上海西南地区中老年人腰椎间盘突出的相关危险因素分析  

作　　者：黄沛彦[1] 顾军[1] 耿雷[1] 王军[1] 庞宇峰[1] 王明海[1] 

机构地区：[1]复旦大学附属上海市第五人民医院,200240

出　　处：《浙江临床医学》2017年第3期562-564,共3页Zhejiang Clinical Medical Journal

摘　　要：目的分析上海西南地区中老年人腰椎间盘突出的危险因素。方法选择腰椎间盘突出患者516例与462例健康者对照，应用logistic归分析，分析腰椎间盘突出的危险因素。结果腰椎发育异常（OR=6．626）、固定工作体位（OR=4．154）、劳动性质（OR=0．460）、腰部外伤史（OR=3．010）、家族史（OR=2．838）、睡床垫硬度（OR=0．607）、体重BMI指数（OR=0．164）、弯腰频度（OR=2．303）、腰椎负荷分级（OR=5．033）等9种因素与腰椎间盘突出密切相关。由此获得腰椎间盘突出发病相关危险因素的logistic回归方程：logic（P）=1．891X5＋1．424X6-0．777X7＋1．102X11＋1．043X12-0．500X13-1．810X14＋．834X16＋1．616X17-2．19。结论腰椎发育异常、固定工作体位、腰部外伤史、家族史、经常弯腰和较重的腰椎负荷为腰椎间盘突出的危险因素，避免重体力劳动、睡硬床、减肥为腰椎间盘突出的保护因素。Objective To investigate the risk factors for lumbar disc herniation of middle and old aged people in the southwest of Shanghai by using logistic regression analysis. Methods 516 cases of lumbar disc herniation and 462 cases of controls were analyzed by logistic regression analysis. Results Accoding to the results of logistic regression, lumbar dysplasia, fixed working position, work nature, injury history, family history, the berth hardness, weight BMI index, bending frequency, lumbar load classification were related to the occurrence of idiopathic tinnitus. The regression equation is： logic logic（P）=1.891X5＋1.424X6-0.777X7＋1.102X11＋1.043X12-0.500X13-1.810X14＋.834X16＋1.616X17-2.19. Conclusion 6 kinds of factors including lumbar dysplasia, fixed working position, injury history, family history, bending frequency and lumbar load classification are promoting factors of lumbar disc herniation, while 3 kinds of factors including avoid heavy manual labor, sleep hard bed and lose weight are helpful to decrease the occurrence of lumbar disc herniation.

关 键 词：腰椎间盘突出症 危险因素 LOGISTIC回归分析 

分 类 号：R681.53[医药卫生—骨科学]