2010年北京地区18岁及以上人群腰痛患病率研究  

A cross-sectional study on low back pain among adults in Beijing

作　　者：吕艳伟[1] 田伟[2] 刘亚军[2] 肖斌[2] 韩骁[2] 

机构地区：[1]北京市创伤骨科研究所,100035 [2]北京积水潭医院脊柱外科

出　　处：《中华骨科杂志》2013年第1期60-64,共5页Chinese Journal of Orthopaedics

基　　金：国家科技部课题（2012BA10B02）

摘　　要：目的了解2010年北京地区18岁及以上人群腰痛患病现状。方法研究设计为横断面研究，采用多阶段抽样方法，于2010年12月对北京地区18岁及以上的常住居民腰痛患病情况进行问卷调查，计算腰痛总患病率、地区和人群（性别、年龄）腰痛患病率。不同性别地区患病率的比较采用卡方检验；不同年龄腰痛患病率采用趋势卡方检验；年龄组内某几组年龄患病率的比较采用分割卡方检验。结果3860例研究对象纳入分析。腰痛年患病率为26．09％（1007／3860）。腰痛时点患病率为6．11％（236／3860）。腰痛持续时间〈3个月的患病率为16．76％（647／3860）；3-6个月的患病率为4．12％（159／3860）；≥6个月的患病率为5．21％（201／3860）。男性患病率（23．03％）低于女性（28．83％）；中心城区（20．88％）低于郊县城区（29．88％）和农村（27．54％）；对于男性，郊县患病率最高（28．42％），农村次之（23．47％），中心城区最低（17．48％）。对于女性，郊县和农村的患病率均高于中心城区。年龄越高，患病率越高，55~岁组男性患病率最高，60~岁组女性患病率最高；中心城区和农村6（卜岁组患病率最高（34．43％和48．68％），郊区55-岁组最高（47．26％）。结论北京地区18岁及以上人群腰痛年患病率、时点患病率较高，慢性腰痛更突出，且分布范围广，腰痛在北京地区处于流行状态；腰痛患病率存在郊县和农村地区较高，女性较高，随年龄增加而升高的分布特征。Objective To investigate the prevalence of low back pain among adults in Beijing. Methods The study design was a cross-sectional study, and the multi-stage sampling was used. A question- naire survey was conducted in December 2010 to investigate prevalence of low back pain in adults who had lived in Beijing for over 6 months. Total prevalence and prevalence by region, gender and age were calculat- ed. The chi-square test was used to compare results. Results A total of 3860 people were enrolled in this study. The one-year prevalence of low back pain was 26.09% （1007/3860）, and the point prevalence was 6.11% （236/3860）. The prevalence of different duration of low back pain （3 months, 3-6 months, ≥6 months） was 16.76% （647/3860）, 4.12% （159/3860） and 5.21% （201/3860）, respectively. The prevalence of females （28.83%） was higher than that of males （23.03%）. The prevalence among different regions was signif- icantly different. Prevalence in suburb and rural area （29.88% and 27.54%, respectively） was higher than that in urban area （20.88%）. No matter males or females, the prevalence in urban area was the lowest （17.48% and 24.00%, respectively）. With the increasing of age, the prevalence of low back pain became higher, In males, the prevalence of 55 to 59 years group was highest, while 60 to 64 years group was highest in females. In urban area and rural area, the prevalence of 60 to 64 years group was highest （34.43% and 48.68%, respectively）, while 55 to 59 years group was highest in suburb （47.26%）. Conclusion The one- year and point prevalence of low back pain among adults in Beijing are higher, with wide distribution. The chronic low back pain is more common. The prevalence of low back pain is higher in suburb and rural area. Females have a higher prevalence than males. Moreover, the prevalence of low back pain increases with age.

关 键 词：横断面研究 腰痛 患病率 

分 类 号：R6[医药卫生—外科学]