中国全科医学2018，Vol.21Issue(17)：2106-2110,5.DOI:10.3969/j.issn.1007-9572.2018.00.079
黄河滩区居民髋关节疾病患病率及其影响因素的调查研究
Prevalence and Associated Factors of Hip Joint Disease in Yellow River Beach Areas in Henan Province
摘要
Abstract
Objective To investigate the prevalence of hip joint disease and its associated factors in Yellow River beach areas in Henan province,providing a basis for prevention and treatment of this disease.Methods We conducted this survey from May to June 2016.The enrolled participants were 374 701 permanent residents in Taiqian county,Henan province attending general hip joint disease screening.The suspected hip joint disease cases found by physical examination were diagnosed by following imaging examination.Those were diagnosed with hip joint disease in the past,were assigned to the case group,and sex-,age- and number-matched residents without hip joint disease who lived adjacent to the place of hip joint disease cases were assigned to the control group.We used a self-designed questionnaire to collect their data such as demographic characteristics, smoking habit,drinking habit,hormone treatment status,medical history and family history of hip joint disease.Results Of the participants,there were 2 587 cases of hip joint disease(including 836 newly diagnosed cases and 1 751 diagnosed in the past;1 107 males and 1 480 females),with a crude prevalence of 6.90‰;the crude prevalence of hip joint disease was 5.67‰ for males,8.24‰ for females,7.51‰ for age group of 0-14 years,4.89‰ for age group of 15-59 years,and 14.81‰ for age group of ≥60 years;the two major types of diseases were developmental dysplasia of the hip〔45.46%(1 176/2 587)〕 and femoral head necrosis 〔43.53%(1 126/2 587)〕.Multivariate Logistic regression analysis showed that total household income〔2 500-4 999 yuan per month:OR=0.564,95%CI(0.374,0.848);5 000-9 999 yuan per month:OR=0.688,95%CI(0.517, 0.914);≥10 000 yuan per month:OR=0.671,95%CI(0.554,0.813)〕,hormone treatment 〔OR=15.684,95%CI(8.361, 29.421)〕,traumatic femoral neck fracture 〔OR=59.970,95%CI(14.679,245.012)〕 and family history of hip joint disease 〔OR=10.499,95%CI(4.491,24.539)〕 were the associated factors for the residents with hip joint disease(P<0.05). Conclusion The prevalence of hip joint disease in Taiqian county is high,and the two major types are developmental dysplasia of the hip and femoral head necrosis.Low total household income,hormone treatment,trauma femoral neck fracture and family history of hip joint disease are the risk factors for hip joint disease.关键词
髋关节/黄河滩区/患病率/影响因素分析Key words
Hip joint/Yellow River beach areas/Prevalence/Root cause analysis分类
医药卫生引用本文复制引用
梁森,张世杰,张玉华,刁韵婵,陈志民..黄河滩区居民髋关节疾病患病率及其影响因素的调查研究[J].中国全科医学,2018,21(17):2106-2110,5.基金项目
濮阳市杰出人才创新基金(130504) （130504）
濮阳市科技攻关项目(140640) （140640）
