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目的调查并掌握35～60岁成人大骨节病患者劳动力影响情况,为重建晚期大骨节病患者的运动功能、治疗和管理晚期大骨节病患者、提高其劳动能力提供依据。方法按照《大骨节病诊断标准》对大骨节病重病区陕西省彬县韩家乡先锋村35～60岁的人群进行大骨节病流行病学调查,并对该年龄段的大骨节病患者进行临床诊断和分度;接着对诊断出的大骨节病患者进行劳动力下降情况和下降原因进行调查和分析。结果 35～60岁成人大骨节病患者劳动力下降程度非常显著高于非患者(P<0.001),病变越重(Ⅱ、Ⅲ度大骨节病患者)劳动力下降率越高,男性患者劳动力下降率高于女性患者,影响劳动力下降的主要部位是多关节受累,依次为踝、膝、肘、腕关节。结论 35～60岁成人大骨节病患者劳动力下降十分严重,高度重视并及时抓紧治疗和管理好成人大骨节病患者。
Objective To investigate and grasp the influence of labor force on adults with Kashin-Beck disease in 35 ~ 60 years old, and to provide basis for rebuilding the motor function of patients with advanced Kashin-Beck disease, treating and managing patients with advanced Kashin-Beck disease and improving their working ability. Methods According to the diagnostic criteria of Kashin-Beck disease, epidemiological investigation of Kashin-Beck disease was conducted in 35 ~ 60-year-old Pioneer Village, Hanjia Township, Bin County, Shaanxi Province. The patients with Kashin- Diagnosis and classification; and then diagnosed patients with Kashin-Beck decline in labor force and the reasons for the decline to investigate and analyze. Results The decline of labor force among adults aged 35-60 years with KFD was significantly higher than that of non-patients (P <0.001). The higher the labor force decline rate was, the higher the labor force decline rate was in male patients In female patients, the main site affecting the decline of labor force is multi-joint involvement, followed by ankle, knee, elbow and wrist joint. Conclusions 35 to 60-year-old adult patients with Kaschin-Beck disease decline in the workforce is very serious, attaches great importance and promptly pay close attention to the treatment and management of adult patients with Kaschin-Beck disease.