首页|米林高寒高海拔地区人群膝骨关节炎超声特征及相关影响因素筛选

米林高寒高海拔地区人群膝骨关节炎超声特征及相关影响因素筛选

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目的 研究超声诊断米林高寒高海拔地区膝骨关节炎(KOA)的价值及筛选该病的相关影响因素。方法 2022年3-5月对米林县内膝关节不适人群进行临床及超声检查。结果 受试者共608人,男200人,女408人;平均年龄(57。86±11。36)岁,病程7 d~42年,中位病程4年。纳入膝关节1216个,其中确诊971个,男性31。62%,女性68。38%;左侧486人,右侧485人,双侧478人。各年龄组总体组间差异有统计学意义。超声诊断KOA的敏感度为0。93,特异度为0。36,阳性预测值为0。85,阴性预测值为0。57。姿势及饮酒分别与有无KOA组间差异有统计学意义;BMI、吸烟和饮食与KOA组间差异均无统计学意义。结论 在米林高寒高海拔地区,超声对膝骨关节炎具有较高敏感度;姿势及饮酒与罹患该病相关,BMI、吸烟及饮食则无明确关联。
Ultrasound characteristics of knee osteoarthritis and related influencing factors in a population in the alpine and high-altitude region of Milin
Objective To study the value of ultrasound in diagnosing knee osteoarthritis (KOA)in the alpine and high-altitude areas of Milin and screen its relevant influencing factors.Methods Clinical and ultrasonograph-ic examinations were performed from March to May 2022 on people with knee discomfort within Milin County.Results A total of 608 subjects were enrolled,including 200 males and 408 females;their mean age was (57.86±11.36)years,disease duration was 7 days-42 years,and median disease duration was 4 years.A total of 1216 knees were included,of which 971 were diagnosed,including 31.62% male and 68.38% female;of which 486 were left-sided,485 right-sided and 478 bilateral.The differences between age groups were statistical-ly significant.The sensitivity of ultrasound diagnosis of KOA was 0.93,the specificity was 0.36,the positive predictive value was 0.85,and the negative predictive value was 0.57.There were statistically significant differ-ences in postural and alcohol consumption between groups with and without KOA;there were no statistically sig-nificant differences in BMI between the KOA groups;and there were no statistically significant differences in smoking and diet between groups with and without KOA.Conclusion Ultrasound is highly sensitive to knee osteo-arthritis in the alpine and high altitude region of Milin;posture and alcohol consumption were associated with the development of this disease,while BMI,smoking and diet were not clearly associated.

knee osteoarthritisultrasonographyalpine and high-altitude areasposturedrinking

唐亚群、陈伟文、旺堆、吕涛、加央扎西、谢文杰、张恒、黄静

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珠海市人民医院 超声影像科,广东 珠海 519000

米林县人民医院 外科,西藏 米林 860599

珠海市人民医院 创伤骨科,广东 珠海 519000

米林县人民医院 麻醉科,西藏 米林 860599

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膝骨关节炎 超声 高寒高海拔地区 姿势 饮酒

2024

遵义医科大学学报
遵义医科大学

遵义医科大学学报

CSTPCD
ISSN:2096-8159
年,卷(期):2024.47(11)