Chaiamnuay P, Darmawan J, Muirden K D, Assawatanabodee P
Department of Medicine, Pramongkutklao Hospital, Bangkok, Thailand.
J Rheumatol. 1998 Jul;25(7):1382-7.
To determine the prevalence rates of musculoskeletal disorders in a rural population of Thailand.
Nurses applied the WHO-ILAR COPCORD Core Questionnaire to 2463 rural subjects 15 years of age and over. Respondents who had current musculoskeletal pain were examined by 2 rheumatologists within one week after the interview survey. Radiographic and serologic examinations were carried out when required to classify categories of rheumatic disease.
Response rates of the interview survey and examination were 99.7 and 94.2%, respectively. Musculoskeletal pain ever by interview was found in 36.2% of respondents. Of these, 22.7, 12.5, 6.5, and 5% had back, knee, hip region, and neck pain, respectively. Four hundred thirty-one cases (17.6%) who had musculoskeletal pain within 7 days of the interview were examined by rheumatologists, who confirmed 12.8, 5.7, 0.08, and 3.4% had back, knee, hip, and neck abnormalities, respectively. Four hundred fifty-eight (18.6%) had past musculoskeletal pain. Total disability rate was 3%, comprising 3.3% in women and 2.6% in men. Treatment rates by self-medication for current and past musculoskeletal pain were 60.3% in women, 65.7% in men. Therapy was by physician 52.1%, paramedics 9.7%, and masseur 6.8%. The rates of disease prevalence were osteoarthritis 11.3%, myofascial pain syndrome 6.3%, low back pain 4.0%, arthralgia 3.2%, gout 0.16%, rheumatoid arthritis and seronegative spondyloarthropathy each 0.12%, and mixed connective tissue disease and unclassified autoimmune disease each 0.04%.
Back and knee pain caused the greatest burdens of disease, resulting mostly from joint degeneration.
确定泰国农村人口中肌肉骨骼疾病的患病率。
护士对2463名15岁及以上的农村受试者应用了世界卫生组织-国际劳工组织社区导向基层医疗合作中心核心问卷。有当前肌肉骨骼疼痛的受访者在访谈调查后一周内由2名风湿病学家进行检查。必要时进行影像学和血清学检查以对风湿性疾病类别进行分类。
访谈调查和检查的应答率分别为99.7%和94.2%。通过访谈发现36.2%的受访者曾有肌肉骨骼疼痛。其中，分别有22.7%、12.5%、6.5%和5%的人有背部、膝盖、髋部和颈部疼痛。431例（17.6%）在访谈后7天内有肌肉骨骼疼痛的病例由风湿病学家进行了检查，他们确认分别有12.8%、5.7%、0.08%和3.4%的人有背部、膝盖、髋部和颈部异常。458例（18.6%）曾有肌肉骨骼疼痛。总残疾率为3%，其中女性为3.3%，男性为2.6%。当前和过去肌肉骨骼疼痛的自我用药治疗率女性为60.3%，男性为65.7%。由医生治疗的比例为52.1%，由护理人员治疗的为9.7%，由按摩师治疗的为6.8%。疾病患病率分别为骨关节炎11.3%、肌筋膜疼痛综合征6.3%、腰痛4.0%、关节痛3.2%、痛风0.16%、类风湿关节炎和血清阴性脊柱关节病各0.12%，混合性结缔组织病和未分类自身免疫性疾病各0.04%。
背部和膝盖疼痛造成的疾病负担最大，主要由关节退变引起。
