摘要
目的了解西藏自治区那曲市色尼区罗玛镇骨关节病患病率情况、相关的风险因素对流行情况的影响、骨关节病患者的医疗服务需求和疾病负担。方法进行横断面调查,按照随机整群抽样法的原则及操作方法,以乡(镇)为单位,选取当地自然人口进行问卷、体格、影像学检查。结果那曲市色尼区罗马镇膝关节骨性关节炎患病率为36.1%,手关节骨性关节炎患病率为50.5%;其中,拇指远端指间关节及第一腕掌关节病变较多,小指近端指间关节畸形较多。风湿性关节炎患病率为4.4%,略高于国内外其他报道水平(0.18%~1.07%),原因有待进一步研究。痛风性关节炎患病率(0.3%)、高尿酸血症患病率(1.1%)较低。结论那曲市色尼区罗马镇骨关节疾病患病率较高,高龄女性更易患类风湿性关节炎及膝关节骨性关节炎,而男性患者人群更易患高尿酸血症。
Objective To investigate the prevalence, the impact of related risk factors of rheumatic diseases in Luoma town,Seni district,Naqu city,Tibet,and to investigate the demand for medical services and disease burden of patients with rheumatic diseases.Methods According to the principle and operation method of random cluster sampling,the local natural population was selected to conduct questionnaire,physical examination and imaging examination.Results The prevalence of knee osteoarthritis in Luoma town of Seni District, Naqu City was 36.1%.The prevalence of osteoarthritis of the hand was 50.5%.The lesions of the distal interphalangeal joint and the first carpometacarpal joint were more.The deformity of the proximal interphalangeal joint of the little finger was more.The prevalence of rheumatic arthritis(RA) was 4.4%,which was slightly higher than other reported levels at home and abroad(0.18%-1.07%),the reason needs further study.The prevalence of gouty arthritis(0.3%) and hyperuricemia(1.1%) was low.Conclusion The prevalence of osteoarticular diseases in Luoma town of Seni district is high,women with advanced age are more likely to suffer from rheumatoid arthritis and knee osteoarthritis, while men are more likely to suffer from hyperuricemia.
作者
赵生成
龚弘强
尼玛仓决
德吉央宗
土旦
林剑浩
李虎
林楚童
张舒
刘强
ZHAO Sheng-cheng;GONG Hong-qiang;NI Ma-cang-jue;DE Ji-yang-zong;TU Dan;LIN Jian-hao;LI Hu;LIN Chu-tong;ZHANG Shu;LIU Qiang(Center for Disease Control and Prevention of Tibet Autonomous Region,Lhasa 850030,China)
出处
《中国地方病防治》
CAS
2019年第5期511-516,共6页
Chinese Journal of Control of Endemic Diseases
关键词
骨关节病
患病率
Osteoarthropathy
Prevalence rate
