黑龙江省城市和农村地区中老年人骨关节炎患病状况调查

A comparative study on the prevalence of osteoarthritis in middle and old-aged people from the urban and the rural area in Heilongjiang province

目的 了解黑龙江省城市和农村地区中老年人群骨关节炎的患病情况.方法 采用多阶段分层整群抽样方法,对哈尔滨市香坊区（城市）和黑龙江省肇源县（农村）40岁及以上常住居民进行中老年人群骨关节炎健康状况调查.采用SPSS 13.0软件进行统计分析.结果 实际调查1200人,可用于分析1196人,其中城市居民601人,农村居民595人.男性573人,女性623人.男性颈椎、腰椎、膝、手骨关节炎患病率分别为26.00%、31.20%、11.87%、15.53%;女性分别为34.80%、30.20%、20.06%、27.93%.无论男女性,骨关节炎患病率均随年龄增加而呈逐渐升高的趋势.在累及2个部位骨关节炎中,以膝手部最为常见（16.10%）,其次颈腰椎（12.40%）,其患病率也随年龄增加而呈逐渐升高的趋势.结论 黑龙江省城市和农村地区40岁及以上中老年人骨关节炎患病率处于较高水平.

Objective To investigate the prevalence of osteoarthritis in inhabitants aged 40 years old and above from urban and rural areas in Heilongjiang province. Methods Through multistage stratified cluster random sampling methods, residents aged 40 years and above were selected. All subjects were given a standardized questionnaire and were conducted a radiographic examination on hands, knees, neck spine and lumbar spine after informed consent. All statistics were performed by SPSS 13.0. Results A total of 1196 residents were surveyed, which including 573 males and 623 female subjects. The prevalence of osteoarthritis in cervical spine, lumbar spine, knee and hand for men were 26.00%, 31.20%, 11.87%, 15.53%, respectively and that were 34.80%, 30.20%, 20.06%, 27.93% for women respectively. The prevalence of osteoarthritis increased with aging both in men and women. Prevalence in 60-70 age group achieved the peak. The prevalence rates became relatively low among those over the 70 years old than expected. The most common sites of osteoarthritis were knees and hands （16.10%） , followed by cervical and lumbar spine （12.40%）. Conclusion The prevalence of osteoarthritis was generally high in middle and old-aged people in Heilongjiang province.