壮族中青年办公室人员非特异性腰痛调查  

A cross-section survey of non-specific low back pain in young and middle-aged office workers of Guangxi Zhuang nationality

作　　者：李浩曦 谢湘涛[2] 陈源[3] 张均景 罗扬明 范锲 韦建勋[1] 梁斌[1] LI Hao-xi;XIE Xiang-tao;CHEN Yuan;ZHANG Jun-jing;LUO Yang-ming;FAN Qie;WEI Jian-xun;LIANG Bin(Orthopaedic Department,People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西壮族自治区人民医院脊柱骨病外科,南宁市530021 [2]广西柳州市人民医院脊柱外科,545006 [3]广西玉林市第一人民医院脊柱骨病外科,537000 [4]广西北海市人民医院骨科一区,536000 [5]广西梧州市中医院骨科二区,543002

出　　处：《中国矫形外科杂志》2020年第7期613-618,共6页Orthopedic Journal of China

基　　金：广西自然科学基金资助项目(编号:2016GXNSFAA380058);广西壮族自治区人民医院青年基金项目(编号:YXQNRC2018-2)。

摘　　要：[目的]调查广西壮族中青年办公室从业人员非特异性腰痛的发病情况及危险因素。[方法]进行了一项2 876名壮族中青年办公室从业人员非特异性腰背痛自填式问卷调查。描述腰痛流行病学特点,比较腰痛与非腰痛者各项参数,行多因素逻辑回归分析,探讨腰痛的危险因素。[结果]共发放问卷2 876份,最终有效调查2 565人,有效率为89.72%。2 565人中,3个月内发生腰痛者1 685人,占65.70%,无腰痛者880人,占34.31%。按是否发生腰痛分为两组,两组人群在身高、是否独生子女、户籍所在地、教育水平、是否进行体育运动方面差异无统计学意义(P>0.05)。与非腰痛人群相比,腰痛人群在年龄小、男性比例高、体重大、体重指数大、吸烟比例高、睡眠质量差、噩梦频率高、健康自我评估关、腰痛家族史比例高、腰痛既往史比例高,两组间差异有统计学意义(P<0.05),其中性别、健康自我评估、年龄、体重、吸烟、体重指数、睡眠质量、噩梦频率、腰痛家族史、腰痛既往史是非特异性下腰痛的重要危险因素且在影响发生下腰痛的相关性呈现递进关系。以是否发生腰痛的二分变量为因变量,其他因素为自变量的多元逻辑回归分析,结果表明:年龄小、体重大、吸烟、体重指数大、睡眠质量差、噩梦频率高、有腰痛家族史、有腰痛既往史是腰痛的危险因素(P<0.05),而性别差异、健康自我评估对腰痛无显著性影响(P>0.05)。[结论]腰痛在壮族中青年办公室从业人员中非常普遍,其风险因素包括年龄、体重、吸烟、体重指数、睡眠质量、噩梦频率、腰痛家族史、腰痛既往史。[Objective]To investigate the incidence and risk factors of non-specific low back pain(LBP)in young and middle-aged office workers of Guangxi zhuang nationality.[Methods]A questionnaire survey was conducted on 2876 young and middle-aged office workers of Guangxi Zhuang nationality.The epidemiologic characteristics of LBP of this population were described,in addition,various parameters were compared between the LBP group and non-LBP group,and a multiple logistic regression analysis was conducted to explore the risk factors for LBP.[Results]A total of 2876 questionnaires were given out,and2565 persons responded effectively accounting for 89.72%.Of them,1685 persons reported LBP in 3 months accounting for65.70%,while the remaining 880 persons had not suffered from LBP in 3 moths accounting for 34.31%.Although there were no statistically significant differences regarding to body height,whether or not single child,residence,education and daily sports level between the two groups(P>0.05),the LBP group had significantly younger age,higher male ratio,greater body weight and body mass index,higher smoking ratio,poorer sleep quality,more frequent nightmares,lower self-evaluation of health,higher ratio of past history and family history of LBP than the non-LBP group(P<0.05).With regard to the result of binary logistic regression using whether or not LBP as an independent variable and other parameters as dependent variables,the risk factors for LBP proved of the young age,smoking,great body weight and body mass index,poor sleep,frequent nightmare,past history and family history of LBP significantly(P<0.05),rather than the male ratio and low self-evaluation of health(P>0.05).[Conclusion]The non-specific low back pain is very common in young and middle-aged office workers of Guangxi Zhuang nationality,associated with risk factor of young age,smoking,high body weight and body mass index,poor sleep quality,frequent nightmare,past history and family history of LBP.

关 键 词：非特异性腰痛 横断面研究 患病率 办公室从业者 危险因素 

分 类 号：R681.57[医药卫生—骨科学]