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目的了解汕头地区农村人群软组织风湿病(STR)的流行情况,探讨STR的相关危险因素。方法流行病学调查采用亚太地区风湿病学会联合会(APLAR)社区控制风湿病规划(COPCORD)委员会的《软组织风湿病调查表》(草案),按COPCORD程序对汕头市澄海区某乡2 350名16岁以上居民进行调查。采用Logis-tic回归分析,观察年龄、性别、体重指数、腰臀比、职业等因素对STR的影响。结果STR患病率为5.74%,男女患病率分别为3.50%及7.88%;校正后患病率分别为男3.39%,女6.82%,总患病率为5.22%。患病率随年龄增加呈升高趋势。肱骨外上髁炎、回旋肌套腱炎、跖痛症、指屈肌腱鞘炎、足底筋膜炎为常见的STR,患病率分别为0.98%,0.89%,0.72%,0.68%,0.68%;仅发现2例纤维肌痛综合征。Logistic回归分析显示,年龄、性别、职业(手工劳动者)是STR的相关危险因素。结论汕头地区农村人群STR常见,但纤维肌痛综合征少见。年龄、性别、职业可能是STR的危险因素。
Objective To understand the prevalence of soft tissue rheumatism (STR) in rural population in Shantou and to explore the related risk factors of STR. Methods The epidemiological survey was conducted on the “Soft Tissue Rheumatism Questionnaire” (Draft) of APLAR Community Controlled Rheumatology Program (COPCORD) Committee. According to the COPCORD program, 2,350 students from a certain village in Chenghai District, Shantou City, Residents over the age of 16 to investigate. The Logis-tic regression analysis was used to observe the effect of age, gender, body mass index, waist-hip ratio, occupation and other factors on STR. Results The prevalence of STR was 5.74%. The prevalence rates of male and female were 3.50% and 7.88% respectively. The corrected prevalence rates were 3.39% for male and 6.82% for female, with a total prevalence of 5.22%. The prevalence increased with increasing age. Humeral epicondylitis, rotator cuff tendonitis, plantar pain syndrome, tenosynovitis of the flexor tendon, plantar fasciitis common STR, the prevalence rates were 0.98%, 0.89%, 0.72%, 0.68%, 0.68% Only two cases of fibromyalgia syndrome were found. Logistic regression analysis showed that age, gender and occupation (manual workers) were the relevant risk factors for STR. Conclusions STR in rural areas of Shantou is common, but fibromyalgia syndrome is rare. Age, sex, occupation may be risk factors for STR.