朱治伟，　卢祖洵



十堰市中青年颈椎病影响因素的病例对照研究

朱治伟1,2，卢祖洵1

【摘要】目的探讨十堰市中青年颈椎病发病的影响因素，为颈椎病的病因学研究及预防和治疗提供客观依据。方法选择湖北省十堰市太和医院脊柱外科2009年9月-2014年7月间收治的首次诊断为颈椎病的患者100例为病例组，以同期医院确诊的非颈椎病患者100例为对照组。通过文献查阅自行设计的结构式调查问卷，以现场询问的方式对其进行问卷调查，收集两组的相关信息。应用Epidata 3.1建立数据库，应用SPSS 18.0软件进行单因素及多因素条件Logistic回归分析。结果单因素非条件Logistic回归分析显示，与颈椎病有关联的因素为职业、颈部负重、咽喉部感染、环境通风情况、是否颈部受寒、睡眠姿势、工作姿势、情绪紧张。多因素Logistic回归分析结果显示,颈椎病的影响因素为工作姿势不当、睡眠姿势不当、情绪紧张、环境通风情况差或颈部受寒、咽喉感染。结论培养良好生活习惯，减少长时间伏案工作，注意工作及睡眠姿势，保持良好情绪，积极参加体育锻炼，预防和治疗咽喉感染可以减少颈椎病的发生。

【关键词】中青年；颈椎病；影响因素；病例对照研究

Case Control Study on Influencing Factors of Cervical Vertebra Disease in Shiyan City

ZHU Zhiwei, LUZuxun.SchoolofPublicHealth,TongjiMedicalCollege,HuazhongUniversityofScienceandTechnology,Wuhan, 430030,China

【Abstract】ObjectivesTo explore the influencinh factors of cervical vertebra disease in Shiyan City, and provide reference for prevention and treatment of cervical disease of young people. MethodsThe case group included 100 cases of patients who were diagnosed as cervical spondylosis for the first time and the control group included 100 cases of non-cervical spondylosis patients from September 2009 to July 2014. Questionaire was designed by ourselves though critical review of literatures. The database was established using Epidata3.0and the Single-factor and Multi-factor condition Logistic regression analysis was processed using SPSS 18.0. ResultsNon conditional logistic regression analysis showed that the single factor, and cervical spondylosis related factors for the occupation, neck carry things, throat infection, ventilation of the living environment, the neck cold, sleeping posture, work posture, emotional stress.he results of multi-factor condition Logistic regression analysis showed that the influence factor of cervical spondylosis were wrong work posture, wrong sleeping posture, emotional stress, poor environmental ventilation condition, neck affected by cold and throat infection. Conclusions Cultivating good habits and customs, reducing working hours, paying attention to the work, and sleep posture, maintaining good mood, taking an active part in physical exercise, prevention and treatment of throat infection can reduce the occurrence of cervical spondylosis.

【Key words】Young and middle-aged;Cervical vertebra disease；Inflening factors；Case-control

颈椎病是一种常见病与多发病，又被称为颈椎综合征。由于颈椎骨质增生、颈椎间盘退变及其继发性等改变，包括韧带、骨质增生、椎间盘突出、后纵韧带钙化和继发性椎管狭窄等，刺激或压迫相邻组织如脊髓、神经、血管和食管等组织，并引起相应症状或体征者称为颈推病[1]。……