福州市中青年伏案工作者颈椎病的流行病学调查及危险因素的研究

Epidemiological Investigation and Risk Factor Analysis of Cervical Syndrome in Young and Middle-Aged Patients with Sedentary Work in Fuzhou

目的：探讨福州市中青年伏案工作者颈椎病的发病情况及危险因素的调查。方法：以福州市区政府行政机关、银行、学校、医院等单位需要长时间的电脑操作、文字书写、绘图等低头伏案工作者为研究对象。采用随机抽样和典型抽样相结合的方法,2006年10月-2008年6月抽取18-50岁年龄段为样本进行调查。所有调查对象需填写福州市中青年伏案工作者颈椎病调查表; 对颈椎病患者需填写中青年伏案工作者颈椎病危险因素调查问卷。结果：福州市中青年伏案工作者颈椎病患病率较高。伏案时间长、工作姿势不当、年龄、睡枕不适、生活姿势不当、不参加体育锻炼为颈椎病致病危险因素,差异有统计学意义。结论：针对福州市中青年伏案工作者颈椎病患者,提出要减少持续伏案时间,减小低头角度,注意良好的工作和生活姿势、调整睡枕,加强体育锻炼尤其是颈项部的体育锻炼。

Objective：To investigate the incidence and analyze the risk factors of cervical syndrome（CS） in young and middle-aged patients with sedentary work in Fuzhou.Methods：The subjects were sedentary working people from governments,banks,schools and hospitals,etc,who need to spend long hours with computers,paper writing and picture drawing.Through cluster sampling method,we investigated people between 18 and 50 years old from October 2006 to June 2008.All subjects were required to fill in the CS questionnaires,and those with CS were additionally asked to fill in CS risk factor questionnaires.Results：There was high incidence of CS in young and middle-aged people with sedentary work in Fuzhou.The risk factors included long time of sedentary work,incorrect working posture,ages,inappropriate pillow,incorrect living posture,and lack of physical exercise.Conclusion：Several suggestions are strongly recommended,such as reducing sedentary working time,decreasing the angle when lowering the head,building up good posture in work and life,regulating the pillow properly,taking more exercise,especially those involving the neck,etc.