上海西南地区中老年人腰椎间盘突出的相关危险因素分析被引量：4

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摘要目的分析上海西南地区中老年人腰椎间盘突出的危险因素。方法选择腰椎间盘突出患者516例与462例健康者对照，应用logistic归分析，分析腰椎间盘突出的危险因素。结果腰椎发育异常（OR=6．626）、固定工作体位（OR=4．154）、劳动性质（OR=0．460）、腰部外伤史（OR=3．010）、家族史（OR=2．838）、睡床垫硬度（OR=0．607）、体重BMI指数（OR=0．164）、弯腰频度（OR=2．303）、腰椎负荷分级（OR=5．033）等9种因素与腰椎间盘突出密切相关。由此获得腰椎间盘突出发病相关危险因素的logistic回归方程：logic（P）=1．891X5＋1．424X6-0．777X7＋1．102X11＋1．043X12-0．500X13-1．810X14＋．834X16＋1．616X17-2．19。结论腰椎发育异常、固定工作体位、腰部外伤史、家族史、经常弯腰和较重的腰椎负荷为腰椎间盘突出的危险因素，避免重体力劳动、睡硬床、减肥为腰椎间盘突出的保护因素。 Objective To investigate the risk factors for lumbar disc herniation of middle and old aged people in the southwest of Shanghai by using logistic regression analysis. Methods 516 cases of lumbar disc herniation and 462 cases of controls were analyzed by logistic regression analysis. Results Accoding to the results of logistic regression, lumbar dysplasia, fixed working position, work nature, injury history, family history, the berth hardness, weight BMI index, bending frequency, lumbar load classification were related to the occurrence of idiopathic tinnitus. The regression equation is： logic logic（P）=1.891X5＋1.424X6-0.777X7＋1.102X11＋1.043X12-0.500X13-1.810X14＋.834X16＋1.616X17-2.19. Conclusion 6 kinds of factors including lumbar dysplasia, fixed working position, injury history, family history, bending frequency and lumbar load classification are promoting factors of lumbar disc herniation, while 3 kinds of factors including avoid heavy manual labor, sleep hard bed and lose weight are helpful to decrease the occurrence of lumbar disc herniation.

作者黄沛彦顾军耿雷王军庞宇峰王明海

机构地区复旦大学附属上海市第五人民医院

出处《浙江临床医学》 2017年第3期562-564,共3页 Zhejiang Clinical Medical Journal

关键词腰椎间盘突出症危险因素 LOGISTIC回归分析 Lumbar disc herniation Risk factors Logistic regression analysis

分类号 R681.53 [医药卫生—骨科学]

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1孙正明,凌鸣,常彦海,刘宗智,徐洪海,弓立群,柳健,张银刚.北方五省腰椎间盘突出症危险因素研究[J].南方医科大学学报,2010,30(11):2488-2491. 被引量：33

二级参考文献26

1Clays E, De Bacquer D, Leynen F, et al. The impact ofpsychosocial factors on low back pain: longitudinal results from the Belstress study[J]. Spine, 2007, 32(2): 262-8.
2Shift R, Karppinen J, Leino-Arjas P, et al. Cardiovascular and lifestyle risk factors in lumbar radicular pain or clinically defined sciatica: a systematic review [J]. Spine J, 2007, 16(12): 2043-54.
3Battie MC, Videman T, Levalahti E, et al. Heritability of low back pain and the role of disc degeneration[ J ]. Pain, 2007, 131(3): 272-80.
4Battie MC, Videman T. Lumbar disc degeneration: epidemiology and genetics [J]. J Bone Joint Surg Am, 2006, 88(Suppl 2): 3-9.
5Varlotta GP, Brown MD, Kelsey JL, et al. Familial predisposition for herniation of a lumbar disc in patients who are less than twenty-one years old[J ]. J Bone Joint Surg Am, 1991, 73 (1): 124-8.
6Matsui H, Terahata N, Tsuji H, et al. Familial predisposition and clustering for juvenile lumbar disc herniation [ J ]. Spine, 1992, 17 (11): 1323-7.
7Simmons ED Jr, Guntupalli M, Kowalski JM, et al. Familial predisposition for degenerative disc disease. A case-control study [J]. Spine, 1996, 21(13): 1527-9.
8Matsui H, Kanamori M, Ishihara H, et al. Familial predisposition for lumbar degenerative disc disease. A case-control study [J]. Spine, 1998, 23(9): 1029-34.
9Cheung KM, Chan D, Karppinen J, et al. Association of the Taq I allele in vitamin D receptor with degenerative disc disease and disc bulge in a Chinese population[J]. Spine, 2006, 31(10): 1143-8.
10Takahashi M, Haro H, Kawa-uchi T, et al. Relationship beween matrix metalloproteinase-3 prometer 5A/6A polymorphism and intervertebral disc degeneration[J].J Bone Joint Surg Br Proc, 2003, 85-B: 24.