【摘要】 背景:颈椎骨关节炎是使颈椎发生障碍的疾病,严重影响中老年人的生活质量,目前国内研究相对较少。目的:了解广州地区中老年人症状性颈椎骨关节炎患病率。方法:抽取广州地区具有当地正式户口的40岁及以上居民进行颈椎骨关节炎的流行病学问卷调查。对有症状者进行X射线投照,摄取颈椎正侧位片。颈椎骨关节炎的最终诊断为最严重节段有颈椎骨关节炎临床症状合并影像学Kellgren & Lawrence分级Ⅱ级及以上者。结果与结论:共分析1342名40岁以上人群资料,症状性颈椎骨关节炎总患病率为23.2%,女性多于男性(30.2%vs.15.5%,P<0.001)。颈椎骨关节炎患病率随年龄增长而升高(P<0.001);颈5~6节段骨关节炎患病率为21.0%,明显高于周围节段;城市地区患病率明显高于农村地区(P<0.001)。调查结果说明广州地区症状性颈椎骨关节炎患病率较高,应当引起重视。更多还原

【Abstract】 BACKGROUND: Cervical spine osteoarthritis is a kind of disease that affects cervical joint function which seriously influences quality of life of middle-aged and senior patients and is relatively less investigated in domestic. OBJECTIVE: To understand the distribution of prevalence of symptomatic cervical spine osteoarthritis (SOA) in middle-aged and senior residents in Guangzhou. METHODS: Residents who had formal residence certification and over 40 years old were selected and received SOA epidemiology investigation. X-ray inspections were conducted in cervical positive and lateral sides at who had symptoms of cervical spine osteoarthritis. The final diagnostic criteria for symptomatic cervical spine osteoarthritis was osteoarthritis symptoms and Kellgren&Lawrence classification. RESULTS AND CONCLUSION: Among 1 342 cases, the total incidence of symptomatic cervical spine osteoarthritis in the middle-aged and senior residents was 23.2%. And male incidence and female incidence were 15.5% and 30.2%, respectively, with a significant difference between them (P < 0.001). The incidence of SOA was increased as the age got increased (P < 0.001). The prevalence of SOA in C5-6 was 21.0%, which was much higher than the other spinal level. There was a significant difference in the prevalence of cervical SOA between urban and rural areas (P < 0.001). This suggested that the prevalence of symptomatic cervical SOA was very high in the middle-aged and senior residents in Guangzhou, and we should pay much attention to it.更多还原