荆州地区膝骨性关节炎患病率及影响因素分析

Analysis of Prevalence and Influencing Factors of Knee Osteoarthritis in Jingzhou Area

目的探讨荆州地区膝骨性关节炎(knee osteoarthritis,KOA)患者的流行病学特征及影响因素,为该地区KOA的防治提供依据。方法采用多阶段分层随机抽样法,于2022年10月-2023年1月期间对荆州市城乡居民进行问卷调查和体格检查,运用描述性统计、单因素分析和多元Logistic回归分析,分析KOA患者的流行病学特征及影响因素。结果共调查了荆州市城乡居民10108人,其中KOA患者1234人,患病率为12.21%。KOA患者的平均年龄为(58.6±11.2)岁,女性占71.67%,男性占28.33%。KOA患者的主要临床表现为膝关节疼痛、活动受限、关节肿胀和畸形等。单因素分析显示,年龄、性别、体质量指数(BMI)、职业、运动习惯、家族史、骨折史、关节损伤史等与KOA患病率有显著相关性(P<0.05)。多元Logistic回归分析显示,年龄、性别、BMI、职业、运动习惯、家族史、骨折史、关节损伤史等是KOA的独立影响因素(P<0.05)。结论荆州地区KOA的患病率普遍较高,且与多种因素有关。应加强对该地区KOA的防治工作,提高人群的健康意识和生活质量。

Objective To investigate the epidemiological characteristics and influencing factors of knee osteoarthriti(KOA)patients in Jingzhou area,and to provide evidence for the prevention and treatment of KOA in this area.Methods From October 2022 to January 2023,a multi-stage stratified random sampling method was used to conduct a questionnaire survey and physical examination among urban and rural residents in Jingzhou City.According to the diagnostic criteria of the American College of Rheumatology(ACR),KOA patients were identified and their relevant data were collected.Descriptive statistics,univariate analysis and multivariate logistic regression analysis were used to analyze the epidemiological characteristics and influencing factors of KOA patients.Results A total of 10108 urban and rural residents in Jingzhou city were surveyed,among whom 1234 were KOA patients,with a prevalence rate of 12.21%.The mean age of KOA patients was(58.6±11.2)years,71.67%were female and 28.33%were male.The main clinical manifestations of KOA patients were knee pain,activity limitation,joint swelling and defor-mity.Univariate analysis showed that age,sex,body mass index(BMI),occupation,exercise habit,family history,fracture history,joint injury history and other factors were significantly correlated with the prevalence rate of KOA(P<0.05).Multivariate logistic regression analysis showed that age,sex,BMI,occupation,exercise habit,family history,fracture history,joint injury history and other factors were independent influencing factors of KOA(P<0.05).Conclusion The prevalence rate of KOA in Jingzhou area is high and related to various factors.It is necessary to strengthen the prevention and treatment of KOA in this area and improve the health awareness and quality of life of the population.