摘要
目的通过对河南省漯河市中老年类风湿关节炎(RA)人群的调查,了解其患病相关情况及危险因素。方法通过两阶段整群抽样的方法及问卷、实验室检测的方法对漯河地区中老年进行调查,根据2010年ACR/EULAR提出的RA分类标准对RA人群病情及其危险因素进行评估。结果本研究中占漯河地区中老年RA的患病人群为0.71%。65~69岁和60~64岁两个年龄段的患病率较高,分别为1.13%和0.84%,标化后分别为1.10%和0.77%;从性别上看男性患病率显著低于女性(0.39%vs.1.02%,χ~2=10.513,P=0.001)。RA的重要危险因素包括:性别(女性)、居住楼层(一层)、吸烟和遗传因素,危险度分别为2.595(95%CI:1.407~4.784)、2.967(95%CI:1.749~6.307)、1.682(95%CI:1.206~4.039)和1.934(95%CI:1.286~4.130)。结论漯河市中老年人群RA的患病率为0.71%,女性、居住一层、吸烟和遗传因素是其危险因素。
Objective To explore the prevalence and risk factors of rheumatoid arthritis in the elderly population in Luohe District of Henan Province.Methods A total of 8 610 residents were recruited for a two-stage cluster sampling survey through a questionnaire of RA according to 2010ACR/EULAR classification criteria.Physical examinations and blood tests were performed.Results The crude prevalence rate of rheumatoid arthritis was 0.76% and 0.71% for standardized prevalence in the middle-aged and elderly population in Luohe city.In the age distribution,of the 65-69 years old and 60-64 years old prevalence were 1.13%and 0.84%,and 1.10%and 0.77%for standardized prevalence respectively.Sexual comparisons showed a significantly higher prevalence in females than in males（1.02%vs.0.39%,χ2=10.513,P=0.001）.The risk factors of RA were：sex（female）,living floor（first floor）,smoking and genetic factors,risk were 2.595（95%CI：1.407-4.784）,2.967（95%CI：1.749-6.307）1.682（95%CI：1.206-4.039）and 1.934（95%CI：1.286-4.130）.Conclusion The prevalence of rheumatoid arthritis was 0.71% in the middle-aged and elderly population in Luohe city.The risk factors involve women,smoking and hereditary factors
出处
《重庆医学》
CAS
北大核心
2017年第6期802-804,共3页
Chongqing medicine
基金
河南漯河医学高等专科学校自然科学基金项目(2013-S-LMC10)
