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评估成年城市人口中风湿性疾病的社会医学问题的严重程度。

Evaluating the magnitude of socio-medical problems of rheumatic diseases in adult urban population.

作者信息

Sućur A

机构信息

Health Centre, Medvesćak, Zagreb.

出版信息

Acta Med Iugosl. 1990;44(4):407-14.

PMID:2091444
Abstract

In the course of 1982 and 1983 a study was carried out on the prevalence of rheumatic symptoms and the identification of rheumatic diseases in the urban population of the Zagreb commune of Medvescak. The representative sample consisted of 5% of the adult population of both sexes, amounting to 1999 examinees. Rheumatic symptoms were found in 59.6%; in 41.6% of women and 18 of men. The prevalence of the most frequent rheumatic disease and the influence of age and sex on the frequency of the onset of symptoms were determined. By random sampling, of the 1191 surveyed with symptoms (42%), 500 were invited for a rheumatological examination; 238 responded (47.6%). Persons with rheumatic, symptoms who did not respond to the invitation were also interviewed in order to find out the reason for their not coming to the examination. Rheumatic changes were found in 86% of the examined. Most frequently diagnosed were different locations of degenerative changes of the joints (48.3% of all diagnoses). The magnitude of the problem of rheumatic diseases was assessed, the estimates being drawn on the basis of complex probability. Based on the results and estimates, it was concluded that 35% of the observed adult population suffered from diseases of the locomotor system and that they needed treatment but that only half of them were being treated (16%). The overall magnitude of the problem of rheumatic diseases appeared to be within the expected limits, with a high percentage of degenerative diseases of the joints.

摘要

1982年至1983年期间,对梅德韦萨克萨格勒布公社城市人口中的风湿症状患病率及风湿性疾病的识别情况进行了一项研究。代表性样本由成年男女各5%的人口组成,共计1999名受检者。发现有风湿症状的占59.6%;女性占41.6%,男性占18%。确定了最常见的风湿性疾病的患病率以及年龄和性别对症状发作频率的影响。通过随机抽样,在1191名有症状的被调查者(占42%)中,邀请了500人进行风湿病检查;238人作出回应(占47.6%)。还对那些有风湿症状但未对邀请作出回应的人进行了访谈,以查明他们不来检查的原因。在接受检查的人中,86%发现有风湿性病变。最常诊断出的是关节退行性变的不同部位(占所有诊断的48.3%)。评估了风湿性疾病问题的严重程度,并基于复杂概率进行了估计。根据结果和估计得出结论,观察到的成年人口中有35%患有运动系统疾病且需要治疗,但其中只有一半(16%)正在接受治疗。风湿性疾病问题的总体严重程度似乎在预期范围内,关节退行性疾病的比例较高。

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