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[1]張高魁,郝陽泉,許鵬,等.基于西安市紅會醫(yī)院股骨頭壞死數據庫分析酒精性股骨頭壞死患者的特征[J].中醫(yī)正骨,2020,32(09):35-38.
　ZHANG GaoKui,HAO Yangquan,XU Peng,et al.Analysis of the characteristics of patients with alcohol-induced osteonecrosis of the femoral heads(ONFH)based on Xi’an Honghui Hospital ONFH database[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2020,32(09):35-38.
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基于西安市紅會醫(yī)院股骨頭壞死數據庫分析酒精性股骨頭壞死患者的特征()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期數:
2020年09期
頁碼:
35-38
欄目:
調查研究
出版日期:
2020-09-20

文章信息/Info

Title:
Analysis of the characteristics of patients with alcohol-induced osteonecrosis of the femoral heads(ONFH)based on Xi’an Honghui Hospital ONFH database
作者:
張高魁1; 郝陽泉2;  許鵬2; 王秋霞1; 李歡歡1; 胡守業(yè)2; 魯超2
(1.陜西中醫(yī)藥大學附屬醫(yī)院,陜西 咸陽 712000; 2.西安交通大學附屬紅會醫(yī)院,陜西 西安 710054)
Author(s):
ZHANG GaoKui1; HAO Yangquan2; XU Peng2; WANG Qiuxia1; LI Huanhuan1; HU Shouye2; LU Chao2
1.The Affiliated Hospital of Shanxi University of Chinese Medicine,Xianyang 712000,Shanxi,China2.Honghui Hospital Affiliated to Xi’an Jiaotong University,Xi’an 710054,Shanxi,China
關鍵詞:
股骨頭壞死;  酒精性飲料;  流行病學研究;  數據庫
Keywords:
femur head necrosis;  alcoholic beverages;  epidemiologic studies;  database
摘要:
目的:分析酒精性股骨頭壞死患者的特征。方法:從西安市紅會醫(yī)院股骨頭壞死數據庫(http://ggt.keyanyun.com/index.php/login)中選擇2014年1月至2017年12月就診的酒精性股骨頭壞死患者的病例資料進行分析,包括性別、年齡、職業(yè)、文化程度、體質量指數、發(fā)病側別、病程(出現癥狀至確診為股骨頭壞死的時間)、ARCO分期、首次就診醫(yī)院等級、飲酒史、每周飲酒量、每周飲酒次數、日常飲酒(500 mL)價格和飲酒種類等信息。結果:①基本情況。2014年1月至2017年12月在西安交通大學醫(yī)學院附屬紅會醫(yī)院就診的非創(chuàng)傷性股骨頭壞死患者共1062例,其中酒精性股骨頭壞死患者306例,最終納入256例。以男性患者為主,男255例(99.61%)、女1例(0.39%); 年齡多為41～60歲,其中41～50歲56例(21.88%)、51～60歲172例(67.19%); 職業(yè)為農民的患者121例(47.27%),職員和工人各37例(14.45%); 文化程度以高中及以下文化程度為主,其中高中66例(25.78%)、初中76例(29.69%)、小學72例(28.13%); 體質量正常(18.5 kg·m-2≤體質量指數<25 kg·m-2)的患者186例(72.66%),肥胖前期(25 kg·m-2≤體質量指數<30 kg·m-2)的患者55例(21.48%)。②發(fā)病情況。雙側發(fā)病患者17例(69.92%); 病程多在6個月以內,其中病程≤3個月的患者105例(41.02%)、病程4～6個月的患者69例(26.95%); ARCO分期多屬中晚期,其中Ⅲ期180髖(41.38%)、Ⅳ期138髖(31.72%); 首次就診醫(yī)院為一級醫(yī)院的患者97例(37.89%),三級醫(yī)院的患者123例(48.05%)。③飲酒情況。飲酒史16～20年的患者93例(36.33%),飲酒史6～10年的患者66例(25.78%); 每周飲酒量≤500 mL的患者139例(54.30%,中位數400 mL),每周飲酒量501～1000 mL的患者55例(21.48%); 每周飲酒2次的患者132例(51.56%),每周飲酒3次的患者51例(19.92%),每周飲酒4次的患者27例(10.55%); 日常飲酒價格多低于120元,其中飲酒價格≤15元的患者82例(32.03%)、16～30元的患者68例(26.56%)、31～60元的患者27例(10.55%)、61～90元的患者32例(12.50%)、91～120元的患者31例(12.11%); 飲酒種類以白酒和啤酒為主,其中飲用白酒的患者169例(66.02%)、飲用啤酒的患者28例(10.94%)、飲用白酒和啤酒的患者56例(21.88%)。結論:酒精性股骨頭壞死患者的特征包括,以41～60歲的男性體力勞動者多見、以高中及以下文化程度為主、體質量多正常、多有6～20年的飲酒史、每周飲酒2～4次、每周飲酒量多>400 mL、日常飲酒(500 mL)價格多低于120元、飲酒種類以白酒和啤酒為主、多為雙側發(fā)病、病程多≤6個月、就診時病情多已進展至中晚期(ARCOⅢ、Ⅳ期)。
Abstract:
To analyze the characteristics of patients with alcohol-induced ONFH.Methods:The medical records of patients with alcohol-induced ONFH who were treated in Honghui Hospital Affiliated to Medical College of Xi’an Jiaotong University from January 2014 to December 2017 were selected out from Xi’an Honghui Hospital ONFH database(http://ggt.keyanyun.com/index.php/login),and the patients’ information,including gender,age,occupation,education degree,body mass index(BMI),onset side,disease course,ARCO stage,first-visit hospital grade,alcohol-drinking history,weekly alcohol consumption,weekly drinking times,daily alcohol-drinking(500 mL)price and type,were extracted from their medical records and were analyzed.Results:A total of 1062 non-traumatic ONFH patients were treated in Honghui Hospital Affiliated to Medical College of Xi’an Jiaotong University from January 2014 to December 2017,in which 306 cases with alcohol-induced ONFH were found.After screening,256 cases were included in the final analysis.The patients include 255 males(99.61%)and 1 female(0.39%),and mainly ranged in age from 41 to 50 years(56 cases,21.88%)and 51 to 60 years(172 cases,67.19%).Their occupation were mainly farmers(121 cases,47.27%),employees(37 cases,14.45%)and workers(37 cases,14.45%),and education degrees were mainly senior high school(66 cases,25.78%),junior high school(76 cases,29.69%)and primary school(72 cases,28.13%).There were 186(72.66%)patients with normal BMI(18.5 kg/m(2)≤BMI<25 kg/m(2)),and 55(21.48%)pre-obese(25 kg/m(2)≤BMI<30 kg/m(2))patients.Most patients(179 cases,69.92%)got bilateral ONFH and the disease courses were less than 3 months in 105 cases(41.02%)and ranged from 4 to 6 months in 69 cases(26.95%).The ONFH mainly belonged to ARCO phaseⅢ(180 hips,41.38%)and phase Ⅳ(138 hips,31.72%)and the patients were firstly treated in first-grade hospitals(97 cases,37.89%)and third-grade hospitals(123 cases,48.05%).The alcohol-drinking history ranged from 16 to 20 years in 93 cases(36.33%)and ranged from 6 to 10 years in 66 cases(25.78%).The weekly alcohol consumption were less than 500 mL(Median=400 mL)in 139 cases(54.30%)and ranged from 501 to 1000 mL in 55 cases(21.48%).The frequency of drinking alcohol were twice a week in 132 cases(51.56%),three times a week in 51 cases(19.92%)and four times a week in 27 cases(10.55%).The prices of daily alcohol-drinking were mostly lower than 120 RMB.The alcohol-drinking prices ranged from 1 to 15 RMB for 82 cases(32.03%),16 to 30 RMB for 68 cases(26.56%),31 to 60 RMB for 27 cases(10.55%),61 to 90 RMB for 32 cases(12.50%)and 91 to 120 RMB for 31 cases(12.11%).The drink were mainly white spirits and beer.and 169 cases(66.02%)drank white spirit,28 cases(10.94%)drank beer and 56 cases(21.88%)drank white spirits and beer.Conclusion:The patients with alcohol-induced ONFH are mainly characterized by male manual workers aged from 41 to 60 years,senior high school education and below,normal BMI,6-20 years of alcohol-drinking history,2-4 times of weekly drinking,>400 mL of weekly alcohol consumption,<120 RMB of daily alcohol-drinking(500 mL,mainly include white spirits and beer),bilateral onset,≤6 months of disease course and ARCO phaseⅢandⅣ.

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　ZHANG Chao,YAO Chen,SHEN Jirong.[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(09):20.

備注/Memo

備注/Memo:
基金項目:中國博士后科學基金項目(2017M613179); 陜西省長安郭氏骨傷學術流派工作室建設項目(陜中醫(yī)藥發(fā)[2018]40號)
通訊作者:魯超 E-mail:[email protected]
更新日期/Last Update: 2020-09-20