干部保健人群非特异性下腰痛的危险因素分析  

Risk factors of nonspecific low back pain in cadre health care population

作　　者：张宇[1] 刘进[1] 陈果 刘程俊[1] ZHANG Yu;LIU Jin;CHEN Guo;LIU Cheng-jun(Department of Orthopaedics,Chengdu First People s Hospital,Chengdu 610041,Sichuan,China)

机构地区：[1]成都市第一人民医院骨科,四川成都610041

出　　处：《川北医学院学报》2021年第11期1424-1427,共4页Journal of North Sichuan Medical College

基　　金：四川省教育厅科研项目(18ZB0162)。

摘　　要：目的:探讨干部保健人群非特异性下腰痛(NLBP)现状及其危险因素。方法:回顾性分析96例干部保健人群的临床资料,根据是否发生NLBP分为NLBP组(n=22)和正常组(n=74),采用单因素及多因素Logistics回归分析干部保健人群发生NLBP的影响因素,并提出具有针对性的早期干预策略。结果:NLBP发生率在干部保健人群22例(22.92%)。单因素分析结果显示,NLBP组中年龄>65岁、BMI>28 kg/m^(2)、工龄>20年、吸烟、不运动、睡眠时间<5 h、每天工作时间>10 h、每天使用电脑时间>4 h者所占比例高于正常组(P<0.05);多因素Logistic回归结果发现,年龄较大(>65岁)、BMI较高(>28 kg/m^(2))、工龄较长(>20年)、吸烟、每天工作时间较长(>10 h)、每天使用电脑时间较长(>4 h)是干部保健人群发生NLBP的危险因素(OR>1,P<0.05);运动、睡眠时间较长(>8 h)是干部保健人群发生NLBP的保护因素(OR<1,P<0.05)。结论:干部保健人群NLBP发生率较高,受年龄、BMI、工龄、吸烟、工作时间及使用电脑时长等多种因素影响,应针对性地制定科学、有效的早期干预策略。Objective:To investigate the current situation and risk factors of nonspecific low back pain(NLBP)in cadre health care population.Methods:The clinical data of 96 cases of cadre health care population were analyzed retrospectively,and they were divided into NLBP group(n=22)and normal grop(n=74)according to whether NLBP occurs.Univariate and multivariate logistic regression were used to analyze the influencing factors of NLBP in cadre health care population,and targeted early intervention strategies were put forward.Results:The incidence of NLBP was 22 cases(22.92%).Univariate analysis showed that the proportion of age>65 years,BMI>28 kg/m^(2),length of service>20 years,smoking,no exercise,sleep time<5 h,working time>10 h and computer use time>4 h in NLBP group were higher than those in normal group(P<0.05).The results of multivariate logistic regression showed that older age(>65 years),higher BMI(>28 kg/m^(2)),longer length of service(>20 years),smoking,longer working hours(>10 h)and longer computer use time(>4 h)were the risk factors of NLBP in cadre health care population(OR>1).Exercise and long sleep time(>8 h)were the protective factors of NLBP in cadre health care population(OR<1).Conclusion:The incidence of NLBP in cadre health care population is high.It is affected by many factors such as age,BMI,length of service,smoking,working hours and computer use time.Scientific and effective early intervention strategies should be formulated。

关 键 词：非特异性下腰痛现状 干部保健人群 危险因素 

分 类 号：R441.1[医药卫生—诊断学] R681.5[医药卫生—临床医学]