高级检索

少数民族地区居民股骨头坏死患病及影响因素分析

李文忠, 陈新春, 李溥, 胡建山, 杨昌俊, 李正福, 宋发友

李文忠, 陈新春, 李溥, 胡建山, 杨昌俊, 李正福, 宋发友. 少数民族地区居民股骨头坏死患病及影响因素分析[J]. 中国公共卫生, 2014, 30(6): 723-725. DOI: 10.11847/zgggws2014-30-06-08
引用本文: 李文忠, 陈新春, 李溥, 胡建山, 杨昌俊, 李正福, 宋发友. 少数民族地区居民股骨头坏死患病及影响因素分析[J]. 中国公共卫生, 2014, 30(6): 723-725. DOI: 10.11847/zgggws2014-30-06-08
LI Wen-zhong, CHEN Xin-chun, LI Pu.et al, . Prevalence and influencing factors of femoral head osteonecrosis in minority populations[J]. Chinese Journal of Public Health, 2014, 30(6): 723-725. DOI: 10.11847/zgggws2014-30-06-08
Citation: LI Wen-zhong, CHEN Xin-chun, LI Pu.et al, . Prevalence and influencing factors of femoral head osteonecrosis in minority populations[J]. Chinese Journal of Public Health, 2014, 30(6): 723-725. DOI: 10.11847/zgggws2014-30-06-08

少数民族地区居民股骨头坏死患病及影响因素分析

基金项目: 

贵州省省长专项项目(QKJ2011005)

详细信息
    作者简介:

    李文忠(1959- ),男,贵州三都人,副主任医师,本科,研究方向:骨科疾病临床及预防研究。

    通讯作者:

    李溥,E-mail:lipu5619@163.com

  • 中图分类号: R181.3+2

Prevalence and influencing factors of femoral head osteonecrosis in minority populations

  • 摘要: 目的了解黔南地区少数民族农村居民股骨头坏死患病现状及其影响因素,为预防和控制股骨头坏死提供依据。方法于2011年6月—2012年6月对整群随机抽取的98 921名黔南地区20~69岁农村常住居民进行问卷调查和髋关节检查,体检阳性体征者摄髋关节正位及蛙位X线片,对具有髋部症状但X线片未见异常者采用核磁共振成像检查,确诊股骨头坏死。结果98 921名常住居民中,经确诊的股骨头坏死患者147例,患病率为0.14%,男性和女性患病率分别为0.14%和0.18%,差异无统计学意义(χ2= 1.20,P>0.05);Ficat分期Ⅰ期 19例(19髋),占12.91%,Ⅱ期89例(90髋),占60.54%,Ⅲ期17例(18髋),占11.56%,Ⅳ期22例(23髋),占14.97%;多因素logistic回归分析结果表明,年龄、文化程度、居住环境、民族、饮酒、饮酒量、饮酒浓度、激素应用是患股骨头坏死的主要危险因素。结论黔南地区少数民族农村居民股骨头坏死患病率明显高于国内其他地区,应该引起重视。
    Abstract: ObjectiveTo examine the prevalence and influencing factors of femoral head osteonecrosis among rural minority residents in Qiannan Autonmous Region and to provide evidences for prevention and control of osteonecrosis.MethodsA questionnaire survey and hip joint check were carried out among 98 921 rural permanent residents age 20-69 years randomly selected from Qiannan Buyi and Miao Autonomous Prefecture from June 2011 to June 2012.Normotopia and frog position X-ray examination of hip joint was conducted for the residents with positive signs of osteonecrosis in physical examination and magnetic resonance imaging(MRI)was performed for the suspected patients without definite diagnosis based on the X-ray examination.ResultsTotally 147 femoral head osteonecrosis patients were identified among the residents,with a prevalence rate of 0.14% and without significant gender difference in the prevalence rate(0.14% for the males and 0.18% for the females;χ2= 1.20,P>0.05).Among the patients diagnosed,the proportion of Ficat stage Ⅰ,Ⅱ,Ⅲ,and Ⅳ were 12.91%(19 cases/19 hip joints),60.54%(89/90),11.56%(17/18),and 14.97%(22/23),respectively.Multivariate logistic regression results showed that the main risk factors of femoral head osteonecrosis were age,education level,living environment,nationality,alcohol drinking,amount of alcohol consumption,alcohol content of liquor consumed,and hormone medication.ConclusionThe prevalence of femoral head osteonecrosis among rural minority residents in Qiannan prefecture is significantly higher than that in other regions of China and should be concerned.
  • [1] 李子荣.科学诊断和治疗股骨头坏死[J].中国修复重建外科杂志, 2005, 19(9):685-686.
    [2]

    Lieberman JR, Engstrom SM, Meneghini RM, et al.Which factors influence preservation of the osteonecrotic femoral head?[J].Clin Orthop Relat Res, 2012, 470(2):525-534.

    [3]

    Perry DC, Hall AJ.The epidemiology and etiology of Perthes disease[J].Orthop Clin North Am, 2011, 42(3):279-283.

    [4] 郭爱民, 瓮学清, 吴爱南, 等.城市社区老年人生存质量现状分析[J].中国公共卫生, 2002, 18(7):849-850.
    [5] 中华人民共和国卫生部.中药新药临床研究指导原则[M].北京:北京医科大学出版社, 1997:136-149.
    [6] 王凤仪, 马在山, 马素英, 等.山东中部地区人群股骨头坏死流行病学调查研究[J].中国骨伤, 2001, 14(6):345-346.
    [7] 尤黎明, 张军, 刘可, 等.老年人跌倒及其后果的调查分析[J].中国公共卫生, 2001, 17(8):732-733.
    [8]

    Wang Y, Mao K.Alcohol-induced adipogenesis in bone and marrow:a possible mechanism for osteonecrosis[J].Clin Orthop, 2003, 410(8):213-216.

计量
  • 文章访问数:  1056
  • HTML全文浏览量:  243
  • PDF下载量:  34
  • 被引次数: 0
出版历程
  • 收稿日期:  2013-09-15
  • 刊出日期:  2014-06-09

目录

    /

    返回文章
    返回