冻结肩发病的危险因素分析

Analysis of risk factors of frozen shoulder

目的 探讨冻结肩发病的危险因素,为冻结肩的预防提供依据。方法 选取2020年1月至2022年8月于浙江中医药大学附属第一医院住院的114例冻结肩患者纳入病例组,同期无冻结肩病史的体检者114名纳入对照组。收集两组研究对象的临床资料,采用多因素Logistic回归分析探讨冻结肩发病的危险因素。结果 两组研究对象的神经根型颈椎病、2型糖尿病、肝炎、慢性非萎缩性胃炎、腰椎间盘突出症、骨质疏松、甲状腺结节病比较差异均有统计学意义(P<0.05);多因素Logistic分析结果显示,神经根型颈椎病(OR=6.114,95%CI:1.458~25.642)和2型糖尿病(OR=24.069,95%CI:4.023~144.007)均是影响冻结肩发病的独立危险因素。结论 2型糖尿病、神经根型颈椎病患者发生冻结肩的风险较高,应重点关注进行早期预防。

Objective To explore the risk factors of frozen shoulder,and to provide the basis for the prevention of frozen shoulder.Methods A total of 114 patients with frozen shoulder who were hospitalized in the First Affiliated Hospital of Zhejiang Chinese Medical University from January 2020 to August 2022 were included in case group,and 114 physical examination patients with no history of frozen shoulder were included in control group.The clinical data of two groups were collected and the risk factors of frozen shoulder were analyzed by multivariate Logistic regression.Results There were statistically significant differences in cervical radiculopathy,type 2 diabetes mellitus,hepatitis,chronic non-atrophic gastritis,lumbar disc herniation,osteoporosis and thyroid sarcoidosis between two groups(P<0.05).Multivariate Logistic analysis showed that cervical radiculopathy(OR=6.114,95%CI:1.458-25.642)and type 2 diabetes mellitus(OR=24.069,95%CI:4.023-144.007)were independent risk factors for the onset of frozen shoulder.Conclusion Patients with type 2 diabetes mellitus and cervical radiculopathy have a higher risk of frozen shoulder,and should pay attention to early prevention.