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目的验证中国南、北方风湿痛患病率是否存在差异,探讨风湿痛的相关危险因素。方法采用中国-国际抗风湿联盟(ILAR-China)协作的风湿病流行病学调查或COPCORD的程序,分别于1987、1992、1995和1999年对4个人群16岁以上成人共10 638人进行调查,收集分析有关风湿痛资料。结果4次调查风湿痛患病率分别为11.6%、12.5%、16.0%和19.8%。虽然十多年来风湿痛患病率有所升高,但仍显著低于北京1987年ILAR-China调查的结果。最常见的受累部位是腰,其次为膝和颈;腰痛多见于农村居民,颈痛则多见于教师人群;无电梯的楼房居民膝痛患病率显著高于平房居民;本地区人群骨密度峰值高于包括北京在内的13省市;风湿痛患病率高的人群求医意识较强,但各人群残疾率的差异无统计学意义。结论汕头地区风湿痛患病率低于北京市;社会经济环境、纬度、性别、年龄、职业、人体功效学、营养、骨密度以及求医意识等,可能是风湿痛的相关危险因素。
Objective To verify the prevalence of rheumatic pain in southern and northern China, and to explore the related risk factors of rheumatic pain. Methods A total of 10 638 adults aged 16 years and over were surveyed in 1987, 1998, 1995, and 1999 respectively by epidemiological survey of rheumatism or COPCORD in collaboration with China-International Anti-Rheumatic Union (ILAR-China) , Collect and analyze rheumatism data. Results The prevalence rates of rheumatic pain in four surveys were 11.6%, 12.5%, 16.0% and 19.8%, respectively. Although the prevalence of rheumatic pain has risen for more than a decade, it is still significantly lower than the 1987 ILAR-China survey in Beijing. The most common site of involvement is the waist, followed by the knee and neck; low back pain more common in rural residents, neck pain is more common in the teacher population; residents without building elevator knee pain prevalence was significantly higher than the cottage residents; the population peak BMD Higher than that of 13 provinces and cities including Beijing. People with high prevalence of rheumatoid pain were more aware of medical treatment, but there was no significant difference in disability rate among different groups. Conclusions The prevalence of rheumatic pain in Shantou area is lower than that in Beijing. The socio-economic environment, latitude, sex, age, occupation, body function, nutrition, bone mineral density and medical attention may be the risk factors of rheumatic pain.