高原地区驻军官兵腰椎间盘突出症流行病学调查及分析  

Epidemiological survey of lumbar disc herniation in soldiers at high altitude

作　　者：李智钢[1] 王伟[1] 高文魁[1] 闫自强[1] 邓永忠[1] 王德元[1] 高翠玲[1] 白兰君[1] 顾焕华[1] 徐鹏[1] 

机构地区：[1]解放军第四医院骨科,青海西宁810007

出　　处：《西北国防医学杂志》2013年第1期27-28,共2页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的:调查高原地区部队官兵腰椎间盘突出症(lumbar disc herniation,LDH)患病情况。方法:问卷调查海拔2 200～4000 m地区驻军官兵2 861人,其中步兵1 343人,17～20岁558人,21～25岁755人,≥26岁30人。汽车兵1 518人,17～20岁595人,21～25岁760人,≥26岁163人。筛选出腰腿疼痛患者,通过临床检查确诊腰椎间盘突出症患者,按兵种和年龄段分类统计。结果:本资料确诊为腰椎间盘突出症患者792例,年龄17～48岁,平均24.2岁。整体发病率27.7%。步兵患病325例,患病率为24.20%。其中17～20岁104例,21～25岁210例,≥26岁11例,患病率分别为18.64%,27.81%,30.67%。汽车兵患病467例,患病率为30.76%。其中17～20岁69例,21～25岁296例,≥26岁102例,患病率分别为11.60%,38.95%,62.58%。结论:受高原环境因素影响,高原地区部队官兵腰椎间盘突出症的发病率较高,发病年龄偏低,不同兵种、不同年龄段发病率不一,预防发病应采取相应的措施。Objective： To investigate the incidence of lumbar disc herniation （LDH） in soldiers at high altitude. Methods： An epidemiological survey was carried out among the soldiers at high altitude （2 200 -4 000 m）. LDH was identified by clinical and radiologic examinations, and was classified and analyzed according to type of the service （infantrymen and trucker soldiers） and age. Results： Among the 2 861 investigated soldiers （1 343 infantrymen and 1 518 trucker soldiers ）, 27.7 % were diagnosed as LDH. The incidence of trucker soldiers （30.76%） was higher than that of the infantrymen （24.20%）. The oldest group （age〉26） had the highest incidence in both of the infantrymen and trucker soldiers groups. The LDH incidence of the infantrymen （ 18.64% ） in 17 -20 age group was higher than that of the trucker soldiers （ 11.60% ）, but was lower in 21 -25 age group （27.81% vs 38.95% ） and the oldest age group （36.67% vs 62.58% ）. Conclusion： The soldiers at high altitude have a higher incidence of LDH than those at plain. There is obvious differece in the incidence of LDH with different age between the infantrymen and trucker soldiers.

关 键 词：腰椎间盘突出症 高原 军人 流行病学调查 

分 类 号：R681.53[医药卫生—骨科学]