膝关节疼痛主诉患者膝骨关节炎的危险因素评估

Yousef Mohammadi Kebar, A. Azami, Tahereh Ekrasarian, F. Pourfarzi, M. Negaresh
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引用次数: 0

摘要

背景与目的:膝关节骨性关节炎是社会上引起疼痛和残疾的重要原因。本研究探讨膝关节疼痛患者发生原发性膝骨关节炎的危险因素及其与膝骨关节炎的关系。方法:87例患者纳入研究,年龄匹配。病例由年龄小于50岁的膝关节疼痛女性患者组成,对照组选择年龄小于50岁的膝关节疼痛且无骨关节炎影像学表现的患者。结果:本研究显示,膝关节骨性关节炎的发病率与体重指数显著相关(p =0.001)。膝关节骨性关节炎和ESR之间的关系不显著,但CRP升高(p值为0.01)与膝关节骨性关节炎的风险增加约3.5倍相关。随着受教育程度的提高,膝关节骨性关节炎发病率降低(p =0.022)。增加的昼夜门诊活动与膝关节骨关节炎的增加显著相关(p =0.032)。在对膝关节骨关节炎进行的评估中,使用的浴室类型、楼梯的使用和居住房屋之间没有统计学上的显著关系。结论:膝关节骨性关节炎与体重指数、文化程度、CRP指数、昼夜活动水平有关。建议体重指数异常的人群减肥、运动、改善生活方式,以减少膝关节骨关节炎和残疾的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Risk Factors for Knee Osteoarthritis in Patients with Knee Pain Complaints
Background & objectives: Knee osteoarthritis is an important cause of pain and disability in the community. The present study investigated the risk factors for primary osteoarthritis of the knee in patients with knee pain and their relationship with knee osteoarthritis. Methods: 87 patients were included in the study and were matched in terms of age. Cases consisted of female patients less than 50 years of age with knee pain and the control group was selected from patients under 50 years of age with knee pain and no radiographic findings of osteoarthritis. Results: This study showed that the rate of osteoarthritis of the knee was significantly related to body mass index ( p =0.001). The relationship between knee osteoarthritis and ESR was not significant, but an increase in CRP with a p -value of 0.01 was associated with a risk of approximately a 3.5-fold increase in knee osteoarthritis. With increasing education, the rate of knee osteoarthritis decreased ( p =0.022). The Increased circadian outpatient activity was significantly associated with increased knee osteoarthritis ( p =0.032). In performed assessments on osteoarthritis of the knee, there was no statistically significant relationship between the type of bathroom used, the use of stairs, and residential houses. Conclusion: Knee osteoarthritis has a relationship with body mass index, Education level, CRP index, and circadian activity level. it is recommended to lose weight in people with abnormal body mass index, exercise, and improve their lifestyle to reduce the incidence of knee osteoarthritis and disability.
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