乌鲁木齐市某中医医院就诊患者颈椎病流行病学调查

Prevalence of Cervical Spondylopathy in Residents of Tianshan District in Urumqi and Analysis of Related Risk Factors

目的探讨乌鲁木齐市某中医医院就诊患者颈椎病患病率及其相关危险因素。方法按简单随机抽样原则抽取样本,将前来就诊并符合纳入标准的市某中医医院就诊患者签署知情同意书并进行面对面的问卷调查及颈椎X线检查。结果共发放687问卷调查并拍摄颈椎X线片,收问卷调查表685份,男性221人,女性464人。乌鲁木齐市某中医医院就诊患者颈椎病患病率为48.5%(332/685),患病率在年龄段及职业间有明显差异,16~29岁组患病率明显高于30~39岁组,退休人员及学生患病率明显高于其他职业组。通过单因素及多因素Logistic回归分析显示年龄、职业、低头工作、高枕睡眠习惯、经常情绪紧张压力大、咽喉部感染或咽炎与颈椎病发病密切相关,为颈椎病致病的高危危险因素。结论乌鲁木齐市某中医医院就诊患者颈椎病率较高,退休人员和学生患病率较高;年龄、职业、低头工作、高枕睡眠习惯、经常情绪紧张压力大、咽喉部感染或咽炎为颈椎病致病危险因素。宜加强社区宣教干预,制定合理有效的预防措施,从而降低本地区颈椎病患病率。

Objective To discuss about the prevalence of cervical spondylosis and its related risk factors at a medical hospital in Urumqi. Methods：According to a simple random sampling principle, All patients, who came to traditional chinese hospital of Urumqi and Conformed to inclusion criteria, were signed informed consent form and were carried out the face-to-face questionnaire and the cervical X-ray examination Result：687 pieces of questionnaire was sent out to investigate the cervical vertebra X rays. As the result 685 cases were collected, 221 cases were men and 464 cases were women. The results showed that prevalence rate of cervical spondylosis at a Chinese medicine hospital ofUrumqi was 48.5%. Prevalence rate varied significantly in age and occupation, The prevalence rate of patients from sixteen to twenty-nine year olds was significantly higher than that of patients from 30 to 39 years old, The prevalence rate of retirees and students were significantly higher than that of other professional groups. Logistic regression results showed that age, occupation,keeping head down to work, sleeping with a high pillow, high pressure, throat infection and pharyngitis had a close relationship with cervical spondylosis. Conclusion： Age, occupation, keeping work, sleep habits, high pressure, throat infection or pharyngitis were risk factors to leding to cervical spondylosis disease. We should strengthen community education and make reasonable and effective measures to reduce the incidence of cervical spondylosis in this region.