颈椎病伴发情绪障碍危险因素的病例对照研究

A case-control study on the risk factors of cervical spondylosis associated with emotional disorders

目的探讨颈椎病伴发情绪障碍的危险因素,为其防治策略提供依据。方法选取2016年1月~2018年5月就诊于承德医学院附属医院康复医学科的颈椎病患者240例。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)进行评价,将患者分为情绪障碍组(172例)和非情绪障碍组(68例)。对颈椎病伴发情绪障碍的影响因素进行单因素分析和多因素logistic回归分析。结果单因素分析显示患者的性别、年龄、受教育水平、婚姻状况、家庭人均月收入、颈项疼痛、头痛、肢体麻木、肢体运动障碍和病程均与情绪障碍有关(P<0.05)。多因素logistic回归分析显示,颈项疼痛(OR=16.862,95%CI=1.511~188.228,P=0.022)、肢体运动障碍(OR=0.386,95%CI=0.162~0.938,P=0.032)、教育水平(OR=3.989,95%CI=1.712~7.294,P=0.001)和病程(OR=2.017,95%CI=1.173~3.469,P=0.011),颈项疼痛、肢体运动障碍、教育水平和病程均是颈椎病伴情绪障碍的危险因素。结论颈项疼痛、肢体运动障碍、教育水平、病程是颈椎病伴情绪障碍的主要危险因素。

Objective To explore the risk factors of cervical spondylotic with emotional disorders and provide the basis for prevention and treatment strategy.Methods A total of 240 patients with cervical spondylosis who were admitted to the Department of Rehabilitation Medicine of Affiliated Hospital of Chengde Medical University from January 2016 to May 2018 were selected.The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used for evaluation,and the patients were divided into emotional disorder group(172 cases)and non-emotional disorder group(68 cases)by SAS and SDS.Univariate logistic regression analysis and multivariate logistic regression analysis were performed to analyze the influencing factors of cervical spondylosis accompanied by mood disorders.Results Univariate analysis showed that gender,age,education level,marital status,family per capita monthly income,neck pain,headache,limb numbness,limb movement disorder and disease course were all related to mood disorder(P<0.05).Multivariate logistic regression analysis showed that neck pain(OR=16.862,95%CI=1.511-188.228,P=0.022),limb movement disorders(OR=0.386,95%CI=0.162-0.938,P=0.032),education level(OR=3.989,95%CI=1.712-7.294,P=0.001),and disease course(OR=2.017,95%CI=1.173-3.469,P=0.011).Neck pain,dyspepsia,education level and course of disease are risk factors for mood disorders associated with cervical spondylosis.Conclusion The neck pain,dyskinesia of limbs,educational level,course of disease and type of cervical spondylosis are the main factors for the cervical spondylosis with emotional disorders.