2015-2017年北京市成年骨关节炎患者主要合并症的流行病学研究

陈泓伯; 吴俊慧; 武轶群; 王紫荆; 吴瑶; 吴涛; 王梦莹; 王斯悦; 王小文; 王伽婷; 于欢; 胡永华

doi:10.16016/j.1000-5404.202101143

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2015-2017年北京市成年骨关节炎患者主要合并症的流行病学研究

专题报道：常见慢性非传染性疾病的预防与控制 | 更新时间：2026-01-09

- 2015-2017年北京市成年骨关节炎患者主要合并症的流行病学研究
- Epidemiology of major comorbidities in adult patients with osteoarthritis in Beijing from 2015 to 2017
- 第三军医大学学报 2021年43卷第12期页码：1103-1108
- 作者机构：
  
  1.100191 北京，北京大学公共卫生学院流行病与卫生统计学系
  2.100191 北京，北京大学护理学院
- 作者简介：
  
  [胡永华，E-mail: yhhu@bjmu.edu.cn HU Yonghua, E-mail: yhhu@bjmu.edu.cn
- 基金信息：
  
  国家自然科学基金(81703291);国家自然科学基金(81872695)
- DOI：10.16016/j.1000-5404.202101143
  中图分类号： R181.3;R587.1;R684.3
- 收稿：2021-01-18，
  
  修回：2021-02-20，
  
  纸质出版：2021-06-30
- 稿件说明：
移动端阅览
陈泓伯, 吴俊慧, 武轶群, 等. 2015-2017年北京市成年骨关节炎患者主要合并症的流行病学研究[J]. 第三军医大学学报, 2021,43(12):1103-1108.

Hongbo CHEN, Junhui WU, Yiqun WU, et al. Epidemiology of major comorbidities in adult patients with osteoarthritis in Beijing from 2015 to 2017[J]. Journal of Third Military Medical University, 2021, 43(12): 1103-1108.
陈泓伯, 吴俊慧, 武轶群, 等. 2015-2017年北京市成年骨关节炎患者主要合并症的流行病学研究[J]. 第三军医大学学报, 2021,43(12):1103-1108. DOI： 10.16016/j.1000-5404.202101143.

Hongbo CHEN, Junhui WU, Yiqun WU, et al. Epidemiology of major comorbidities in adult patients with osteoarthritis in Beijing from 2015 to 2017[J]. Journal of Third Military Medical University, 2021, 43(12): 1103-1108. DOI： 10.16016/j.1000-5404.202101143.

摘要

目的

探究北京市成年骨关节炎患者合并症的流行病学现况及相关因素。

方法

利用2015-2017年北京市所有定点医疗机构的就诊数据，收集成年骨关节炎患者的相关资料，对成年骨关节炎患者2型糖尿病、抑郁症、高血压、血脂异常等常见合并症的患病情况进行统计描述与分析，比较不同社会人口特征的人群中合并症患病情况的差异。

结果

共纳入3 048 304例成年骨关节炎患者，年龄(58.2±14.5)岁，女性占62.2%。患有至少一种常见合并症的骨关节炎患者占79.8%，其中男性患者出现合并症(82.6%)的比例高于女性(78.1%)。骨关节炎患者合并症患病率在不同年龄组间差异有统计学意义(

0.05)，年龄越大，合并症患病率越高。农村骨关节炎患者合并症的患病率(82.7%)高于城市(78.8%)。骨关节炎患者合并症的患病率从高到低依次为高血压68.0%，血脂异常63.8%，2型糖尿病36.3%，抑郁症8.2%。男性患者比女性患者更容易伴发的合并症依次为高血压、血脂异常、2型糖尿病，女性患者比男性患者更容易伴发抑郁症。有1种、2种、3种及以上合并症的骨关节炎患者所占比例分别为17.7%，30.7%、31.4%。男性(

=1.15

95%

: 1.14-1.16)、≥55岁(

=1.07

95%

: 1.07-1.07)、农村地区(

=1.66

95%

: 1.64-1.67)、从事体力劳动(

=1.02

95%

: 1.01-1.02)的骨关节炎患者患合并症的风险较高。

结论

北京市成年骨关节炎患者血脂异常、高血压、2型糖尿病等合并症的患病率较高，应重点关注中老年及农村地区的骨关节炎患者。

Abstract

Objective

To explore the epidemiological status and related factors for comorbidities of osteoarthritis (OA) among adult residents in Beijing.

Methods

Based on the medical records of all designated medical institutes in Beijing from 2015 to 2017

relevant data of adult OA patients were collected

and the prevalence of major comorbidities such as type 2 diabetes

depression

hypertension and dyslipidemia in this population was statistically described and analyzed

and the differences among populations with different sociodemographic characteristics were compared.

Results

A total of 3 048 304 adult OA patients were included

with a mean age of 58.2±14.5 years

and females accounting for 62.2%. 79.8% of the subjects had at least 1 comorbidity

with the males (82.6%) having a higher prevalence than the females (78.1%). The prevalence of OA comorbidities was increased with age and statistically significant among different age groups (

0.05). The prevalence in the patients living in the rural areas (82.7%) was

higher than that in urban areas (78.8%). The top 4 most common comorbidities were hypertension (68.0%)

dyslipidemia (63.8%)

type 2 diabetes (36.3%)

and depression (8.2%). The males were more likely to suffer from hypertension

dyslipidemia and type 2 diabetes

while the females from depression. The proportion of OA patients with 1

3 or more kinds of comorbidities was 17.7%

30.7%

31.4% respectively. The risk factors for OA comorbidities included: male (

=1.15

95%

: 1.14~1.16)

≥55 years old (

=1.07

95%

: 1.07~1.07)

living in rural areas (

=1.66

95%

: 1.64~1.67)

and taking manual labor (

=1.02

95%

: 1.01~1.02).

Conclusion

The adult OA patients in Beijing have relatively high prevalences of comorbidities

including dyslipidemia

hypertension

type 2 diabetes and other diseases. More attention should be paid to the middle-aged and elderly patients and those in rural areas.

关键词

Keywords

references

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