军人人群中外侧和内侧上髁炎的流行病学
Epidemiology of lateral and medial epicondylitis in a military population.
作者信息
Wolf Jennifer Moriatis, Mountcastle Sally, Burks Robert, Sturdivant Rodney X, Owens Brett D
机构信息
Department of Orthopedics, University of Colorado-Denver, Aurora, CO 80045, USA.
出版信息
Mil Med. 2010 May;175(5):336-9. doi: 10.7205/milmed-d-09-00086.
OBJECTIVE
To determine the epidemiology of lateral and medial epicondylitis in the U.S. military.
METHODS
The Defense Medical Epidemiology Database was queried for ICD-9 codes 726.32 (lateral epicondylitis) and 726.33 (medial epicondylitis) for the years 1998-2006. Multivariate Poisson regression was used to calculate incidence rates (IR) and rate ratios (RR) among demographic groups.
RESULTS
The IRs for lateral and medial epicondylitis were 2.98 and 0.81 per 1000 person-years. For lateral epicondylitis, women had a higher incidence (RR = 1.22, 95% CI 1.19-1.26). In both groups, analysis by age showed higher incidence in the > or = 40-year-old group. White compared with black race was a risk factor for both lateral (RR = 1.68, 95% CI, 1.63-1.74) and medial epicondylitis (RR = 1.11, 95% CI 1.05-1.17).
CONCLUSIONS
Female gender was a risk factor for lateral but not medial epicondylitis. Age greater than 40 and white race were significant risk factors for both conditions.
目的
确定美国军队中外侧和内侧上髁炎的流行病学情况。
方法
查询1998 - 2006年国防医学流行病学数据库中的ICD - 9编码726.32（外侧上髁炎）和726.33（内侧上髁炎）。采用多变量泊松回归计算不同人口统计学组的发病率（IR）和率比（RR）。
结果
外侧和内侧上髁炎的发病率分别为每1000人年2.98例和0.81例。对于外侧上髁炎，女性发病率较高（RR = 1.22，95%可信区间1.19 - 1.26）。在两组中，按年龄分析显示40岁及以上组发病率较高。与黑人相比，白人是外侧（RR = 1.68，95%可信区间1.63 - 1.74）和内侧上髁炎（RR = 1.11，95%可信区间1.05 - 1.17）的危险因素。
结论
女性是外侧而非内侧上髁炎的危险因素。40岁以上和白人是这两种疾病的重要危险因素。
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