基于临床科研信息共享系统的神经根型颈椎病发病特征分析  

Analysis of Onset Features of Nerve Root Type Cervical Spondylosis:Based on Clinical Scientific Research Information Sharing System

作　　者：魏戌[1] 高云[1] 张兴平[1] 谢琪[2] 张润顺[3] 赵勇[1] 李金学[1] 高景华[1] 张世民[1] 张振宇[1] 虹娜[1] 贾鹰珏[1] 宋观礼[3] 王浩[1] 周红艳[1] 许根荣 

机构地区：[1]中国中医科学院望京医院,北京市100102 [2]中国中医科学院 [3]中国中医科学院广安门医院

出　　处：《中医杂志》2015年第19期1663-1666,共4页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局中医药行业科研专项(201207001-04);中国中医科学院科技创新团队建设项目(YS1304)

摘　　要：目的利用临床科研信息共享系统获取真实世界数据,了解神经根型颈椎病的发病特征。方法以中国中医科学院望京医院共享系统数据库中628例神经根型颈椎病住院与门诊患者为研究对象,通过临床科研信息共享系统对患者年龄、性别、病程、就诊节气、主要症状、入院时疼痛评定、颈椎功能障碍评定、中医证型情况进行提取,并将临床症状及中医证型进行标准化,对提取到的信息进行统计分析。结果患者年龄中位数为50岁,45~65岁年龄段患病比例最高,女性较男性发病率高,平均病程为1.8年。患者在大暑节气入院就诊最多,主要是夏、秋二季。以疼痛主诉就诊的患者占总例数的70%,单纯以麻木前来就诊的较少。患者多表现为中度疼痛,以颈项部位疼痛最为常见,同时中度颈椎功能障碍的患者较为多见。中医辨证为气滞血瘀证的比例最高,占51.43%,其次是风寒痹阻证。风寒痹阻证患者的颈椎功能障碍、疼痛平均分值最高。结论神经根型颈椎病以中老年患者多见,女性多于男性,病程较长,与节气关系明显。患者就诊时多以疼痛为主诉,颈项部疼痛多见,疼痛程度与颈椎功能障碍程度偏于中等。中医证型以气滞血瘀证为主,风寒痹阻证患者颈椎功能障碍、疼痛程度相对较重。Objective To explore the onset features of nerve root type cervical spondylosis by obtaining real world data adopting clinical scientific research information sharing system. Methods Take 628 inpatients and out- patients with nerve root type cervical spondylosis from sharing system database of Wangjing Hospital, China Academy of Chinese Medical Sciences as research object. Extract patients＇ age, gender, course, visiting solar term, main symptoms, pain assessment on admission, cervical dysfunction assessment and Chinese medicine syndromes by clini- cal scientific research information sharing system. Standardize clinical symptoms and Chinese medicine syndromes. Make statistics analysis on the extracted information Results The median of patients＇ age was 50. Top illness ratio was in the age of 45 to 65. Incidence of females was higher than that of males. Average course was 1.8 years. The most solar term of visiting or on admission was Great Heat, mainly summer and autumn. The most main symptom was pain, 70% of all cases. Few patients visited hospital for numbness alone. Patients mostly got middle-degree pain, cervical pain common. Patients of middle-degree cervical dysfunction were common. The most differentiated syndrome was Qi stagnation and blood stasis, covering 51.43%. The second was wind chill resistance, which patients got the highest scores of cervical dysfunction and pain on average. Conclusion Nerve root type cervical spondylosis was common in middle-aged and elderly patients. Females were more than males. The course was long and related to solar terms. Patients usually took pain as the main symptom when visiting. Cervical pain was common. The degree of pain and cervical dysfunction was partial to medium. Qi stagnation and blood stasis was the main Chinese Medicine syn- drome. Patients of wind chill resistance syndrome suffered more cervical dysfunction and pain.

关 键 词：神经根型颈椎病 临床科研信息共享系统 真实世界临床研究 发病特征 

分 类 号：R274.9[医药卫生—中西医结合]