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目的验证20世纪80年代中国-国际抗风湿联盟(ILAR-China)调查所见,我国南方腰痛(LP)、膝痛(KP)患病率低于北方的结果,并且探讨相关危险因素。方法用社区控制风湿病规划(COPCORD)第Ⅰ、Ⅱ期询问表,对澄海市区16岁以上居民2040名进行调查。有风湿症状者进行体检,疑似关节炎者进行X线和实验室检查。结果风湿痛总患病率为18.1%;KP7.5%,其中55%为膝骨关节炎;LP患病率11.5%,其中69%为腰椎骨关节炎。平房居民KP患病率为5.6%,LP7.9%;而楼房居民KP9.1%,LP16.2%。KP、LP患病率均低于北京所见。结论我国南方KP和LP患病率明显低于北方,推测与气候因素有关。楼房居民KP、LP患病率高于平房居民,可能和人体功率学有关。
Objective To investigate the prevalence of low back pain (LP) and knee pain (KP) in the south of China in the 1980s from the China-International Anti-Rheumatic Union (ILAR-China) survey and to explore the related risk factors. Methods Interview questionnaire of Stage Ⅰ and Ⅱ of COPCORD was used to investigate 2040 residents over the age of 16 in Chenghai urban area. People who have rheumatic symptoms undergo a medical examination, and those with suspected arthritis undergo X-ray and laboratory tests. Results The overall prevalence of rheumatic pain was 18.1%; KP 7.5%, of which 55% were knee osteoarthritis; the prevalence of LP was 11.5%, of which 69% was lumbar osteoarthritis. The prevalence of KP in cottage users was 5.6% and that in LP7.9%, while that in residential buildings was 9.1% and LP was 16.2%. The prevalence of KP and LP were lower than those seen in Beijing. Conclusions The prevalence of KP and LP in southern China is obviously lower than that in the north, suggesting that it is related to climate factors. Building residents KP, LP prevalence rate is higher than cottage residents, and human power may be related.