兰州市452份不同年龄段颈椎病患者调查问卷多因素Logistic回归分析

Hospital
of
Traditional Chinese
Medicine, Lanzhou
730050,
Gansu
Province, China;
3Department
of
Orthopedics, Gansu
People's Hospital,
Lanzhou 730000,
Gansu Province, China; 4Department
Hospital of Gansu
Agricultural
University, Lanzhou
730070,
Gansu
Province, China
qigp@
Supported by: a grant
from
Lanzhou
Science
and
Technology Bureau,
Abstract AIM: Cervical spondylosis shows a low-age trend. This study investigated the causes of cervical spondylosis in patients at different ages in Lanzhou to explore effective preventive measures. METHODS: Using self-designed questionnaire, the data of 500 patients with cervical spondylosis admitted in Gansu Hospital of Traditional Chinese Medicine between February 2004 and February 2005 were collected by the professional staff from Gansu Hospital of Traditional Chinese Medicine and other 3 organizations. The data included gender, age, occupation, time of final diagnosis, causes of disease and aggravation, and examination results. 452 complete questionnaires were collected, and divided into 3 groups according to age: <30 years group (n=96), 30-50 years group (n=200), and > 50 years group (n=156). Correlation between causes and age were analyzed using rank correlation test, χ2 test and Logistic regression analysis. RESULTS: ①Ten main causes were analyzed from one-way analysis: work with head bowing, natural deterioration, neck external injury, neck caught cold, high-pillow sleeping, humidity of the environment, cervical growth factor, nervous mind, overtiredness, and pharyngitis. ②There were significant differences in neck external injury and cervical growth factor in patients < 30 years old compared with the others (P < 0.01). ③Work with head bowing, high-pillow sleeping, and nervous mind were the main causes in patients aged 30-50 years compared with the others (P < 0.01). ④Natural deterioration and neck caught cold were the main causes of people aged > 50 years compared with the others (P < 0.01). CONCLUSION: External injury on the neck, cervical growth factor, working action and natural deterioration are main causes of cervical spondylosis in young, middle-aged and old patients.
1 甘肃农业大学医 院针灸科，甘肃省 兰州市 730070； 2 甘肃省 中医院针灸科，甘 肃省兰州市 730050；3 甘肃省 人民医院骨科，甘 肃省兰州市 730000；4 兰州市 城关区第二医院 骨科，甘肃省兰州 市 730020
张雅萍，女，汉族， 1968 年生，甘肃 省庆阳市人，1990 年甘肃中医学院 毕业，主治中医 师，主要从事颈椎 病的康复治疗研 究。 qigp@
1Department
of
Acupuncture and
Moxibustion,
Hospital of Gansu
Agricultural
University, Lanzhou
730070,
Gansu
Province, China;
2Department
of
Acupuncture and
Moxibustion, Gansu
No. 07-56*
Received: 2007-09-21 Accepted: 2007-12-04
ISSN 1673-8225 CN 21-1539/R CODEN: ZLKHAH
2947

张雅萍，等. 兰州市 452 份不同年龄段颈椎病患者调查问卷多因素 Logistic 回归分析
摘要 目的：颈椎病的发生呈现低龄化的趋势，为了探讨有效的预防措施，调查分析了兰州市不同年龄段颈椎病患者的发病原因。 方法：采用自行设计的调查表，由甘肃省中医院等 4 个医疗机构中的相关专业人员负责收集资料，对 2004-02/ 2005-02 年到 上述医院就诊的颈椎病患者 500 人进行了详细的登记（性别、年龄、职业、确诊时间、颈椎病诱发和加重的主要原因、检查 结果）。共收集到完整调查表 452 份，按年龄分为< 30 岁组 96 人、30~50 岁组 200 人、>50 岁组 156 人。采用等级相关、 χ2 检验以及 Logistic 回归方法分析各种诱因与各年龄段间的相关性。 结果：①对引发颈椎病的 10 种主要诱因经单因素分析后，按相关度大小依次为：长期低头工作、自然退变、颈部外伤、颈部 受凉、高枕睡眠、潮湿的环境、颈椎发育性因素、精神紧张、过度疲劳、咽喉炎。②颈椎发育性因素和颈部外伤，< 30 岁的颈 椎病患者与其他两个年龄段相比，差异有显著性意义（P < 0.01）。③长期低头工作、高枕睡眠、精神紧张，30~50 岁的颈 椎病患者与其他两个年龄段相比，差异有显著性意义（P < 0.01）。④自然退变、颈部受凉，>50 岁的颈椎病患者与其他两 个年龄段相比，差异有显著性意义（P < 0.01）。 结论：外伤和颈椎发育性因素、工作行为因素、自然退变因素分别是青、中、老年颈椎病患者的主要诱因。 关键词：颈椎病；年龄组；回归分析；组织构建
兰州市科技局项 目资助（07-56）*
中图分类号:R587.1 文献标识码:A 文章编号:1673-8225
(2008)15-02947-04
收稿日期：2007-09-21 修回日期：2007-12-04 (07-50-9-5200/W·A)
0 引言
由于电脑的普及使用，颈椎病患者越来越 多，且日益年轻化，为了针对其发病原因采取有 效的预防措施，作者与兰州市几家医疗单位联 合，对不同年龄段颈椎病患者的患病特征进行了 调查分析。
of
Orthopedics,
Second Hospital of
Chengguan District,
Lanzhou 730020,
Gansu Province,
China
Zhang
Ya-ping,
Attending physician,
Department
of
Acupuncture and
Moxibustion,
中国组织工程研究与临床康复 第 12 卷 第 15 期 2008–04–08 出版 Journal of Clinical Rehabilitative Tissue Engineering Research April 8, 2008 Vol.12, No.15
Hale Waihona Puke 基础医学兰州市452份不同年龄段颈椎病患者调查问卷多因素Logistic回归分析*
张雅萍，尚亚婷，刘英，姚金珍，来进花. 兰州市 452 份不同年龄段颈椎病患者调查问卷多因素 Logistic 回归分析[J].中国组 织工程研究与临床康复，2008，12(15):2947-2950 [/zglckf/ejournal/upfiles/08-15/15k-2947(ps).pdf]
Zhang YP, Shang YT, Liu Y, Yao JZ, Lai JH. Questionnaire of cervical spondylosis in 452 patients at different ages from Lanzhou: Multiple Logistic regression analysis.Zhongguo Zuzhi Gongcheng Yanjiu yu Linchuang Kangfu 2008;12(15):2947-2950(China) [/zglckf/ejournal/upfiles/08-15/15k-2947(ps).pdf]