甘肃省不同民族腰椎间盘突出症患病率及影响因素分析  

Analysis of the prevalence and influencing factors of lumbar disc herniation among different ethnic groups in Gansu Province

作　　者：龙开冲 胡继宏[2] 靳利梅 陈志伟 邵鸿 王莉 张志东 张荣华 赵继荣 LONG Kai-chong;HU Ji-hong;JIN Li-mei;CHEN Zhi-wei;SHAO Hong;WANG Li;ZHANG Zhi-dong;ZHANG Rong-hua;ZHAO Ji-rong(School of Public Health,Gansu University of Chinese Medicine,Lanzhou,Gansu,730000,China;不详)

机构地区：[1]甘肃中医药大学公共卫生学院,甘肃兰州730000 [2]甘肃中医药大学科研实训中心 [3]甘肃中医药大学中医临床学院 [4]甘肃中医药大学附属医院脊柱外科,甘肃兰州730070

出　　处：《现代预防医学》2025年第3期552-558,共7页Modern Preventive Medicine

基　　金：国家自然科学基金(81960614);甘肃省科技计划重大项目(21ZDFA009);甘肃省科技计划项目(20YF3WA020);青年博士基金项目(2021QB-084);敦煌医学与转化教育部重点实验室开放课题(DHYX20-17);甘肃省中医药研究中心开放课题(zyzx-2023-05)。

摘　　要：目的了解甘肃省不同民族成年居民腰椎间盘突出症(lumbar disc herniation,LDH)的影响因素,为针对性制定LDH的防控措施提供基础数据。方法于2022年5—7月根据人群居住海拔(<1500 m、1500~3500 m、>3500 m)在甘肃省进行分层整群抽样。对所有研究对象进行问卷调查、体格检查、血糖血脂水平检测。采用非条件二元logistic回归模型对不同民族LDH患病率的影响因素进行分析。结果纳入4545名研究对象中,LDH总患病率为22.8%,其中藏族患病率最高30.6%,且各民族患病率差异有显著性(P<0.05)。汉族:居住时间小于36月、不饮酒或居住海拔在1500~3500 m与增加LDH患病风险有关,年龄<30岁、职业为干部和无业、居住海拔<1500 m与患LDH的风险降低有关。藏族:低运动强度、文化程度为小学及以下、居住时间24~36月与增加LDH患病风险有关,男性、高强度以下活动、无配偶与患LDH的风险降低有关。回族:居住时间6~23月或年龄30~59岁与增加LDH患病风险有关。结论甘肃省各民族居民LDH患病率不同,其影响因素也不同。Objective To understand the influencing factors of lumbar disc herniation(LDH)among adult residents of different ethnic groups in Gansu Province,providing foundational data for targeted prevention and control measures.Methods From May to July 2022,a stratified cluster sampling method was employed based on the altitude of residence(≤1500 meters,1500 to 3500 meters,>3500 meters)in Gansu Province.All participants underwent questionnaire surveys,physical examinations,and assessments of blood glucose and lipid levels.A non-conditional binary logistic regression model was used to analyze the influencing factors of LDH prevalence among different ethnic groups.Results A total of 4545 participants were included,with an overall LDH prevalence of 22.8%.The prevalence was highest among the Tibetan population at 30.6%,with significant differences observed among ethnic groups(P<0.05).For the Han ethnic group,a residence duration of less than 36 months,non-drinking,or residing at altitudes of 1500-3500 meters were associated with an increased risk of LDH.Conversely,being younger than 30 years,holding a position as a cadre,or residing at altitudes below 1500 meters were associated with a reduced risk.Among the Tibetan population,low physical activity intensity,an education level of primary school or below,and a residence duration of 24-36 months were linked to an increased risk of LDH,while being male,engaging in low-intensity activities,and being unmarried were associated with a decreased risk.For the Hui ethnic group,a residence duration of 6-23 months or an age range of 30-59 years were related to an increased risk of LDH.Conclusion The prevalence of LDH varies among different ethnic groups in Gansu Province,and the influencing factors also differ.

关 键 词：民族 腰椎间盘突出症 患病率 影响因素 横断面调查 

分 类 号：R714.25[医药卫生—妇产科学]