峰年龄为40～60岁,滑膜软骨瘤、骨性关节炎、感染性关节炎及腰髋部疾病造成膝关节疼痛的发病率随年龄的增长而升高。结论:不同疾病的疼痛性质不同,发病高峰期年龄段不同,对膝关节疼痛的诊断应充分考虑患者年龄及疼痛特点。

Objective： To investigate the characteristics and pathogenesis of knee pain. Methods： To observe the disease of 898 patients （965 knees） during January 2007 to June because of knee pain hospitalization, and analysis the features of different description of pain characteristics and the relationship by the age. Results： （1） There were 151 cases with knee pain caused by systemic disease （16.8%）, 695 cases caused by knee disorders （77.34%）, 52 cases caused by non-knee joint disease （5.79%）. （2） the main description of the pain of rheumatoid arthritis was sustain fixed pain （81. 3%）; main description of gout was contacts pain（100%）, tuberculosis was swelling pain （84.2%） and sustained pain （78.9%）; synovial chondromatosis is soreness pain （100%）; the main terms of traumatic arthritis pain is sustained fixed pain （100%） and the sharp pain （95.5%）, description of infectious arthritis was sustain fixed pain （83.3%）; main description of osteoarthritis was sustain fixed pain （85.3%）; waist tingling pain （47. 1%） as the main description for hip diseases （50.0%）. （3） The time of hight incidence of gout, tuberculosis and traumatic arthritis is from 20 to 40 years old; peak age of rheumatoid arthritis is 40 to 60 years of age; and synovial chondromatosis, osteoarthritis, infectious arthritis lumbar hip disease caused the incidence of knee pain increases with age increased. Conclusion： The pain of different diseases description is different, the morbidity peak of different diseases is different in different age, we should consider fully the diagnosis in patients with age, pain and comprehensive description of the characteristics of the investigation.