中国6城市中老年人群X射线颈椎骨关节炎流行病学分析

被引:9
作者
李宁华 [1 ]
薛庆云 [2 ]
张毅 [1 ]
张耀南 [2 ]
王晓宾 [2 ]
申剑 [2 ]
赵力连 [2 ]
机构
[1] 卫生部北京医院流行病学研究室,卫生部老年医学重点实验室
[2] 卫生部北京医院骨科
关键词
中老年人; 放射摄影; 颈椎; 骨关节炎; 患病率;
D O I
暂无
中图分类号
R681.5 [脊柱及背疾病]; R181.3 [流行病学各论];
学科分类号
100220 [骨科学]; 100401 [流行病与卫生统计学];
摘要
目的:颈椎骨关节炎是使颈椎关节发生障碍的疾病,严重影响中老年人群的生活质量。采用X射线检查中国6个城市中老年人群颈椎骨关节炎患病情况,为了解颈椎骨关节炎的病因和防治研究提供科学依据。方法:调查于2005-06/08在西安、石家庄、上海、广州、哈尔滨、成都六大城市完成。①调查对象为年龄≥40岁,具有常住户口男女汉族人群4785人,其中男2162人,平均年龄54.87岁;女2623人,平均年龄54.78岁。男女性别比为0.82∶1.00。②调查方法:采用分层多阶段整群随机抽样方法对调查对象人群进行问卷调查:包括一般情况、现病史、既往史、体格检查、X射线平片检查情况、疾病诊断;颈椎X射线正侧位投照:判断标准为颈椎关节至少有1个关节Kellgren&Lawrence分级≥2级,3级,4级判定为重度骨关节炎。结果:中国6个城市中老年人群X射线平片检测颈椎骨关节炎总患病率48.5%,其中男49.5%,女47.7%,男女之间比较差异无意义(P>0.05);各城市间比较,差异有显著性意义(P<0.01),广州(81.4%)>上海(76.6%)>哈尔滨(50.9%)>成都(44.1%)>西安(32.2%)>石家庄(20.3%)。颈椎骨关节炎患病率随年龄增长而升高(P<0.01);城乡比较差异无显著性意义(P>0.05)。结论:中国6个地区中老年男女人群X射线平片检测颈椎骨关节炎患病率均较高,地区、年龄、城乡分布有显著差异。
引用
收藏
页码:1383 / 1386
页数:4
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