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題 名 | 肥胖與骨性關節炎的相關性 |
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作 者 | 詹美華; 林永福; | 書刊名 | 物理治療學會雜誌 |
卷 期 | 11 1986.11[民75.11] |
頁 次 | 頁4-8 |
分類號 | 416.61 |
關鍵詞 | 肥胖; 相關性; 骨性; 關節炎; |
語 文 | 中文(Chinese) |
中文摘要 | 臺北市立中興醫院骨科,自民國七十年年初設立膝關節特別門診至今,因膝部骨性關節炎而接受人工關節置換、脛骨高位切除術及Pridie手術的患者共137位。其中男性占46位,女性占91位,平均年齡53.9歲。137位患者中,屬於肥胖者88位(64.2),其中男性占34位(38.6),女性占54位(61.4)。整個系列46位男性患者當中,肥胖者占了73.9;91位女性患者當中,肥胖者去了59.3。在統計上整體來說,肥胖與骨性關節炎的關係是有統計上的意義(p<0.001);但分別說男、女患者而言,男性患者與肥胖亦有統計上的意義(P<0.001),女性患者則否(p>0.05)。雖然本篇的結論走肯定骨性關節炎的患者與肥胖有密切的關係。可是綜觀過去的文獻得知,肥胖是否會造成骨性關節炎,仍無很明確的定論。 |
英文摘要 | There is a prevalent view that obesity aggravates degenerative joint disease in man. Although there is little direct clinical documentation to support this view. The role of obesity as an etiological factor in osteoarthritis remains controversal. It is thought that excessive weight is a factor in promoting joint degeneration, and invariably it is recommended to the obese patients with osteoarthritis that he or she lose weight. The logic of this recommendation is irrefutable, but its basis in scientific fact is less clear. Knee special clinic of Taipei Municipal Chung-Hsin Hospital was held in 1981. From then on, there were 137 patients with osteoarthritic knee receiving operation. Although there were more other osteoarthritic patients, but authors wanted to make sure the "real osteoarthritic knee" to be studied, so excluded those patients who received conservative treatments. Among them, males were 46 cases, females were 91 cases. Eighty-eight cases of the total series were obese, including 34 males and 54 females. Statistically, the relationship between obesity and osteoarthritis, there was significant different (P<0.001) in total series and in male patients group but in female patients group, P>0.05, no significance was noted. In our series showed that there was a close relationship between obesity and osteoarthritis, but the past literature review, the role of body weight and obesity in degenerative arthritis remains unclear. Some authors reported an increased incidence of degenerative arthritis of the knee in obese individuals. Some authors reported the opposite opinions because their animal experiments were proved that no increase of osteoarthritis occurred from obesity produced by a relatively low-fat diet. The mechanism by which the high fat diet increased the joint disease is unknown, because neither obesity nor a high fat diet alone had a deleterious effect on the articulations of the mice. If we want to know the relationship between obesity and osteoarthritis, we must go on a new further study program to see whether all the obesities affect the articular surface, or something diet factors harm the joint articulation. Maybe someday we can find out the real relationship between the obesity and osteoarthritis. |
本系統中英文摘要資訊取自各篇刊載內容。