颈椎间盘退行性疾病患者Modic改变与性别、年龄、劳动量、体重及颈肩痛关系

发布时间：2018-06-08 07:57

本文选题：颈椎退行性疾病 + Modic改变　；参考：《长春中医药大学》2015年硕士论文

【摘要】：目的：通过这项研究进一步证实颈椎间盘退变患者Modic改变的相关因素。从而为颈椎退行性疾病的基础与临床研究提供有力的帮助。方法：回顾性分析我院我科住院及门诊2013/1-2014/12期间的293例颈椎退行性疾病患者的MRI片,根据这些患者Modic改变类型,记录患者的性别、年龄、体重、身高、劳动量等相关影响因素,探讨Modic改变与劲肩痛的关系。使用流行病学当中病因研究的统计学分析方法。结果：共293例颈椎退行性疾病患者当中56例患者64个椎间盘发生Modic改变,发生率为19.11%；其中男性患者25例、占Modic改变患者中的44.64%,女性患者31例、占Modic改变患者中的55.36%,；伴有明显劲肩痛者188例,无明显劲肩痛者105例,劲肩痛发生率为64.16%；颈椎Modic改变患者当中ModicⅠ型患者8例、ModicII型患者36例、ModicⅢ型患者12例,发生率分别是2.73%、13.31%和4.09%；发生劲椎Modic改变的节段为C2/3 3个、C3/4 10个、C4/5 16个、C5/6 26个、C6/7 9个,发生率由C2/3至C6/7依次为4.69%、15.62%、25%、40.63%、1 4.06%；①研究结果”女性患者和男性患者Modic改变相比较P0.05无统计学意义”(见表1)；②研究结果”x2=7.304, 青年组和中年组相比较P=0.0070.05,有统计学意义；x2＝19.102, 青年组和老年组相较P=0.0000.05,有统计学意义；中年组和老年组颈椎Modic改变发生率相比较P=0.470.05无统计学意义”(见表2)； ③本研究结果”x2=9.496,正常组和超重组相比较P=0.0020.05,有统计学意义； x2=8.706,正常组和肥胖组相比较P=0.0030.05,有统计学意义；x2＝1.060, 超重组和肥胖组相比较P=0.3030.05,无统计学意义” (见表3)；④本研究结果“x2=12.796, 轻体力组和中体力组相比较P=0.0310.05,有统计学意义；x2＝7.436, 中体力组和重体力组相比较P=0.0040.05,有统计学意义；x2=11.346,轻体力组和重体力组相比较P=0.0130.05,有统计学意义。”(见表4)；⑤发生颈椎Modic改变病例共56例、其中伴有劲肩痛的病例47例,发生率为83.92%；无颈椎Modic改变的病例共237例、其中发伴有劲肩痛的病例141例,发生率为59.49%,研究Modic改变与劲肩痛关系结果也表明”有Modic改变和无Modic改变相比较P=0.0010.05,有统计学意义”(见表5)；⑥研究结果表明”x2=0.002,Ⅰ型和Ⅱ型相比较P=0.9630.05,无统计学意义；x2=0.056, Ⅱ型和Ⅲ型相比较P=0.8130.05,无统计学意义：x2=0.996, Ⅰ型和Ⅲ型相比较P=0.3190.05,无统计学意义”(见表6)结论：本研究结果发现颈椎Modic改变跟性别之间没有统计学意义。颈椎退变患者当中,颈椎Modic改变与年龄、BM工指数、劳动量及劲肩痛具有一定的相关性。颈椎Modic改变是发生劲肩痛的一个重要的因素,劲肩痛跟各型Modic改变无统计学意义。
[Abstract]:Objective: to further confirm the related factors of Modic changes in cervical disc degeneration patients and to provide a powerful help for the basis and clinical study of cervical degenerative diseases. Methods: a retrospective analysis of the MRI tablets of 293 patients with cervical degenerative diseases during the hospitalization and outpatient 2013/1-2014/12 of our hospital was reviewed. Modic changes in the patient's sex, age, weight, height, labor and other related factors, and explore the relationship between Modic changes and shoulder pain. Statistical analysis of the etiological study in epidemiology. Results: a total of 293 patients with 56 cervical spondylosis patients had 64 intervertebral disc changes in 64 intervertebral discs. The rate was 19.11%, of which 25 were male patients, 44.64% of Modic changes, 31 in women, 55.36% in Modic, 188 with severe shoulder pain, 105 with no obvious shoulder pain and 64.16% for shoulder pain, 8 in Modic type I patients, 36 in ModicII type, and Modic III in Modic change patients. The incidence of 12 patients was 2.73%, 13.31% and 4.09%, and the segments of the Modic changes were C2/3 3, C3/4 10, C4/5 16, C5/6 26 and C6/7 9, and the incidence from C2/3 to C6/7 was 4.69%, 15.62%, 25%, 40.63%, 14.06%; (1) there was no statistical significance compared to P0.05 in female patients and male patients compared with P0.05. See Table 1); (2) the results of study "x2=7.304, the youth group and the middle-aged group were compared P=0.0070.05, statistically significant; x2 = 19.102, the youth group and the elderly group were compared with P=0.0000.05, statistically significant; the incidence of cervical Modic changes in the middle age group and the elderly group was compared with P=0.470.05 no systematic significance" (see Table 2); (3) the results of this study "x2= 9.496, the normal group and the super recombination compared with P=0.0020.05, statistically significant; x2=8.706, the normal group and the obesity group compared P=0.0030.05, statistically significant; x2 = 1.060, the super recombination and obesity group compared P=0.3030.05, no statistically significant "(see Table 3); (4) the results of this study, x2=12.796, light physical and medium physical groups compared P =0.0310.05, statistically significant; x2 = 7.436, the middle physical and heavy manual groups compared P=0.0040.05, statistically significant; x2=11.346, the light physical group and the heavy manual group compared P=0.0130.05, statistically significant. (see Table 4); 5 cases of cervical Modic changes in a total of 56 cases, including 47 cases with severe shoulder pain, the incidence of 83.92 %; there were 237 cases of Modic without cervical spondylosis, of which 141 cases with shoulder pain were found, the incidence was 59.49%. The results of the study of Modic changes and the pain of the shoulder pain showed that "there was a Modic change compared with P=0.0010.05 without Modic" (see Table 5). (6) the results showed that "x2=0.002, type I and type I compared P=. 0.9630.05, no statistical significance; x2=0.056, type II and type III compared P=0.8130.05, no statistical significance: x2=0.996, type I and type III comparison P=0.3190.05, no statistical significance. (see Table 6) conclusion: the results of this study found that there is no statistical significance between the cervical Modic changes and sex. Cervical vertebra degeneration patients with Modic modification. Change has a certain correlation with age, BM index, labor and pain in the shoulder. The Modic change of the cervical spine is an important factor in the occurrence of hard shoulder pain, and there is no statistical significance for the changes of the shoulder pain and the changes of the various types of Modic.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R681.5

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