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萨格勒布成年居民手指关节的放射学诊断骨关节炎

Radiologically defined osteoarthrosis in the finger joints of adult residents of Zagreb.

作者信息

Cvijetić S, Dekanić D, Kurtagić N, Roić G

机构信息

Institute for Medical Research and Occupational Health, Zagreb, Croatia.

出版信息

Arh Hig Rada Toksikol. 1994 Sep;45(3):219-29.

PMID:7763184
Abstract

Degenerative changes in the finger joints were studied in 550 Zagreb inhabitants, above the age of 45. The sample was selected by the method of unproportional stratified choice according to age and sex. Radiographs of both hands were taken and osteoarthrosis on the proximal and distal interphalangeal joints was graded according to the five-point Kellgren-Lawrence scale. Body weight, height and arterial blood pressure were measured and occupational work load was evaluated. The prevalence of osteoarthrosis in the finger joints was significantly higher in women (40.9%) than in men (24.8%). It increased with age so that 18.7% of men and 15.0% of women aged 45-54 had finger osteoarthrosis compared to 36.3% of men and 68.2% of women aged 75 and older. Distal interphalangeal joints were more often involved (22.8% of men and 37.9% of women) than the proximal ones (9.7% of men and 19.6% of women). The factors most closely associated with osteoarthrosis were age and body weight. Occupational work load, as classified in this study, was not significantly related to the development of osteoarthrosis, except in the group of housewives, in whom the prevalence of finger arthrosis was greater than in the other groups of women.

摘要

对550名年龄在45岁以上的萨格勒布居民的手指关节退行性变化进行了研究。根据年龄和性别,采用非比例分层抽样方法选取样本。拍摄双手的X光片,并根据五点Kellgren-Lawrence量表对近端和远端指间关节的骨关节炎进行分级。测量体重、身高和动脉血压,并评估职业工作量。手指关节骨关节炎的患病率在女性中(40.9%)显著高于男性(24.8%)。患病率随年龄增长而增加,45-54岁的男性中有18.7%、女性中有15.0%患有手指骨关节炎,而75岁及以上的男性中有36.3%、女性中有68.2%患有手指骨关节炎。远端指间关节比近端指间关节更常受累(男性为22.8%,女性为37.9%)(男性近端指间关节受累率为9.7%,女性为19.6%)。与骨关节炎关系最密切的因素是年龄和体重。在本研究分类的职业工作量中,除家庭主妇组外,职业工作量与骨关节炎的发生没有显著关系,家庭主妇组手指关节病的患病率高于其他女性组。

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