西北高寒区某装甲部队腰痛流行病学调查

发布时间：2019-02-15 11:36

【摘要】：目的调查腰痛在西北高寒区某装甲部队中的情况。方法重点分析坦克乘员腰痛的流行病学特征及相关因素,利用自制问卷进行横断面调查,其中坦克乘员1 367人为研究组,非坦克乘员1 089人为对照组。对检出患腰痛的调查对象进行标准化体检、X线腰椎拍片,采用改良Oswestry和Roland-Morris腰痛评价表收集腰痛相关数据。对组间数据进行对比分析。结果所有调查对象整体腰痛发生率为31.5%;其中坦克乘员组腰痛发生率为41.3%,非坦克乘员组19.2%,前者明显高于后者(P0.01)。不同类型腰痛的发生率,以及各军龄段腰痛的发生率比较,坦克乘员组流行相对危险度均明显高于非坦克乘员组(P0.05)。坦克乘员组腰痛失能评分也高于非坦克乘员组(P0.01)。经logistic逐步回归对问卷中可能与腰痛相关的自变量进行筛选,在坦克乘员组腰痛回归模型中变量有兵龄、训练中搬运重物、训练中被迫不良体位、吸烟;非坦克乘员组回归模型中变量是兵龄、训练强度、驻地环境气候、社会心理因素。结论该地区装甲部队驻军腰痛发生率较高,尤其坦克乘员的发生率及流行危险度明显高于非坦克乘员,影响坦克乘员发生率较高不是某单一因素,而是以职业相关因素为主的多个因素的综合作用结果。
[Abstract]:Objective to investigate the prevalence of low back pain in an armored unit in the northwest high and cold region. Methods Epidemiological characteristics and related factors of low back pain in tank crew were analyzed, and cross-sectional investigation was carried out with self-made questionnaire. Among them, 1 367 tank crew members were studied group and 1 089 non-tank crew members were control group. The patients with low back pain were examined by standardized physical examination, X ray lumbar vertebrae film, and the related data of low back pain were collected by modified Oswestry and Roland-Morris low back pain evaluation table. The data between groups were compared and analyzed. Results the overall incidence of low back pain in all subjects was 31.5, in which the incidence of low back pain in tank crew group was 41.3 and that in non-tank crew group was 19.2.The former was significantly higher than the latter (P0.01). The incidence of low back pain in different types and the incidence of low back pain in different military age groups were significantly higher than those in non-tank crew group (P0.05). The low back pain disability score of tank crew group was also higher than that of non-tank crew group (P 0.01). By logistic stepwise regression, the independent variables which may be related to low back pain in the questionnaire were screened. In the regression model of low back pain in the tank crew group, the variables included age of soldiers, carrying heavy objects during training, being forced into bad posture and smoking during training. In the regression model of non-tank crew group, the variables are the age of soldiers, the intensity of training, the environmental climate of the resident, and the social and psychological factors. Conclusion the incidence of low back pain in armored troops in this area is higher, especially the incidence and prevalence risk of tank crew is obviously higher than that of non-tank crew. The high incidence rate of tank crew is not a single factor. It is the result of the comprehensive action of many factors mainly related to occupation.
【作者单位】：兰州军区兰州总医院骨科兰州军区兰州总医院骨科兰州军区兰州总医院骨科兰州军区兰州总医院骨科兰州军区兰州总医院骨科兰州军区兰州总医院骨科
【分类号】：R82

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