CAJ | 학술논문

目的：了解深圳市罗湖区老年人膝关节骨性关节炎（KOA）的流行病学情况，并对其进行生存质量评价。方法调查于2012年9月至2013年3月完成，采用流行病学中的典型调查和横断面调查方法，对深圳市罗湖区5个街道委员会1000名50岁以上居民，按男女比例1∶1抽取，其中KOA患者97例，非KOA者903例进行入户调查，入户调查由经过培训的医生执行，由相关人员统一质量和回收表格，统计分析，写出调查结论。结果 KOA总患病率为9.70%（97/1000），女性患病率为12.40％（62/500），男性患病率为7.00％（35/500），二者比较，差异无统计学意义（P>0.05）。膝关节病史阳性者的相关调查项目频数分布：脑力劳动者占47.42%（46/97），体力劳动者占52.58%（51/97），二者比较，差异无统计学意义（P>0.05）。体质量指数高于正常值者占膝关节病史阳性者的46.39%（45/97），体质量指数低于正常值者占膝关节病史阳性者的16.49%（16/97），二者比较，差异有统计学意义（P<0.05）。从未接受过药物治疗者占膝关节病史阳性者的91.75%（89/97）。膝关节病史阳性者的健康调查简表的评分均明显低于膝关节病史阴性者，差异有统计学意义（P<0.05）。结论 KOA对老年人生存质量产生了比较明显的影响，且社区人群对KOA的认知尚有待提高。
목적：료해심수시라호구노년인슬관절골성관절염（KOA）적류행병학정황，병대기진행생존질량평개。방법조사우2012년9월지2013년3월완성，채용류행병학중적전형조사화횡단면조사방법，대심수시라호구5개가도위원회1000명50세이상거민，안남녀비례1∶1추취，기중KOA환자97례，비KOA자903례진행입호조사，입호조사유경과배훈적의생집행，유상관인원통일질량화회수표격，통계분석，사출조사결론。결과 KOA총환병솔위9.70%（97/1000），녀성환병솔위12.40％（62/500），남성환병솔위7.00％（35/500），이자비교，차이무통계학의의（P>0.05）。슬관절병사양성자적상관조사항목빈수분포：뇌력노동자점47.42%（46/97），체력노동자점52.58%（51/97），이자비교，차이무통계학의의（P>0.05）。체질량지수고우정상치자점슬관절병사양성자적46.39%（45/97），체질량지수저우정상치자점슬관절병사양성자적16.49%（16/97），이자비교，차이유통계학의의（P<0.05）。종미접수과약물치료자점슬관절병사양성자적91.75%（89/97）。슬관절병사양성자적건강조사간표적평분균명현저우슬관절병사음성자，차이유통계학의의（P<0.05）。결론 KOA대노년인생존질양산생료비교명현적영향，차사구인군대KOA적인지상유대제고。
Objective To investigate the epidemiological situation of knee osteoarthritis (KOA) in the elderly in Luohu district of Shenzhen and evaluate their quality of life. Methods The survey was carried out from September 2012 and March 2013. By means of epidemiologically typical survey and cross-sectional study,1 000 elder people over 50 years were selected with the sex ratio of 1∶1 from 5 neighborhood committees in Luohu district of Shenzhen including 97 patients with KOA and 903 people without KOA. Household survey was carried out by trained physicians,and the quality control,questionnaire collections,data analysis and conclusion were finished by related staffs. Results The total prevalence rate of KOA was 9.70%(97/1 000),and the prevalence rate was 12.40%(62/500) in female and 7.00%(35/500) in male without statistically significant difference(P>0.05). For the frequency distribution of relevant survey items of postive patients with KOA:mental workers accounted for 47.42%(46/97),manual workers 52.58%(51/97),and there were no statistically significant difference(P>0.05). For the body mass index (BMI),46.39%(45/97) of the knee osteoarthritis positive was above the normal value,while 16.49%(16/97)was below,and the difference had statistical significance(P<0.05). 91.75%(89/97) patients with KOA had never taken medication. The Health Sur-vey Questionnaire scores of positive patients with KOA was obviously lower than that of the negative patients ,and the difference was statistically significant(P<0.05). Conclusion KOA has significant effect on the life quality of elderly people,and the cognition of KOA still needs to improve in community population.