摘要
目的:通过对新疆阿勒泰地区哈萨克族膝骨性关炎(Knee Osteoarthritis,KOA)患者患病危险因素的研究,为哈萨克族的KOA的预防和治疗提供参考。方法:调查时间为2012年7月,从新疆阿勒泰地区布尔津县选用整群抽样方法,抽取603名38-75岁的哈萨克族常住人口进行膝骨性关节炎的流行病学问卷调查(包括一般情况、现病史、既往史、体格检查、X射线片检查情况和疾病诊断6个方面),数据资料录入采用EXCEL2010版,研究中不同因素和是否患有膝骨性关节炎之间的相关性分析采用Logistic回归,检验水准α=0.05,1-β=0.8,统计分析软件采用JMP10.0。结果:Logistic回归分析显示:性别(OR=2.866,95%CI:1.768~4.711),肉类摄入量为200克每天(0R=1.828,95%CI:1.174~2.846),常吃酸食(OR=2.318,95%CI:1.384~3.944),常喝奶茶(OR=7.876,95%CI:2.729~26.116),常吃干果(OR=2.120,95%CI:1.127~4.015),做礼拜(OR=1.106,95%CI:1.501~5.632),膝关节受过外伤史(OR=10.911,95%CI:2.490~7.769),家中有骨关节病的患者(OR=4.356,95%CI:5.989~20.854),家庭月收入大于500元(OR=0.524,95%CI:0.311~0.870),世居(OR=0.427,95%CI:0.197~0.899),常吃咸食(OR=0.477,95%CI:0.277~0.819)。结论:阿勒泰地区哈萨克族膝骨性关节炎患病受性别、肉类摄入量为每天200 g、常吃酸食、常喝奶茶、常吃干果、做礼拜、膝关节有过外伤史、家中有骨关节病的患者、家庭月收入大于500元、世居、常吃咸食等因素的影响。
Objective：To study the risk factors of patients with knee osteoarthritis （KOA） in Kazakhs of Altay Prefecture of Xin- jiang and provide preferences for the prevention and treatment of KOA. Methods ： Totally 603 Kazakhs patients aged from 38 - 75 living in the Kazakhs of Altay Prefecture of Xinjiang were conducted epidemiological investigation （ including general condition, present history ,past history ,physical examination, X-ray examination and disease diagnosis）. The collected data were included by EXCEL2010. Logistic was applied to analyze the correlation between factors and KOA （ α = 0.05,1 - β = 0. 8, software of JMP10. 0）. Results ： The Logistic analysis indicated that ： gender （ OR = 2. 866,95 % CI： 1. 768 - 4.711 ）, intake of meat of 200 g every day （ OR = 1. 828,95 % CI ： 1.174 - 2. 846）, preference for acid food （ OR = 2.318,95 % CI： 1. 384 - 3. 944 ） , preference for tea milk （ OR = 7. 876,95% CI：2. 729 -26.116） ,preference for dry fruits （ OR = 2. 120,95% CI： I. 127 -4. 015 ） ;attending religious service （ OR = 1.106,95 % CI： 1. 501 - 5. 632）, trauma history of knee joint （ OR = 10. 911,95 % CI： 2. 490 - 7. 769 ）, family history with joint disease （ OR = 4. 356,95 % CI： 5. 989 - 20. 854 ）, monthly family income over 500 yuan （ OR = 0. 524, 95 % Cl：O. 311 ~ 0. 870）, constant living residents of generations （ OR = 0. 427,95 % CI： 0. 197 - 0. 899 ）, preference for salty food （ OR = 0.477,95% CI：0. 277 - 0. 819）. Conclusion ： The risk factors of KOA in Kazakhs of Ahay Prefecture of Xinjiang in- clude gender, intake of meat of 200g every day, preference for acid food, preference for tea milk, preference for dry fruits, attending religious service, trauma history of knee joint, family history with joint disease, monthly family income over 500 yuan, constant liv- ing residents of generations and preference for salty food.
出处
《河南中医》
2017年第12期2153-2156,共4页
Henan Traditional Chinese Medicine
