海军潜艇某部艇员下腰痛的脊柱功能调查与分析

Investigation and analysis of the spinal function of low back pain in the submarine crew of a naval unit

目的了解潜艇艇员下腰痛的患病及其脊柱功能状况,并分析相关影响因素。方法通过问卷调查海军某潜艇基地现役艇员的一般情况、职业、生活习惯和下腰痛等情况。按照纳入标准确定143例下腰痛艇员,入选者采用疼痛视觉模拟评分法、专项体格检查及改良Oswestry功能障碍指数进行评估。结果所选取的423例艇员中下腰痛143例,占33.81%,腰部疼痛视觉模拟评分法评分以服役年限≥9年组(8.52±0.68)最高,与其他服役年限组比较差异有统计学意义(P<0.05)。下腰痛艇员Oswestry功能障碍指数总分(37.92±3.22)分,其影响因素与从事专业、服役年限、病程时间、外伤史有关。结论现役艇员中下腰痛发病率较高,脊柱功能状况差,不适症状明显,应积极开展健康教育,提高艇员对疾病的认知能力,建立健康生活习惯。

ObjectiveTo understand the development and current status of low back pain among the submarine crew, and analyze the influencing factors. MethodsThe general condition, professional, life style, working condition and low back pain status of submarine crews were collected by using questionnaires. Only 423 submarine crews in a naval unit were effective in our research. According to admission, 143 submarine crews with low back pain enrolled were used visual analogue scale （VAS）, specialpurpose physical examination and the disability degree based on the Advanced Oswestry Disability Index （ODI）. ResultsThe incidence of low back pain in 423 submarine crews was 33.81%. There were significantly difference in VAS of four groups （P〈0.05）. The score of pain intensity was affected mostly in the group of ≥9 years （8.52±0.68）. The total score of ODI in crew of low back pain was 37.92±3.22 points. The professional,service lives, the duration of symptom, and injury had an influence on low back pain （P〈0.05）. ConclusionIn submarine crew of low back pain, the incidence was higher, the spinal function was worse, and discomforts influence the daily life. In order to reduce the crew’s discomforts, we should give them health education and improve their awareness of this disease,and set up health habits of life.