甘肃省张掖市中老年人骨关节炎流行病学调查分析

An epidemiological investigation of osteoarthritis in Zhangye City of Gansu Province

目的调查甘肃省张掖市人群骨关节炎流行病学资料,为骨关节炎的防治提供参考数据。方法采用随机整群抽样的方法,在张掖市6个县区40岁以上的人口进行抽样,发放骨关节炎健康状况调查表,并对获得的数据进行统计分析。结果在1 341名资料完整的调查对象中,男性共有653人,平均年龄(60.75±12.33)岁;女性共有688人,平均年龄(53.82±14.35)岁;骨关节炎患者共247例,患病率为18.4%。其中,男性骨关节炎患者75例,患病率为11.5%;女性骨关节炎患者172例,患病率25.0%。女性的患病率比男性更高,而整体患病率随着年龄增大而增高(P<0.05)。文职类工作和慢跑为骨关节炎患病的保护性因素,而游泳和武术则会增加骨关节炎的患病风险(P<0.05)。结论甘肃省张掖市人群骨关节炎整体患病率较高,应加强骨关节炎的防治工作。

Objective To investigate the prevalence of osteoarthritis（OA）in order to provide reference for its prevention and treatment.Methods Participants older than 40 years were randomly selected using random group sampling method.The demographic data were collected using a standardized epidemiological questionnaire and analyzed.Results A total of 1 341 participants were enrolled,including 653 males with mean age of 60.75±12.33 years,and688 females with mean age of 53.82±14.35 years.Altogether 247 OA cases were detected,and the overall prevalence was 18.4%,including 75（11.5%）males and172（25.0%）females.The prevalence was significantly higher in females than in males（P〈0.05）.The total prevalence increased with age（P〈0.05）.Civil service work and jogging were associated with decreased risk of OA,while swimming and martial arts were associated with increased risk of OA（P〈0.05）.Conclusion The total prevalence of OA in Zhangye is high.Effective measures should be taken to enhance the prevention and treatment of OA.