贵阳市症状性膝骨关节炎发病相关因素调查及分析

Guiyang Symptomatic Knee Osteoarthritis Investigation and Analysis of Relevant Factors

目的:了解贵阳市区症状性膝骨关节炎患病特点,为该病的预防与治疗提供理论依据。方法:收集680例就诊的贵阳市膝骨关节炎患者的临床资料,专人询问并填写《膝骨关节炎调查表》,整理资料后用SPSS15.0统计学软件进行统计学分析。结果:收集资料完整的膝骨关节炎患者共680例,其中男性208例,女性472例。患病人群随年龄增高所占比例逐渐增大,不同职业人群同年龄段KOA患者之间进行比较有显著性差异,(P<0.05),本次调查患者平均BMI为(25.87±9.43)kg/m2,不同体重指数男女发病频数有差异(P<0.05)。疼痛性质以酸痛、重痛、冷痛为多见,寒湿为膝骨关节炎的重要致病因素。髌骨软骨下骨硬化,髌股关节损伤较普遍。结论:贵阳地区气候和地理环境是影响膝骨关节炎的发病因素。

Objective ： To understand characteristics of symptomatic knee osteoarthritis in the Guiyang urban area, and to provide a theoretical basis for the prevention and treatment of the disease. Methods：We collected clinical data of 680 cases of knee osteoarthritis in Guiyang, developed the survey ＂knee osteoarthritis questionnaire＂ and interviewed patients, statistically analysis was performed using SPSS15.0. Results：We obtained 680 cases with complete data, including 208 cases of male, female 472 cases. The prevalence increased with age and differs between occupations within the same age groups. （ P 〈 0. 05 ）, The average BMI of all patients in this study is 25.87± 9.43kg / m^2. The incidence rate differs between men and women with different body mass index （ P 〈 0. 05 ）. The nature of pain with ache, heavy pain, cold pain is more common, and cold is an important pathogenic factor in knee osteoarthritis. Patellar subchondral bone sclerosis, patellofemoral joint injury is common. Conclusion：Guiyang regional climate and geographical environment are risk factors for osteoarthritis of the knee.