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越南城市地区风湿性疾病的患病率:一项世界卫生组织-国际抗风湿联盟社区导向基层医疗研究(COPCORD)

Prevalence of the rheumatic diseases in urban Vietnam: a WHO-ILAR COPCORD study.

作者信息

Minh Hoa Tran Thi, Darmawan John, Chen Shun Le, Van Hung Nguyen, Thi Nhi Cao, Ngoc An Tran

机构信息

Department of Rheumatology, Bach Mai Hospital, Giai Phong Road, Dong Da District, Hanoi, Vietnam.

出版信息

J Rheumatol. 2003 Oct;30(10):2252-6.

PMID:14528525
Abstract

OBJECTIVE

To determine the prevalence rates of musculoskeletal disorders in an urban Vietnamese population.

METHODS

The Community Oriented Program for Control of Rheumatic Disease (COPCORD) Stage I study was carried out in 16 groups in the Trung Liet Commune, Dong Da District, Hanoi City, Vietnam. Phase 1: the WHO ILAR COPCORD Core Questionnaire was applied by primary health care workers to 2119 urban subjects aged 16 years and over. Phase 2: 276 positive responders who had musculoskeletal complaints were interviewed by nurses and examined one week later. Phase 3: 261 positive responders in phase II were examined by 3 rheumatologists and 38% of these subjects required radiographic and blood tests to classify rheumatic disease categories.

RESULTS

The response rates were 94.4%, 86.2%, and 94.6% in phases 1, 2, and 3, respectively. The prevalence of musculoskeletal pain was 14.9%. The most common musculoskeletal complaints were knee pain 18.2%, low back pain 11.2%, and soft tissue disorder 15.4%. Functional disability was reported in 6.04% of the survey population. The prevalence of rheumatic diseases was OA 4.1%, rheumatoid arthritis 0.28%, osteoporosis 0.47%, connective tissue disease 0.09%, and gout 0.14%.

CONCLUSION

The prevalence of musculoskeletal pain in 2119 adults in an urban population in Vietnam was 14.5%, and osteoarthritis was the most commonly found arthritis.

摘要

目的

确定越南城市人口中肌肉骨骼疾病的患病率。

方法

在越南河内市东大区中列公社的16个组开展了社区导向的风湿性疾病控制项目(COPCORD)第一阶段研究。第一阶段:初级卫生保健工作者向2119名16岁及以上的城市受试者发放了世界卫生组织国际抗风湿联盟(ILAR)的COPCORD核心问卷。第二阶段:对276名有肌肉骨骼症状的阳性应答者由护士进行访谈,并在一周后进行检查。第三阶段:由3名风湿病学家对第二阶段的261名阳性应答者进行检查,其中38%的受试者需要进行影像学和血液检查以对风湿性疾病进行分类。

结果

第一、二、三阶段的应答率分别为94.4%、86.2%和94.6%。肌肉骨骼疼痛的患病率为14.9%。最常见的肌肉骨骼症状是膝关节疼痛(1十八点二%)、腰痛(11.2%)和软组织疾病(15.4%)。6.04%的调查人群报告有功能残疾。风湿性疾病的患病率为骨关节炎4.1%、类风湿关节炎0.28%、骨质疏松症0.47%、结缔组织病0.09%和痛风0.14%。

结论

越南城市人口中2119名成年人的肌肉骨骼疼痛患病率为14.5%,骨关节炎是最常见的关节炎类型。

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