社区人群罹患慢性非特异性下腰痛的相关因素分析

Analysis of the related factors of chronic nonspecific low back pain in community population

目的对社区人群罹患慢性非特异性下腰痛(chronic nonspecific low back pain,CNLBP)情况进行调查,并分析其风险因素。方法自2019年1-5月针对本院附近的4个社区展开现场问卷调查,观察CNLBP的发病情况;并统计性别、年龄、体质量指数、教育程度、收入、职业、婚姻、运动量等情况,进行单因素分析和多因素Logistic回归分析。结果本次发放调查问卷400份,回收合格371份,回收率为92.75%。此371例中,79例有长期慢性腰痛症状,其中40例因明确的相关疾病所致腰痛、被最终剔除,最终39例确诊为CNLBP、被纳入CNLBP组,剩余的292例纳入非CNLBP组。单因素分析显示,两组人群的性别、BMI、教育程度、职业、劳动强度、接触振动源、婚姻状况、运动量的组间差异有统计学意义(P<0.05);多因素Logistic回归分析显示,女性(OR=2.395)、BMI≥26 kg/m 2(OR=3.476)、大专及以上(OR=1.987)、体力劳动(OR=2.590)、中重强度劳动(OR=4.327)、接触振动源(OR=3.192),均是社区人群罹患CNLBP的独立风险因素。结论社区人群罹患CNLBP的风险因素较多,其中女性、BMI≥26 kg/m 2、大专及以上学历者、体力劳动、中重强度劳动和工作接触振动源的人群,应作为临床防治的重点。

Objective To investigate the prevalence of chronic nonspecific low back pain( CNLBP) in community population and analyze its risk factors. Methods From January 2019 to May 2019,a questionnaire survey was carried out in four different communities in our hospital to observe the incidence of CNLBP,and the data of gender,age,body mass index( BMI),education level,income,occupation,marriage,exercise volume were analyzed by single factor analysis and multi factor Logistic regression analysis.Results Four hundred questionnaires were sent out and 371 qualified ones were recovered,the recovery rate was 92. 75%. Among the371 cases,79 cases had long-term chronic low back pain symptoms,40 of which were caused by definite related diseases and finally eliminated,39 cases were finally diagnosed as CNLBP and included in the CNLBP group,and the remaining 292 cases were included in the non CNLBP group. Univariate analysis showed that there were significant differences in gender,BMI,education level,occupation,labor intensity,contact vibration source,marital status and exercise volume between the two groups( P < 0. 05). Multivariate logistic regression analysis showed that women( OR = 2. 395),BMI ≥26 kg/m2( OR = 3. 476),college degree and above( OR = 1. 987),physical labor( OR = 2. 590),medium and heavy intensity labor( OR= 4. 327) and exposure to vibration sources( OR = 3. 192) were the independent risk factors of CNLBP in community population.Conclusion There are many risk factors of CNLBP in community people with BMI ≥ 26 kg/m2,people with college degree or above,people with physical labor,medium and heavy labor and people with work exposure to vibration sources should be the focus of clinical prevention and treatment.