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[拇指关节炎的今昔:古代人群中的流行病学比较]

[Thumb arthritis yesterday and today. Epidemiologic comparison in an ancient population].

作者信息

Pinsolle V, Vandermeersch B

机构信息

Institut Bergonié, centre régional de lutte contre le cancer, 229, cours de l'Argonne, 33076 Bordeaux, France.

出版信息

Ann Chir Plast Esthet. 2002 Feb;47(1):57-61. doi: 10.1016/s0294-1260(01)00085-1.

Abstract

The aim of the study was to assess the rate of thumb osteoarthritis in an ancient population (before the industrial revolution) according to the age, the sex and the side affected, and to compare the results to the current epidemiologic data. This study was performed in bones from the convent graveyard of the Soeurs Grises de Beauvais (15th to 18th century). The rate of thumb osteoarthritis was assessed in 73 adult individuals (34 men and 39 women) divided into 2 age groups: 35-49 and over 50. The rates of thumb osteoarthritis in each group were compared according to different factors (age, sex, side affected). The statistical study showed a higher rate of thumb osteoarthritis in elder people in general, and in male but not in female individuals. The rate of bilateral thumb osteoarthritis was higher in women. However, no difference was found between both sides of human body whatever the age or sex. As for the female population, the results were identical those of the current data. However, there was a higher rate of thumb osteoarthritis in men of any age group. A functional fatigue could provide a higher rate of secondary thumb osteoarthritis since the women in this series (nuns), who were less affected by overwork, had a rate of primary thumb osteoarthritis identical to the rate found in the current literature.

摘要

该研究的目的是根据年龄、性别和患侧,评估一个古代人群(工业革命前)拇指骨关节炎的发病率,并将结果与当前的流行病学数据进行比较。这项研究是在博韦灰衣修女修道院墓地(15至18世纪)的骨骼上进行的。对73名成年人(34名男性和39名女性)的拇指骨关节炎发病率进行了评估,这些人被分为两个年龄组:35 - 49岁和50岁以上。根据不同因素(年龄、性别、患侧)比较了每组拇指骨关节炎的发病率。统计研究表明,总体上老年人拇指骨关节炎的发病率较高,男性高于女性。双侧拇指骨关节炎的发病率在女性中较高。然而,无论年龄或性别,人体两侧之间未发现差异。对于女性人群,结果与当前数据相同。然而,任何年龄组的男性拇指骨关节炎发病率都较高。由于该系列中的女性(修女)较少受到过度劳累的影响,原发性拇指骨关节炎的发病率与当前文献中的发病率相同,因此功能性疲劳可能导致继发性拇指骨关节炎的发病率更高。

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