Sisto T, Reunanen A, Laurikka J, Impivaara O, Heliövaara M, Knekt P, Aromaa A
Research and Development Unit, Social Insurance Institution, Helsinki, Finland.
Eur J Surg. 1995 Jun;161(6):405-14.
To study the prevalence and risk factors of clinically important varicose veins in the lower extremities.
Cross-sectional study with self-administered questionnaire.
A national health examination survey, Finland.
8000 people from 40 geographical areas representing the adult population aged 30 years and over.
The prevalence of varicose veins diagnosed by a physician was 25% in women and 7% in men. Twenty-nine per cent of the men and 53% of the women with diagnosed varicose veins had been treated surgically. Age, height, body mass index (weight/height2), standing at work, and the number of births were expected risk factors associated with varicosities. Unexpectedly, signs of osteoarthrosis were positively, and diabetes negatively, associated with varicose veins. Urban dwelling and high income correlated positively with varicose veins treated surgically in women.
Varicose veins in the lower extremities are common, and demand considerable health service resources. The aetiology of varicose veins is still incompletely understood and more research is needed to develop possible preventive measures.
研究下肢具有临床意义的静脉曲张的患病率及危险因素。
采用自填式问卷的横断面研究。
芬兰全国健康检查调查。
来自40个地理区域的8000人，代表30岁及以上的成年人口。
经医生诊断的静脉曲张患病率女性为25%，男性为7%。在已诊断为静脉曲张的男性中，29%接受了手术治疗；在已诊断为静脉曲张的女性中，53%接受了手术治疗。年龄、身高、体重指数（体重/身高²）、工作时站立以及生育次数是与静脉曲张相关的预期危险因素。出乎意料的是，骨关节炎体征与静脉曲张呈正相关，而糖尿病与静脉曲张呈负相关。城市居住和高收入与女性接受手术治疗的静脉曲张呈正相关。
下肢静脉曲张很常见，需要大量医疗服务资源。静脉曲张的病因仍未完全了解，需要更多研究以制定可能的预防措施。
