体重指数和血糖与腰椎间盘突出症的相关性研究

Correlation Study of BMI and Blood Glucose with Lumbar Intervertebral Disc Protrusion

目的：通过分析496例接受住院治疗的腰椎间盘突出症（LDH）患者和516例因腰腿痛在门诊就诊的非腰椎间盘突出症患者的临床资料,探讨腰椎间盘突出症的发病因素,为腰椎间盘突出症的临床治疗和预防措施提供理论依据。方法：①对我科2007年1月~2009年12月496例因腰椎间盘突出症而施行住院保守或手术治疗的患者,计算其体重指数、住院期间常规检测血糖,与因腰腿痛在门诊就诊的516例非腰椎间盘突出症患者的体重指数进行比较;②统计分析本组患者的患病情况和体重指数与血糖的关系。结果：①腰椎间盘突出症好发于体重超常者,本组超重加肥胖者占70%,其中男性占39.3%、女性占30.7%;正常体重者占30%,其中男性占15.7%、女性占14.3%。②体重超常合并糖尿病者患腰椎间盘突出症的比例为83.3%,明显高于体重正常合并糖尿病者患腰椎间盘突出症的比例（16.7%）。结论：体重指数超常和高血糖可能是成年人腰椎间盘突出症的重要诱因,故控制体重对提高腰椎间盘突出症的的保守或手术治疗效果、预防和降低腰椎间盘突出症的患病率有重要意义。

Objective：Clinical analysis of 496 patients on hospitalization with lumbar intervertebral disc protrusion and 516 outpatients with lumbocrural pain,non-lumbar intervertebral disc protrusion.To investigate the pathogenic factor of lumbar intervertebral disc protrusion,provide theoretical basis of treatment and prevention.Methods：①From 2007 Jan to 2009 Dec,496 hospitalization patients had operation and conservative treatment.BMI were calculated,blood glucose were routine detection,compared with outpatients with lumbocrural pain,non-lumbar intervertebral disc protrusion.②Statistical analysis the relationship of sickness status,BMI and blood glucose.Results：①Lumbar intervertebral disc protrusion were frequently occurring in overweight-obesity.②The propotion of lumbar intervertebral disc protrusion was 83.3%in over weigh-obesity combined with diabetic.It was significantly higher than normal weight.Conclusion：The main inducing factor of adult lumbar intervertebral disc protrusion are over weight and high blood glucose.So weight control has important significance in the improvement of conservative or operation in lumbar intervertebral disc protrusion.It can prevent and decrease the morbidity of lumbar intervertebral disc protrusion.