在日本的关节骨关节炎的生命过程流行病学:一个多中心,横截面研究
Taishi Sato1, Satoshi Yamate1, Takeshi Utsunomiya1
1Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
The Journal of bone and joint surgery. American volume
|April 16, 2024
概括
在20世纪70年代,日本的一项促进新生儿自然部定位的运动显著减少了部发育性形 (DDH) 治疗需求. 这导致成年后关节骨关节炎 (OA) 的病例减少,可能减少未来的关节手术需求.
科学领域:
- 整形外科 整形外科 整形外科
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 日本的部发育性形 (DDH) 发病率在1972-1973年围产期教育运动后显著下降.
- 该活动宣传了新生儿自然曲腿的姿势.
- 这项研究调查了这项运动对成年人关节骨关节炎 (OA) 的长期影响.
研究的目的:
- 描述关节骨质炎在青少年和成年患者的生命过程流行病学.
- 评估关节骨质炎与DDH初级预防活动暴露之间的关联.
主要方法:
- 包括从12个核心医院在2022年诊断的新关节OA患者.
- 儿童DDH治疗史的估计趋势,使用出生年份.
- 在1973年以前和之后出生的患者之间比较严重的部脱发症的患病率.
主要成果:
- 分析了1,095名患者 (1,381名部);73.8%的患者因部发育不良而患有二次性OA.
- 在1973年以后出生的患者中,与以前出生的人相比,有DDH治疗史的部显著下降.
- 在1973年后的组中,严重的潜 (Crowe II-IV型) 患病率为2.4%,而在1973年之前的组中为11.1% (OR,0.20;p < 0.001).
结论:
- 由于关节扩张不良而导致的二次关节OA仍然是日本成人关节OA的主要原因.
- 50年来,围产期教育运动可能改善了DDH的环境因素,减少了儿童治疗和严重的脱.
- 这种预防策略可能会减少晚年复杂部手术的需要.
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