机关事业单位职员发生痛风和颈椎病的影响因素分析  

Analysis on Influencing Factors of Gout and Cervical Spondylosis in Employees of Government Institutions

作　　者：潘妙霞[1] 陈菊[1] 陈开浪[1] Pan Miaoxia;Chen Ju;Chen Kailang(Department of Nephrotic Rheumatology,Haikou Hospital,Xiangya Medical College,outh University,Haikou 570208,Hainan Province,China;不详)

机构地区：[1]中南大学湘雅医学院附属海口医院肾病风湿科,海南省海口市570208

出　　处：《中国病案》2023年第3期76-79,共4页Chinese Medical Record

基　　金：海南省卫生健康行业科研项目(19A190127)。

摘　　要：目的 研究分析机关事业单位职员发生痛风、颈椎病的影响因素,指导预防痛风、颈椎病。方法 选取2019年2月1日-2021年2月28日在某院体检的机关职员300人。采用统一的调查问卷,由经过统一培训的医师进行调查,共发出300份问卷进行资料调查,调查内容有性别、年龄、BMI、饮酒、工作年限年、低头姿势过多、缺乏体育锻炼、尿PH值。使用SPSS26.0分析调查结果数据,并通过Logistics多元回归分析分析机关职员发生痛风、颈椎病的影响因素。结果 回收268份问卷中有60例发生痛风,痛风发生率为22.38%,有90例发生颈椎病,颈椎病发生率为33.58%,有饮酒、工作在10年以上、低头姿势过多、缺乏体育锻炼、尿PH值<7.0发生痛风、颈椎病的人数较多,差异有统计学意义,将发生痛风、颈椎病为因变量(否=0;是=1),选择单因素分析中P<0.05的变量进行多因素Logistics回归分析,以机关职员发生痛风、颈椎病为因变量,将饮酒、工作年限、低头姿势过多、缺乏体育锻炼、尿PH值为自变量纳入方程进行多重线性回归,建立回归模型。结果发现有抽烟、工作年限≥10年、低头姿势过多、缺乏体育锻炼、尿PH值<7.0是引起机关事业职员发生痛风、颈椎病的危险因素。结论 研究说明年龄增加、工作年限增加、低头姿势过多、缺乏体育锻炼促使机关事业单位职员发生痛风和颈椎病的几率增加。吸烟、饮酒、尿PH值<7.0是机关职员发生痛风、颈椎病的危险因素。Objectives This study aims to investigate and analyze the influencing factors of gout and cervical spondylosis in employees of government institutions. Methods 300 employees who underwent physical examination in our hospital from February 1, 2019 to February 28, 2021 were selected. A unified questionnaire was used to investigate by uniformly trained doctors, and a total of 300 questionnaires were sent for data investigation. The survey included gender,age, BMI, alcohol consumption, years of work, excessive head-lowering posture, lack of physical exercise, and urinary p H value. SPSS26.0 was used to analyze the survey data, and the factors influencing the occurrence of gout and cervical spondylosis among employees were analyzed by logistics multiple regression analysis. Results Of the 268 questionnaires retrieved, 60 cases had gout, and the incidence rate of gout was 22.38%. 90 cases had cervical spondylosis, and the incidence of cervical spondylosis was 33.58%. There were more people who drank alcohol, worked for more than 10years, bowed head posture too much, lack of physical exercise, had urinary PH<7.0, had gout and cervical spondylosis. The difference was significantly different. The occurrence of gout and cervical spondylosis was taken as dependent variables(no=0;yes=1), and the variables with P<0.05 in univariate analysis were selected for multivariate logistic regression analysis. Gout and cervical spondylosis as dependent variables, drinking, working years, excessive bow posture, lack of physical exercise and urinary pH value were taken as independent variables which were included in the equation for multiple linear regression to establish the regression model established. The results showed that drinking,working for more than 10 years, too much head-lowering posture, lack of physical exercise and urinary PH<7.0 were the risk factors for gout and cervical spondylosis.Conclusions This study has shown that increasing age, increasing working years, excessive bowing postures, and lack of physical exercise inc

关 键 词：痛风 颈椎病 机关职员 影响因素 

分 类 号：R589.7[医药卫生—内分泌] R681.55[医药卫生—内科学]