大学生非特异性改变成因分析——非特异性下腰痛的危险因素调查研究  

Causes of nonspecific changes in college students:Investigation and research on risk factors for nonspecific low back pain

作　　者：王辉[1] 杨浩杰[2] WANG Hui;YANG Haojie(Pain Department,The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061;Xi’an Jiaotong University Hospital,Xi’an 710049,China)

机构地区：[1]西安交通大学第一附属医院疼痛科,陕西西安710061 [2]西安交通大学医院,陕西西安710049

出　　处：《西安交通大学学报（医学版）》2023年第2期185-188,共4页Journal of Xi’an Jiaotong University（Medical Sciences）

基　　金：陕西省哲学社会科学重大理论与现实问题研究项目(No.2021ND0226)。

摘　　要：目的调查理工类院校学生非特异性下腰痛(nonspecific low back pain,NLBP)的危险因素,为我国大学生NLBP的预防及治疗提供依据。方法随机抽取理工类院校2020-2021学年第一学期1200份样本,采用问卷调查的方式进行横断面研究。根据现况调查的结果,将调查出的全部患者作为病例组,选取同班级、年龄性别相匹配非NLBP患者作为对照组。两分类Logistic回归分析方法筛选NLBP危险因素。结果单因素分析结果显示,每天持续用电脑时间、课桌满意度及生活或学习压力上,两组学生差异有统计学意义(P<0.05)。两分类Logistic回归分析结果显示,每天持续用电脑时间长者较时间短者发生NLBP的风险增加(OR=1.187,95%CI:1.082~1.303)。结论每天持续用电脑时间是NLBP患者的影响因素。减少每天持续用电脑时间对NLBP的预防有着重要作用。Objective To investigate the risk factors for non-specific low back pain(NLBP)in students of science and engineering colleges and universities so as to provide evidence for the prevention and treatment of NLBP in Chinese college students.Methods A total of 1200 samples were randomly selected from the first semester of the 2020-2021 academic year in science and engineering colleges,and a cross-sectional study was conducted by means of a questionnaire survey.According to the results of the prevalence survey,all the patients surveyed were taken as the case group,while the non-NLBP patients who matched in the same class,age and sex were selected as the control group.Binary logistic regression was used to screen risk factors for NLBP.Results Univariate analysis showed that the two groups differed significantly in the duration of daily continuous use of the computer,desk satisfaction,and pressure from life or study(P<0.05).Binary logistic regression analysis found that the risk of developing NLBP was increased in those with longer duration of continuous use of the computer every day than those with shorter duration(OR=1.187,95%CI:1.082-1.303).Conclusion Duration of daily continuous use of the computer is an influencing factor in NLBP patients.Reducing the time of daily continuous use of the computer plays an important role in the prevention of NLBP.

关 键 词：非特异性下腰痛 危险因素 回归分析 

分 类 号：R195.4[医药卫生—卫生统计学]