你的位置:主页 > 骨质增生 > 骨质增生的病因病理 >

诱发骨质增生疾病的7大元凶

来源:上海西郊骨科医院 点击:124次 发布时间:2013-12-28 14:09

    骨质增生症是中老年的常见病、多发病,关于本症的命名,国内外尚未统一.多发生于45岁以上的中年人或老年人,男性多于女性, 常用腰部活动的重体力劳动者及运动员易患此病,常见于膝、髋、腰椎、颈椎、肘等关节.


    Bone hyperplasia is a common disease, frequently occurring in the elderly, named about this disease at home and abroad, has not been unified. Multiple was born 45 years old middle-aged or older, more men than women, heavy manual workers and athletes used lumbar activity of susceptible, is most common in the knee, hip, lumbar, cervical vertebra, elbow and other joints


    1.增龄


    1 Age


    增龄是骨关节炎发病强的危险因素.据尸检资料显示,从20岁开始约5%的人关节就有退行性改变,40岁时,几乎90%的负重关节都有或多或少的骨质增生改变.张乃铮教授等人对北京郊区2063名成人进行膝骨关节炎的流行病学调查发现:16~30岁、31~40岁、41~50岁、51~60岁、大于60岁年龄组有膝痛者中,骨赘阳性率分别为10.6%、14.8%、29 .1%、5 1.8%、78.5%,随年龄增长而阳性率增高.


    Aging is a risk factor for osteoarthritis of the strongest. According to autopsy data display, from the age of 20, about 5% of the joint is degenerative changes, at the age of 40, almost 90% of the weight-bearing joints are more or less osteoproliferation changes. It is found that epidemiology Professor Zhang et al Naizheng knee osteoarthritis in the suburbs of Beijing 2063 people: 16~30 years old, 31~40 years, 41~50 years, 51~60 years old, more than 60 year old age group with knee pain, the positive rate of osteophytes were 10.6%, 14.8%, 29.1%, 51.8%, 78.5%, and the positive rate increased with age


    2.性别


    2 gender


    从资料分析在50岁以前女性比男性的发病率高2倍,但50岁以后两性之间基本相等.


    From an analysis of the data before the age of 50 in women than in men with high incidence of 2 times, but the basic equality between the sexes. After the age of 50


    3.职业


    3 occupation


    骨质增生与职业有关.长期反复使用某些关节,可引起这些关节患病率的增加.如铸造工的肘、肩关节,矿工的脊柱和膝关节,装卸工的膝踝关节,驾驶员的肩关节,修理工和纺织工的腕关节,芭蕾舞演员的跖趾关节,长期从事刺绣、打字、伏案工作者的颈椎关节,较长时间站位工作如纺织女工、营业员、迎宾小姐、仪仗队员的跟骨.以上这些部位因长期反复做某一个动作,使该关节经常受到磨损而引起骨质增生.


    Bone hyperplasia associated with the occupation. Some of the joints in the long-term repeated use, can cause an increase in the prevalence of these joints, elbow, shoulder joint such as casting, miner's spine and knee, handling of knee and ankle joint, the shoulder joint, the repairman and weavers of the wrist joint, a ballet dancer of the metatarsophalangeal joint, has long been engaged in embroidery, typing, desk workers cervical joint position, long time work such as textile workers, salesmen, hostess, an honor guard of the calcaneus. These sites because of long-term repeated a certain action, so that the joints are often wear caused by hyperosteogeny


    4.种族遗传因素


    The 4 race, genetic factors


    英国人发病率高而西非人低,白种人比黑种人发病率高.


    The British had the highest incidence and West African people minimum, white than black high incidence


    5.体质因素


    5 physical factors


    体重增加使本来已遭磨损的退化的关节再加上重荷,当然就更容易破坏,所以骨质增生多发生于负重较大的髋、膝、跟骨、腰椎等部位.另外由于关节疼痛,患者不自觉地限制了活动而使体重增加,相互影响又加重了关节病变.


    Weight gain to the already by the wear of the degeneration of the articular plus the weight, of course, is more prone to damage, so the bone hyperplasia occurs in the weight-bearing larger hip, knee, heel, and lumbar vertebrae. As joint pain, patients do not consciously limiting activity and lead to weight gain, mutual influence and increased joint lesions


    6.姿势不良


    The 6 poor posture


    如长期伏案工作者、睡眠姿势不良、枕头不合适者颈椎骨质增生的发病率特别高.这是由于椎旁肌肉韧带及关节的平衡失调,张力大的一侧易造成不同程度的劳损,并由于颈椎的部分肌肉呈持续紧张状态,久之这些肌肉发生静力性损伤,进而使颈椎发生退行性改变而引起骨质增生.


    As long as a desk workers, sleeping posture, the pillow is not suitable the incidence of cervical bone hyperplasia rates are particularly high. This is because the paraspinal muscle ligament and joint imbalance, Zhang Li is easy to cause different degrees of strain, and the cervical part of the muscle was continued tension, the muscle is static injury for a long time, and cervical degenerative changes caused by hyperosteogeny


    7.骨内静脉瘀滞及骨内高压


    7 intraosseous venous stasis and intraosseous hypertension


    以骨内静脉瘀滞为特征的骨血流动力异常及由此所致的骨内高压,使动静脉压差缩小、营养血管的血流减少、营养障碍可引起骨小梁坏死,骨细胞坏死可能是诱发关节炎的原因之一.


    Bone hemodynamic intraosseous venous stasis for the characteristics of the anomalies and caused by intraosseous pressure, make the arteriovenous pressure difference, the nutrient vessels of the blood flow, reduce the nutrition disorders can be caused by bone little Liang Huaisi, bone necrosis may be one of the causes of arthritis

 

在线服务

  • 医院环境