十堰市中青年颈椎病影响因素的病例对照研究

发布时间：2017-12-28 19:25

本文关键词：十堰市中青年颈椎病影响因素的病例对照研究　出处：《中国社会医学杂志》2016年01期 　论文类型：期刊论文

【摘要】：目的探讨十堰市中青年颈椎病发病的影响因素,为颈椎病的病因学研究及预防和治疗提供客观依据。方法选择湖北省十堰市太和医院脊柱外科2009年9月-2014年7月间收治的首次诊断为颈椎病的患者100例为病例组,以同期医院确诊的非颈椎病患者100例为对照组。通过文献查阅自行设计的结构式调查问卷,以现场询问的方式对其进行问卷调查,收集两组的相关信息。应用Epidata 3.1建立数据库,应用SPSS 18.0软件进行单因素及多因素条件Logistic回归分析。结果单因素非条件Logistic回归分析显示,与颈椎病有关联的因素为职业、颈部负重、咽喉部感染、环境通风情况、是否颈部受寒、睡眠姿势、工作姿势、情绪紧张。多因素Logistic回归分析结果显示,颈椎病的影响因素为工作姿势不当、睡眠姿势不当、情绪紧张、环境通风情况差或颈部受寒、咽喉感染。结论培养良好生活习惯,减少长时间伏案工作,注意工作及睡眠姿势,保持良好情绪,积极参加体育锻炼,预防和治疗咽喉感染可以减少颈椎病的发生。
[Abstract]:Objective to investigate the factors affecting the incidence of cervical spondylosis in Shiyan, and to provide an objective basis for the etiology of cervical spondylosis and the prevention and treatment of cervical spondylosis. Methods a total of 100 patients diagnosed as cervical spondylosis who were admitted to the spine surgery department of Shiyan Taihe Hospital in Hubei in July September 2009 -2014 were selected as the case group. 100 cases of non cervical spondylosis diagnosed in the same period were selected as the control group. Through the literature review the self-designed structural questionnaire, the questionnaire survey was carried out in the way of field inquiry, and two groups of relevant information were collected. Epidata 3.1 was used to establish a database and SPSS 18 software was used for single factor and multiple factor Logistic regression analysis. The results of single factor non conditional Logistic regression analysis showed that factors associated with cervical spondylosis for occupation, weight, neck, throat infections, environmental ventilation, and whether the neck cold sleep posture, posture, emotional tension. Multivariate Logistic regression analysis showed that the influencing factors of cervical spondylosis as working posture, sleep posture, emotional stress, poor ventilation environment or neck cold, throat infection. Conclusion to cultivate good habits, reduce the long time working, pay attention to work and sleep posture, maintain good mood, and actively participate in physical exercise, prevention and treatment of throat infection can reduce the incidence of cervical disease.
【作者单位】：华中科技大学同济医学院公共卫生学院;十堰市太和医院;
【分类号】：R681.55
【正文快照】： 颈椎病是一种常见病与多发病,又被称为颈椎综合征。由于颈椎骨质增生、颈椎间盘退变及其继发性等改变,包括韧带、骨质增生、椎间盘突出、后纵韧带钙化和继发性椎管狭窄等,刺激或压迫相邻组织如脊髓、神经、血管和食管等组织,并引起相应症状或体征者称为颈推病[1]。一般认为颈

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