白领人群颈椎病患病情况的调查分析

Investigation And Analysis Of Cervical Spondylosis In White-- collars

目的：了解白领人群颈椎病患病情况及其影响因素。方法：随机抽取上海市静安区石门二路街道白领人群中1010例作为研究时象，调查一般情况、职业、生活习惯、颈椎病患病情况等。结果：1010例调查对象中，颈椎病患病人数342（33．9％），女性患病率高于男性（P〈O．01）、45岁以上患病率高（P〈O．01）、不运动者高于每周运动者（P〈0．05），有咽喉部炎症的高于无咽喉部炎症者（P〈O．01）。另外“颈部疼痛或僵直”症状：女性比例高于男性（P〈0．01）、年龄45岁以下比例高（P〈O．01）、每日伏案工作超过4h的比例高于伏案少于4h者（P〈O．01），不运动者比例高于每周运动者（P〈0．01）、有咽喉部炎症比例高于无咽喉部炎症者（P〈O．01）。结论：白领人群为颈椎病的高发人群，女性高于男性，中年以后患病率高，不运动者高于每周运动者，有咽喉部炎症的高于无咽喉部炎症者。“颈部疼痛或僵直”成为白领人群颈椎病症状中最常见的症状，并且与性别、年龄、伏案工作时间、咽喉部炎症和是否运动等因素也相关，对于早期预防和治疗颈椎病有重要的意义。

Objective：To investigate the prevalence of cervical spondylosis in white--collars, and discuss its influencing factors. Methods ：1010 white--collars were randomly collected from Shimen No. 2 community, Jing＇an District. Study to investigate the gen- eral health, occupation, habits, symptoms and other data. Results：Among the 1010 cases, the number of patients with cervical spondylosis is 342 （33.9%）. Female have a higher prevalence than male（P（0.01）, The people over 45 years old have a high prev- alence （P（0.01）. Those who do not do exercises have a higher prevalence than those who do exercises every week （P〈0.05）. Those with inflammation of throat have a higher prevalence than those without such problem （P〈0. 01）. The symptom ＂Neck pain or stiffness＂ ： The proportion of women is higher than men （P〈0.01）. Those who less than 45 years have a higher proportion （P〈 0.01）. The white-collars working more than 4 hours a day （bending over desk） have a high proportion than those less than 4 hours（P〈0.01）, Those who do not do exercises have a high proportion than those do exercises（P〈0.01）. Those with inflamma- tion of throat have a higher proportion than those without such problem（P〈0.01）. Conelasion：The white--collars are the high risk group of cervical spondylosis, and female＇s prevalence is higher than male＇s. The people over 45 years old have a high prevalence. Those who do not do exercises have a higher prevalence than those who do exercises every week. Those with inflammation of throat have a higher prevalence than those without such problem. ＂Neck pain or stiffness＂ is the most common symptom in cervical spon- dylo^is of the white--collars. And it is related with gender, age, working hours, throat inflammation and sports. There is the most importance in prevention and treatment of cervical spondylosis.