哈尔滨3~18岁儿童青少年颈椎病相关症状流行病学抽样调查  

Epidemiological sampling survey of cervical spondylosis related symptoms in children and adolescents aged 3-18 years in Harbin

作　　者：包木龙 王波[2] 丁岩 王海[4] BAO Mulong;WANG Bo;DING Yan;WANG Hai(The Fifth Department of Massage,the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin 150001,China;the Second Department of Orthopedics and Traumatology,the First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin 150001,China;Department of Rehabilitation,the Fifth Hospital of Harbin City,Heilongjiang Province,Harbin 150001,China;the Second Department of Pediatrics,the First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin 150001,China)

机构地区：[1]黑龙江中医药大学附属第二医院推拿五科,黑龙江哈尔滨150001 [2]黑龙江中医药大学附属第一医院骨伤二科,黑龙江哈尔滨150001 [3]黑龙江省哈尔滨市第五医院康复科,黑龙江哈尔滨150001 [4]黑龙江中医药大学附属第一医院儿二科,黑龙江哈尔滨150001

出　　处：《中国医药导报》2024年第17期25-28,共4页China Medical Herald

基　　金：黑龙江省中医药管理局中医药科研课题(ZHY2023-021)。

摘　　要：目的 调查哈尔滨3~18岁儿童青少年颈椎病相关症状的流行病学特征。方法 采用分层整群随机抽样法,选取2022年1月至2023年12月哈尔滨3~18岁4 896例儿童青少年为研究对象,根据不同年龄阶段分为3~6岁组、>6~9岁组、>9~12岁组、>12~15岁组、>15~18岁组。比较不同年龄组颈椎异常情况、颈椎病相关症状检出率、颈椎病相关症状评分及生活习惯,分析颈椎病相关症状评分与生活习惯的相关性。结果 儿童青少年颈椎异常总检出率为22.90%(1 121/4 896),其中以棘突旁压痛检出率最高,占10.52%(515/4 896)。不同年龄组棘突旁压痛、棘突偏歪、颈椎曲度异常检出率,及异常总检出率比较,差异有统计学意义(P<0.005)。不同年龄组头痛、颈痛、肩膀痛、手臂麻木检出率比较,差异有统计学意义(P<0.005)。不同年龄组头痛、颈痛、肩膀痛、手臂麻木评分比较,差异有统计学意义(P<0.005)。不同年龄组体育锻炼时间、久坐时间、电子设备使用时间比较,差异有统计学意义(P<0.005)。Pearson相关分析显示,头痛、颈痛、肩膀痛、手臂麻木评分与体育锻炼时间均呈负相关(r=-0.280、-0.261、-0.228、-0.213,P<0.005),与久坐时间、电子设备使用时间均呈正相关(r=0.352/0.413、0.317/0.376、0.295/0.354、0.272/0.325,P<0.05)。结论 哈尔滨儿童青少年颈椎异常及颈椎病相关症状检出率、颈椎病相关症状评分、生活习惯在不同年龄组间差异显著,且生活习惯与颈椎病相关症状严重程度密切相关。Objective To investigate epidemiological characteristics of cervical spondylosis related symptoms in children and adolescents aged 3-18 years in Harbin.Methods A total of 4896 children and adolescents aged 3-18 years in Harbin from January 2022 to December 2023 were selected as research subjects by using stratified cluster random sampling method.They were divided into 3-6 years old group,>6-9 years old group,>9-12 years old group,>12-15 years old group,and>15-18 years old group according to different age stages.Cervical spine abnormalities,detection rate of cervical spondylosis related symptoms,cervical spondylosis related symptom scores,and lifestyle habits among different age groups were compared.Correlation between symptom scores related to cervical spondylosis and lifestyle habits were analyzed.Results Total detection rate of cervical spine abnormalities in children and adolescents was 22.90%(1121/4896),with highest detection rate being paraspinal tenderness,accounting for 10.52%(515/4896).There were statistically significant differences in detection rates of paraspinal tenderness,spinous process deviation,abnormal cervical curvature,and total abnormal detection rates among different age groups(P<0.005).There were statistically significant differences in detection rates of headache,neck pain,shoulder pain,and arm numbness among different age groups(P<0.005).There were statistically significant differences in scores of headache,neck pain,shoulder pain,and arm numbness among different age groups(P<0.005).There were statistically significant differences in physical exercise time,sedentary time,and electronic device usage time among different age groups(P<0.005).Pearson correlation analysis showed that headache,neck pain,shoulder pain,and arm numbness scores were negatively correlated with physical exercise time(r=-0.280,-0.261,-0.228,-0.213,P<0.05),and positively correlated with sedentary time and electronic device usage time(r=0.352/0.413,0.317/0.376,0.295/0.354,0.272/0.325,P<0.05).Conclusion There are signific

关 键 词：颈椎病 儿童 青少年 流行病学 哈尔滨 抽样调查 

分 类 号：R681.5[医药卫生—骨科学]