高海拔地区义诊中肢体畸形残疾的现状调查
DOI:
作者:
作者单位:

1.四川省成都市新都区人民医院;2.四川省甘孜州理塘县藏医院;3.中国医学科学院北京协和医院骨科;4.中国医学科学院北京协和医学院群医学及公共卫生学院

作者简介:

通讯作者:

中图分类号:

基金项目:

成都市医学科研课题(编号:2022534);中国医学科学院北京协和医学院群医学学科建设课题,北京协和医学院教育基金会课题


Epidemiological study of physical disability and limb deformity in high altitude area
Author:
Affiliation:

1.Xindu District People&2.amp;3.#39;4.&5.s Hospital, Chengdu, Sichuan;6.Tibetan Hospital, Litang County, Ganzi Prefecture, Sichuan Province, Litang;7.Department of Orthopedics,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences, Beijing;8.School of Medicine and Public Health, Chinese Academy of Medical Sciences/Peking Union Medical College, Beijing

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的 通过对理塘县肢体畸形残疾的流行病学调查,探索高海拔地区肢体畸形的主要病因病种,为制定切实可行的防治策略提供数据支持。方法 2021年5月-12月,以7次巡回诊疗,1次义诊和1次筛查为基础,采取个人访谈、问卷调查以及现场查体等方式,随机对四川省理塘县各类肢体残疾畸形被调查者的基本情况进行信息收集,记录肢体畸形相关数据以及每位患者的年龄、性别、身高、体重、文化程度、职业、发病过程以及治疗过程等,并对影响因素进行初步分析。结果 本研究共检查记录530例被调查者信息,其中肢体残疾者364人,其中男141人,女223人;平均年龄54.2岁(3-90岁),藏族363人,汉族1人。按职业类别,农业357人,非农业7人。按病因统计,骨关节炎253例,占69.51%,其中膝骨关节炎201例,占79.45%,50-59岁组最多,占34.83%,其次是60-69岁组,占28.86%;神经系统障碍后遗肢体畸形45例,占12.36%;先天性肢体畸形29例,占7.97%;代谢性骨病所致骨关节炎22例,占6.04%;意外伤害肢体畸形15例,占4.12%。结论 理塘县肢体残疾畸形主要源于骨关节炎、神经系统障碍后遗症以及先天性肢体畸形等,可能与高海拔地区高寒缺氧环境、藏区牧民劳作方式及当地医疗条件有限等有关。

    Abstract:

    Objective To explored the main causes and diseases of limb deformity in high altitude areas through the epidemiological investigation of limb deformity and disability in Litang County,and to provide data support for formulating practical prevention and control strategies. Methods From May to December 2021, the basic information of the respondents with various kinds of limb disabilities in Litang County were collected randomly by means of personal interview, questionnaire survey and on-site physical examination in the processing of 7 rounds of diagnosis and treatment, 1 free clinic and 1 screening.The data related to limb deformity and the age, gender, height, weight, education level, occupation, onset process and treatment process of each participates were recorded and summarized. Results A total of 530 cases were examined and recorded,among them, there were 364 participants with physical disabilities,including 141 males, 223 women; the average age is 54.2 years(3-90 years).There were 363 Tibetan people and 1 Han person. As for Career,there are 357 participants in agriculture and 7 participants in non-agriculture.According to the cause statistics, 253 cases of osteoarthritis(69.51%), including 201 cases of knee osteoarthritis(79.45%), the 50-59 age group was the most(34.83%), followed by the 60-69 age group(28.86%); 45 cases (12.36%) were limb deformity secondary to nervous system disorders; 29 cases were congenital limb deformities(7.97%); 22 cases (6.04%) were osteoarthritis caused by metabolic osteopathy; 15 cases (4.12%) suffered from limb deformity due to accidental injury. Conclusion Limb deformity in Litang County is mainly caused by osteoarthritis, sequelae of nervous system disorders and congenital limb deformities, which may be related to the cold and anoxic environment in high altitude areas, the working style of Tibetan herdsmen and the limited local medical conditions.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2022-06-24
  • 最后修改日期:2022-09-25
  • 录用日期:2022-12-20
  • 在线发布日期:
  • 出版日期: