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[骨关节炎疾病的结构及伴发疾病问题]

[Structure of osteoarthrosis diseases and the problem of concomitant diseases].

作者信息

Khitrov N A

出版信息

Ter Arkh. 2005;77(12):59-64.

PMID:16514822
Abstract

AIM

To study pattern of osteoarthrosis (OA) morbidity, OA age and gender characteristics; to analyse affection of the para-articular tissues in gonarthrosis (GA), GA concomitant diseases in outpatient settings.

MATERIAL AND METHODS

OA detection and concomitant diseases were studied in the outpatient department with computer informative system. ICD (10 revision) was used in classification. Results. OA morbidity was 6.2%. Male to female ratio was 1:2.6. Incidence rate of paraarticular tissue lesions in exacerbation of GA rose 2.5 times. In GA patients concomitant diseases were registered 1.7 times more frequently than in other outpatients, while obesity, hypertension, ischemic heart disease occurred 2 times more frequently.

CONCLUSION

OA as disease of accumulation was confirmed in older patients. Old age conditioned more frequent concomitant diseases. This determines polymorbidity of clinical manifestations and requires an individual approach to the patients.

摘要

目的

研究骨关节炎(OA)的发病模式、OA的年龄和性别特征;分析膝骨关节炎(GA)中关节周围组织的病变情况以及门诊环境下GA的伴发疾病。

材料与方法

利用计算机信息系统在门诊研究OA的检测及伴发疾病。采用国际疾病分类(第10版修订本)进行分类。结果:OA发病率为6.2%。男女比例为1:2.6。GA加重期关节周围组织病变的发生率上升了2.5倍。GA患者伴发疾病的登记频率比其他门诊患者高1.7倍,而肥胖、高血压、缺血性心脏病的发生率则高2倍。

结论

OA作为一种累积性疾病在老年患者中得到证实。老年导致伴发疾病更常见。这决定了临床表现的多种疾病共存,需要对患者采取个体化治疗方法。

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