颈椎病患病特征的流行病学研究  

Epidemiologic research on the clinical featuresof patients with cervical spondylosis

作　　者：王冰[1] 段义萍[2] 张友常[2] 王启明[2] 黄兆民[3] 樊振勇[3] 卓尚丕[4] 

机构地区：[1]中南大学湘雅二医院脊柱外科,长沙410011 [2]中南大学湘雅二医院门诊办,长沙410011 [3]中南大学湘雅二医院康复科,长沙410011 [4]中南大学湘雅二医院放射科,长沙410011

出　　处：《中南大学学报（医学版）》2004年第4期472-474,共3页Journal of Central South University ：Medical Science

摘　　要：目的 :调查人群中颈椎病的患病特征。方法 :对 1 0 0 9位不同职业、年龄和性别者进行问卷表和X线照片调查。结果 :颈椎病患者中 ,干部、技术员、财会人员分别为 78.83% ,74 .2 1 %和 5 8.70 % ;工作紧张、长期伏案者占 5 9.75 % ;喜高中枕者占 80 .0 3%。X线照片病变部位C5～ 640 .79% ,C4～ 52 6 .2 9% ,C6～ 71 8.2 0 % ;椎体前后缘骨刺 6 5 .75 % ,椎间隙变窄 36 .87% ,椎间孔变窄 2 9.1 9% ,生理曲度异常 31 .0 3%。结论 :通过对颈椎病发病危险因素的流行病学研究 ,可以提高对颈椎病的认识 。Objective To investigate the clinical features of patients with cervical spondylosis.Methods Questionnaires were provided and X rays were examined in 1 009 people with different occupations,ages,and sexes. Results All the patients were diagnozed as cervical spondylosis.Of them,cadres occupied 78.83%,technologists made up 74.21%, and accountants 58.70%;nervous and long time working people accounted for 59.75%;high and middle pillow lovers occupied 80.03% .Imaging features:most of the degenerative changes of cervical spine were located between C 5～6 (40.79%),C 4～5 ( 26.29% ), and C 6～7 (18.20%). Patients with vertebral osteophyte were 65.75%, intervertebral space narrow 36.87%, intervertebral foramen narrow 29.19%, and physiological curve change 31.03%. Conclusion This epidemiologic investigation is important, which can further understand the cause of cervical spondyiosis, and strengthen its prevention and treatment.

关 键 词：颈椎病 流行病学研究 X线照片 调查 椎体 预防和治疗 椎间孔 人群 

分 类 号：R681.55[医药卫生—骨科学] R274.915.5[医药卫生—外科学]