西藏藏族居民大骨节病发病及影响因素分析
Correlation between life factors and Kaschin-Beck disease in Tibet residents
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摘要: 目的 探讨大骨节病的发生与生活因素的相关关系,为大骨节病病因研究和防治提供科学依据.方法 自制调查表,以面谈方式对拉萨市林周县、墨竹工卡县和山南地区桑日县大骨节病部分病区中905人进行一般情况、生活因素问卷调查.结果 病区内家庭经济收入普遍偏低,月收入<300元占81.6%,Spearm an等级相关分析结果表明,家庭收入与大骨节病病情呈负相关(r=-0.106,P<0.01);大骨节病病人中97%为文盲和小学文化程度以下的成人人群中;病区内被调查者饮酒率为22.76%,其中男性为24.2%,女性为21.8%,饮酒者中大骨节病检出率为38.8%,不饮酒者中大骨节病检出率为20.1%,饮酒与大骨节病呈正相关(r=0.191,P<0.05);病区受检人群中大骨节病检出率以饮用泉水组居多,占32.89%,X线诊断10例阳性者中,50%为饮用泉水组.结论 大骨节病的发生与病区人群的生活因素密切相关.Abstract: Objective To explore the correlation between living factors and Kasch in Beck disease for porviding scientific infarmation on Kasch in Beck disease prevention.Methods Aself designed questionnaire was administered in 905 participants to obtain information on general condition and living factorsn with face to face interview.The partic ipants were from Lhundup,Medro Gongkar county of Lhasa municipa lity,and Sangri county of Lhoka Region.Results The household in come was negatively correlated with Kaschin Beck disease(r=-1.106,P<0.01);99.5% of the Kadchin Bced disease patients were illiterate or with low education.Spearmans rank analysis showed that alcohol drinkng was positively correlated with Kasch in Beck diseas(r=0.191,P<0.05).The highest rate of Kasch in Beck disease was observed in the residents drinking spring water.Conclusion There is a colse link between the occurrence of Kashin Beck disease and living factors.
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