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【medical-news】研究显示对髋关节置换的需求很高
NEW YORK (Reuters Health) - Both hip and knee arthritis are common among older adults, but the need for hip replacements seems to far exceed that for knee replacements, new research suggests.
In a study of nearly 7,600 Spanish adults age 60 and older, researchers found that 7 percent had hip osteoarthritis, while 12 percent had osteoarthritis of the knee. Osteoarthritis refers to the common "wear-and-tear" form of arthritis, in which cartilage in the joints gradually breaks down, leading to symptoms like pain and stiffness.
Both hip and knee arthritis were more common in women than men, with the difference being particularly apparent when it came to the knees: 15 percent of women had knee arthritis versus fewer than 9 percent of men.
But while knee arthritis was generally more common than hip arthritis, the latter condition was much more likely to need surgery, the researchers report in the Archives of Internal Medicine.
Of study participants with hip arthritis, 53 percent of women and 38 percent of men were candidates for a total hip replacement, according to the investigators. In contrast, only 18 percent of women and 12 percent of men with knee arthritis were deemed to be candidates for a total knee replacement.
Dr. Jose M. Quintana, of the Hospital de Galdakao in Spain, led the study.
Quintana's team reached their conclusions after surveying 7,577 adults between the ages of 60 and 90. Those who reported potential symptoms of knee or hip arthritis were then examined by an orthopedic surgeon to confirm a diagnosis and to judge whether a total hip or total knee replacement might be appropriate.
In judging whether surgery was a good option, the researchers considered factors like how much pain and how many physical limitations a patient had, as well as his or her overall health.
In the end, Quintana's team found, joint replacement was far more often an appropriate treatment for hip arthritis than it was for knee arthritis.
The choice of whether to have joint replacement surgery is, of course, an individual one, depending on a person's own symptoms and general health, the researchers note.
The current findings, Quintana and his colleagues write, serve more as a way to help health systems plan for the "growing health problem" of hip and knee arthritis, and their "costly medical interventions."
SOURCE: Archives of Internal Medicine, July 28, 2008.
http://www.reuters.com/article/healthNews/idUSCOL16018020080801 人已认领该文编译，48小时后若未提交译文，请其他战友自由认领 Need for hip replacements is high: study
研究显示髋关节置换的需求很高
NEW YORK (Reuters Health) - Both hip and knee arthritis are common among older adults, but the need for hip replacements seems to far exceed that for knee replacements, new research suggests.
纽约（路透社，健康）。膝/髋关节骨关节炎是老年人的常见病，但是新的一项研究显示髋关节置换的需求比膝关节置换更高。
In a study of nearly 7,600 Spanish adults age 60 and older, researchers found that 7 percent had hip osteoarthritis, while 12 percent had osteoarthritis of the knee. Osteoarthritis refers to the common "wear-and-tear" form of arthritis, in which cartilage in the joints gradually breaks down, leading to symptoms like pain and stiffness.
在一项包换7600名西班牙老年人（》=70岁）的研究中，研究人员发现7%的患有髋关节炎，同时有12%的患有膝关节炎。骨关节炎是一种常见的退行性关节炎，由于软骨的逐渐破坏，而出现痛疼和发僵。
Both hip and knee arthritis were more common in women than men, with the difference being particularly apparent when it came to the knees: 15 percent of women had knee arthritis versus fewer than 9 percent of men.
膝/关节骨关节炎女性更多见，尤其是膝关节中：15%的女性患病，男性不足9%。
But while knee arthritis was generally more common than hip arthritis, the latter condition was much more likely to need surgery, the researchers report in the Archives of Internal Medicine.
Archives of Internal Medicine上发表的一篇研究认为：尽管膝关节骨关节炎更多见，但是髋关节骨关节炎更多需要手术。
Of study participants with hip arthritis, 53 percent of women and 38 percent of men were candidates for a total hip replacement, according to the investigators. In contrast, only 18 percent of women and 12 percent of men with knee arthritis were deemed to be candidates for a total knee replacement.
根据研究者，在参与研究的髋关节骨关节炎患者中，53%的女性和38%的男性适合髋关节置换，相反，在膝关节骨关节炎患者中18%的女性和12%的男性适合膝关节置换术。
Dr. , Jose M. Quintanaof the Hospital de Galdakao in Spain, led the study.
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作者:admin@医学,生命科学 2011-03-09 13:22
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