论文部分内容阅读
目的:调查和田地区维吾尔族脊柱结核的流行病学特征,总结脊柱结核的临床特点,以期为疾病的诊断、预防和治疗提供经验。方法:回顾性分析并收集和田地区各县市级医院2011年1月-2014年11月收治的维吾尔族脊柱结核患者1132例,患者临床资料完整,诊断明确。自制调查问卷调查患者的一般资料包括年龄、性别、职业、脊柱结核发病部位、累及节段、临床症状及体征等。统计分析不同性别、不同职业脊柱结核发病率的差异,分析脊柱结核主要发病部位、累及节段和临床症状及体征。结果:1132例脊柱结核患者中女877例,占77.47%,高于男性的22.53%;脊柱结核患者中农民最多,共1056例,占93.29%;脊柱结核患者中以腰椎部位发病率最高,共509例,占44.96%;脊柱结核患者中主要累及1、2个节段,分别占18.02%和70.05%;部分患者临床可表现出纳差、盗汗发热和乏力等脊柱结核的中毒症状,78.18%患者可出现疼痛,32.69%患者可出现上下肢放射痛。结论:和田地区维吾尔族脊柱结核发病率较高,多发于女性、农民,主要累及腰椎1、2个节段,加大脊柱结核的早期预防、治疗及普查工作,对明确诊断的患者提供积极有效的治疗对改善患者生活质量,减轻社会负担均具有重要的作用。
OBJECTIVE: To investigate the epidemiological characteristics of Uygur spinal tuberculosis in the Hetian area and to summarize the clinical features of spinal tuberculosis in order to provide experience for the diagnosis, prevention and treatment of the disease. Methods: A retrospective analysis and collected 1132 cases of Uigur spinal tuberculosis patients from January 2011 to November 2014 in counties and municipal hospitals in Hetian. The clinical data of the patients were complete and the diagnosis was clear. Self-made questionnaire survey of patients with general information, including age, gender, occupation, spinal tuberculosis site, involving the segments, clinical symptoms and signs. Statistical analysis of different gender, occupational spinal tuberculosis incidence differences, analysis of the main pathogenesis of spinal tuberculosis, involving segments and clinical symptoms and signs. Results: Of the 1132 patients with spinal tuberculosis, 877 were female, accounting for 77.47% of all cases, accounting for 22.53% of men. Among them, 1056 were the most common patients with spinal tuberculosis, accounting for 93.29% of the total. Spinal tuberculosis patients had the highest incidence of lumbar spine 509 cases, accounting for 44.96%. The majority of patients with spinal tuberculosis involved 1 and 2 segments, accounting for 18.02% and 70.05% respectively. Some patients were clinically proven to have symptoms of spinal tuberculosis such as anorexia, fever and night sweats, 78.18% There may be pain, 32.69% of patients may have upper and lower extremity radiating pain. Conclusion: The prevalence rate of Uygur spinal tuberculosis in Hotan area is high, which is mainly distributed in women and peasants. It mainly involves 1 and 2 segments of lumbar vertebrae. It increases the early prevention, treatment and census of spinal tuberculosis and provides a positive and effective The treatment of patients with improved quality of life, reduce the burden on society have an important role.