老年退变性脊柱侧凸与肺部感染相关性胸部X线分析  

Correlation between scoliosis and pulmonary infection in elderly people in a community about the chest radiography analysis

作　　者：李磊 姚采查 陈婷婷 沈星宇 Li Lei;Yao Caicha;Chen Tingting;Shen Xingyu(Rediology Department,Gonghxin Road Community Care Sercice Cencer,Shanghai 200072,China)

机构地区：[1]上海市静安区共和新路街道社区卫生服务中心放射科,200072

出　　处：《实用医技杂志》2020年第8期991-993,共3页Journal of Practical Medical Techniques

摘　　要：目的 探讨脊柱侧凸与肺部感染的相关性.方法 收集共和新路街道社区卫生服务中心2016年1月至2019年12月的790例胸部X线片资料,其中男性318例,女性472例,年龄61~98岁,平均(77±9)岁.以Cobb法进行测量,Cobb角≥10°诊断为脊柱侧凸.采用SPSS 20.0软件进行统计分析.结果 脊柱侧凸404例,无脊柱侧凸386例,脊柱侧凸患病率51.1%,年龄越大脊柱侧凸患病率越高(P<0.05).无肺部感染504例,肺部感染286例,脊柱侧凸组肺部感染患病率高(P<0.05).女性脊柱侧凸与肺部感染之间差异有统计学意义(P<0.05),但年龄与肺部感染患病率无关(P>0.05).Logistic回归模型分析结果示脊柱侧凸与否和肺部感染差异有统计学意义(P<0.05),性别和年龄与肺部感染差异无统计学意义(P>0.05).结论 社区老年人退变性脊柱侧凸患病率高,且脊柱侧凸患者的肺部感染患病率增高,因此社区应重视老年脊柱侧凸,积极筛查和治疗脊柱侧凸,对降低肺部感染风险,具有重要的临床意义.Objective To explore the correlation between adult scoliosis and pulmonary infection.Methods First,the imaging data of chest radiographs collected from 790 elderly subjects(318 males and 472 females).Specifically,we first collected the imaging data of chest radiographs in the community health service center of the Gonghexin Road from January 2016 to December 2019.The subjects'age ranges from 61 to 98 years with an average age of(77±9)years.Then,we statistically analyzed the collected data and the results exhibited the correlation between adult scoliosisand pulmonary infection as well as between age and AS.The adult scoliosis according to Cobb,is defined as a angle greater than 10°.We used IBM'SPSS Software(version 20.0)to analyze our data.Results The results showed 404 adult scoliosiscases which account for 51.1%versus 386 non-AS cases(48.9%)as well as 286 cases of pulmonary infection versus 504 cases of non-pulmonary infection.In addition,the results exhibited two correlations:①A correlation between AS and pulmonary infection-the prevalence rate of pulmonary infection in the scoliosis group was high(P<0.05).②A correlation between age and adult scoliosis-the older the patient gets,the better the chance of being diagnosed with adult scoliosis(P<0.05).Conclusion Our study showed that the prevalence rate of pulmonary infection in the scoliosis group was high.Therefore,to reduce the risk of pulmonary infection,attention should be paid to the prevention of scoliosis in the elderly.

关 键 词：老年人 退变性脊柱侧凸 Cobb测量方法 胸部X线片 肺部感染 

分 类 号：R681.5[医药卫生—骨科学] R816.8[医药卫生—外科学]