van de Lisdonk E, Kuik M, Bakx J C
Katholieke Universiteit, Nijmeegs Universitair Huisartsen Instituut, Nijmegen.
Ned Tijdschr Geneeskd. 1991 Mar 2;135(9):374-7.
Aim of the investigation was to study the frequency and prognosis of patellar chondropathy in general practice. As far as the frequency was concerned a secondary analysis was done of data from the Nijmegen Continuous Morbidity Registration (4 general practices, 12,000 patients). The prognosis was studied in patients in these practices with at least one episode of patellar chondropathy in the years 1985-1988. The GPs were asked about the diagnostic criteria they used. The registration showed an average of 6 new cases of patellar chondropathy per 1000 patient-years; in 7% of the cases the GPs referred a patient for specialist care. To study the prognosis patients were asked to fill in a questionnaire. Response was 84%, 178 questionnaires were analysed. The female-male ratio of the respondents was 2, 60% were younger than 60 years. In 44% of the cases the complaints subsided within 6 months. Interventions such as X-ray and physiotherapy depended on severity, duration and frequency of the knee complaints.
该项调查的目的是研究全科医疗中髌软骨病的发病率及预后情况。就发病率而言，对奈梅亨持续性疾病登记处（4家全科诊所，12000名患者）的数据进行了二次分析。对这些诊所中在1985年至1988年间至少有一次髌软骨病发作的患者的预后情况进行了研究。研究人员询问了全科医生他们所使用的诊断标准。登记显示，每1000患者年平均有6例新的髌软骨病病例；7%的病例中，全科医生会将患者转诊至专科治疗。为了研究预后情况，研究人员让患者填写一份问卷。回复率为84%，共分析了178份问卷。受访者的男女比例为2，60%的人年龄小于60岁。44%的病例中，症状在6个月内缓解。诸如X光检查和物理治疗等干预措施取决于膝关节症状的严重程度、持续时间和发作频率。
