简阳市某三甲医院骨科住院患者颈椎病患病影响因素病例对照分析  

A Case-control Study on Influencing Factors of Cervical Spondylosis in the Department of Orthopedics of a Tertiary 3A Hospital in Jianyang City

作　　者：魏庆华[1] 张琼[1] 胡屏 骆勇刚[1] 周佳陵 庄万强 张静 WEI Qinghua;ZHANG Qiong;HU Ping;LUO Yonggang;ZHOU Jialing;ZHUANG Wanqiang;ZHANG Jing(Jianyang People's Hospital,Jianyang City 631400,Sichuan Province,China;Jianyang City Center for Disease Control and Prevention,Jianyang 631400,Sichuan Province,China)

机构地区：[1]简阳市人民医院,四川简阳631400 [2]简阳市疾病预防控中心,四川简阳631400

出　　处：《预防医学情报杂志》2020年第11期1529-1534,共6页Journal of Preventive Medicine Information

基　　金：四川省卫生和计划生育委员会科研项目(项目编号:2016PJ389)。

摘　　要：目的了解简阳市人民医院骨科住院患者颈椎病的患病影响因素。方法以2016-12/2018-12在简阳市人民医院骨科住院诊断为颈椎病的905例患者为观察组,选取同期857例参与健康体检人员为对照组,采用自行设计的调查问卷进行资料收集,采用非条件Logistic回归分析颈椎病患病的影响因素。结果观察组颈椎分型以混合型为主(46.08%)(417/905),其次为神经根型(33.59%)(304/905)。观察组患者年龄主要分布于40~49岁(28.95%)共262例,且低年龄组女性比例高于男性,高年龄组男性比例高于女性,差异均有统计学意义(P均<0.05)。经非条件Logistic回归分析显示,影响简阳市人民医院颈椎病患病的因素为每天浏览手机时间≥4 h(OR=1.280,95%CI:1.022~1.604)、工作需长时间使用电脑(OR=1.283,95%CI:1.046~1.573)、低头工作(OR=2.067,95%CI:1.010~1.642)、工作紧张压力大(OR=1.315,95%CI:1.019~1.586)、有慢性咽炎(OR=1.315,95%CI:1.066~1.622)、以及不经常体育锻炼(OR=1.326,95%CI:1.073~1.638)。结论简阳市人民医院颈椎病患者主要为混合型,且年龄41~60岁(53.04%),医护人员应引导人们加强体育锻炼,注重劳逸结合,少看手机,调节紧张情绪等,可降低颈椎病的发生。Objective To understand the influencing factors of cervical spondylosis in the department of orthopedics of a tertiary 3 A hospital in Jianyang City. Methods From Decembe 2016 to Decembe 2018, 905 patients diagnosed with cervical spondylosis in the department of orthopedics of Jianyang people’s hospital were selected as the case group. 857 healthy health examiners were selected as the control group during the same period. A self-designed questionnaire was used to collect information. Unconditional logistic regression was used to analyze the influencing factors of cervical spondylosis. Results The types of cervical spondylosis in the case group was mainly mixed, accounting for 46.08%(417/905), followed by nerve root type, accounting for33.59%(304/905). The age of case group was mainly 40 to 49 years(262 cases),accounting for28.95%. In the case group,the proportion of females in lower age group was higher than that of males, whereas the proportion of males in higher age group was higher than that of females(P<0.05). Non-conditional Logistic regression analysis showed that the influencing factors of cervical spondylosis were the browsing time of mobile phone ≥4 h per day(OR=1.280, 95% CI:1.022-1.604),working for long hours on the computer(OR=1.283,95%CI:1.046-1.573),lowering the head to work(OR=2.067,95%CI:1.010-1.642),stressful work(OR=1.315,95%CI:1.019-1.586), chronic pharyngitis(OR=1.315, 95% CI: 1.066-1.622), and not often physical exercises(OR=1.326,95%CI:1.073-1.638). Conclusion The types of patients with cervical spondylosis are mainly unmixed in tatertiary 3 A hospital in Jianyang people’s hospital. 53.04% of the patients aged41~60 years. Medical staff should guide people to strengthen physical exercise, pay attention to work and rest, reduce time on mobile phones and adjust nervousness to reduce the incidence of cervical spondylosis.

关 键 词：颈椎病 现况调查 影响因素 

分 类 号：R681.55[医药卫生—骨科学]