骨关节结核病736例回顾性分析

Retrospective Analysis of 736 Osteoarticular Tuberculosis Cases

目的调查骨关节结核住院患者的基本信息、入院诊断及疾病转归等情况。方法收集2014年1月1日至2018年12月31日年青海省某三甲医院收治的骨关节病住院病例资料,包括患者的性别、年龄、民族、职业、疾病名称以及疾病转归等,采用Epi Data 3. 02软件对收集的数据进行双录入,建立骨关节结核病住院病例回顾性调查数据库,对数据进行统计分析。结果本次调查共整理736例骨关节结核病住院病例,其中男451例,占61. 3%,女285例,占38. 7%。2014-2018年骨关节结核的患病人数呈逐年上升的趋势,其中2018年患病人数最多,达287例,其中脊柱结核的发病率最高,髋关节结核和膝关节结核次之;住院患者以青中壮年患者(21~60岁)为主,占总人数的78. 3%。不同年龄段男女患者的构成比较差异有统计学意义(P <0. 01);患者人数最多的前3个民族分别为藏族、汉族、回族,职业以农民为主;不同年龄段的患者疾病转归比较差异有统计学意义(P <0. 05)。结论结核病的发病人数逐年增加,尤以中青年患者居多,好发部分为脊柱,患者的职业多为农民、民族多为藏族,在今后的防治工作中应以此研究结果为基础,重点防治,以期减少,甚至消灭结核病。

Objective To investigate the basic information,admission diagnosis and disease prognosis of inpatients with osteoarticular tuberculosis. Methods The data of joint tuberculosis hospitalization in a 3 A hospital of Qinghai Provincial People’s Hospital from 1 Jan. 2014 to 31 Dec. 2018 was collected,including the patients’ gender,age,nationality,job,name of disease,and prognosis etc. Epi Data 3. 02 software was adopted for double data entry,SPSS 17. 0 software was used for statistical analysis on the data. Results Among the 736 osteoarticular tuberculosis cases,451 were male( 61. 3%) and285 were female( 38. 7%). The number of osteoarticular tuberculosis cases increased year by year from 2014 to 2018,of which 287 cases occurred in 2018. The incidence of spinal tuberculosis was the highest,followed by hip tuberculosis and knee tuberculosis. Young and middle aged inpatients( 21-60 years old) were the majority,account for 78. 3%. The composition of male and female patients of different age groups was statistically significantly different( P < 0. 01). The top three ethnic groups with the largest number were Tibetan patients,Han patients and Hui patients,and farmer was the dominate occupation.The prognosis of different age groups was statistically significantly different( P < 0. 05). Conclusion The number of tuberculosishis patients is increasing year by year,and the young patients take the most account for the whole data,withspine as the most common site,farmer as the most common occupation,and Tibetan as the most common ethnic group. In the further prevention and treatment work,we will take this research result as base,focus on the prevention,so as to reduce and even vanish tuberculosishis.