肩胛肌筋膜炎致病因素的调查分析  

A survey of the etiological factor of scapular myofasciitis

作　　者：赵勇[1] 方维[1] 张宽[1] 刘春雨[2] 

机构地区：[1]中国中医科学院望京医院,北京100102 [2]北京市朝阳区第二医院,北京100026

出　　处：《中医正骨》2014年第9期33-35,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：北京市科技计划首都临床特色应用研究项目(Z111107058811062)

摘　　要：目的：探讨肩胛肌筋膜炎的致病因素。方法：在北京市随机选择志愿者作为调查对象，采用自行设计的调查问卷进行调查。排除合并颈部及肩胛部位其他疾病的患者或合并内脏疾病可产生相同及相似症状者。对按要求完成调查问卷者，采用根据《中医病证诊断疗效标准》中颈肩部疾病的诊断标准制定的肩胛肌筋膜炎诊断标准判断其是否患有肩胛肌筋膜炎，分析肩胛肌筋膜炎的可能致病因素。结果：本次调查共发放调查问卷150份，回收150份。其中136名志愿者符合要求，男56名，女80名。年龄20～40岁，中位数30．5岁。按照自拟的诊断标准，76名志愿者患有肩胛肌筋膜炎。肩胛肌筋膜炎患者和非肩胛肌筋膜炎者在工作时颈部是否前倾、工作时手臂位置是否固定、生活环境是否潮湿、工作间歇时是否锻炼、每天使用电脑时间是否≥8h、每天伏案工作时间是否≥8 h、夏季每天使用空调时间是否≥8 h方面比较，差异均有统计学意义（χ2＝10．667，P＝0．001；χ2＝8．437，P＝0．004；χ2＝14．120，P＝0．000；χ2＝13．303，P＝0．000；χ2＝9．420，P＝0．002；χ2＝10．850，P＝0．001；χ2＝15．118，P＝0．000）。结论：工作时颈部前倾、手臂位置固定、生活环境潮湿、工作间歇时缺乏锻炼、每天使用电脑时间过长和伏案时间过长，以及夏季使用空调时间过长，都与肩胛肌筋膜炎的发病有关。Objective：To explore the etiological factor of scapular myofasciitis.Methods：The respondents were randomly selected from the volunteers in Beijing city,and they were surveyed by using self-designed questionnaire.The patients with other cervical and scapular diseases and the patients with the same or similar symptoms generated from combined visceral disease were excluded.The respondents who completed the questionnaires as requested were judged whether they had scapular myofasciitis or not according to the scapula myofasciitis diagnosis standard in accordance with the diagnostic criteria of neck and scapular diseases which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes,and the possible etiological factor were analyzed.Re-sults：Totally 1 50 questionnaires were distributed to the volunteers and 1 50 were returned and 1 36 met the requirements.The volunteers consisted of 56 males and 80 females,which ranged in age from 20 to 40 years（Median=30.5 yrs）.Seventy-six volunteers were diag-nosed with scapular myofasciitis according to the self-compiled diagnostic criterion.There were statistical difference between volunteers with scapular myofasciitis and volunteers without scapular myofasciitis in many factors including anteverted neck at working hours,fixed arm at working hours,damp living environment,exercises during the working breaks,working time on computer,working time at desk and time sta-ying in the air conditioning environment in summer（χ2 =1 0.667,P=0.001;χ2 =8.437,P=0.004;χ2 =1 4.1 20,P=0.000;χ2 =1 3.303, P=0.000;χ2 =9.420,P=0.002;χ2 =1 0.850,P=0.001;χ2 =1 5.1 1 8,P=0.000）.Conclusion：Such factors are concerned with the morbidity of scapular myofasciitis as the anteverted neck at working hours,fixed arm at working hours,damp living environment,less exerci-ses during the working breaks,too much time on computer or at desk and too much time in the air conditioning environment in summer.

关 键 词：筋膜炎 肩胛肌 致病因素 问卷调查 

分 类 号：R686[医药卫生—骨科学]