乌鲁木齐市某中医医院就诊患者颈椎病流行病学调查.docxVIP

乌鲁木齐市某中医医院就诊患者颈椎病 流行病学调查 张立明者炜 陈和军 张路 蔡玉新 乌鲁木齐市中医医院放射科新疆维吾尔自治区疾病 预防控制中心慢病科 摘要： 目的探讨乌鲁木齐市某中I矢I矢院就诊患者颈椎病患病率及其相关危险因素。方 法按简单随机抽样原则抽取样木，将前来就诊并符合纳入标准的市某中医医院 就诊患者签署知情同意书并进行面对面的问卷调查及颈椎X线检查。结果共发放 687问卷调查并拍摄颈椎X线片，收问卷调查表685份，男性221人，女性464 人。乌鲁木齐市某中医医院就诊患者颈椎病患病率为48. 5% (332/685)，患病 率在年龄段及职业间有明显差界，19岁组患病率明显高于309岁组，退休人 员及学牛患病率明显高于其他职业组。通过单因素及多因素Logistic回归分析 显示年龄、职业、低头工作、高枕睡眠习惯、经常情绪紧张压力大、咽喉部感染 或咽炎与颈椎病发病密切相关，为颈椎病致病的高危危险因素。结论乌鲁木齐 市某中医医院就诊患者颈椎病率较高，退休人员和学生患病率较高;年龄、职业、 低头工作、高枕睡眠习惯、经常情绪紧张压力大、咽喉部感染或咽炎为颈椎病致 病危险因素。宜加强社区宣教干预，制定合理有效的预防措施，从而降低木地区 颈椎病患病率。 关键词： 颈椎病;患病率;调查;危险因素; 作者简介：张立明，男，在职研究生，副主任医师，研究方向：神经、呼吸及骨 肌系统影像学诊断。 收稿日期:2017-04-24 基金：乌鲁木齐市中医医院院级科研立题项目(Y201606) Prevalence of Cervical Spondylopathy in Residents of Tianshan Distriet in Urumqi and Analysis of Related Risk Factors ZHANG Liming ZHE Wei CHEN He jun ZHANG Lu CAI Yuxin Department of Radiology, traditional Chinese Medicine Hospital ofUrumqi; Disease Control and Prevention Center of Xinjiang; Abstract： Objective To discuss about the prevalence of cervical spondylosis and its related risk factors at a medical hospiteil in Urumqi. Methods:According to a simple random sampling principle, All patients, who came to traditional Chinese hospital of Urumqi and Conformed to inclusion criteria, were signed informed consent form and were carried out the face-to-face quest io nn a ire and the cervical X-ray exam in at ion Result: 687 pieces of questionnaire was sent out to investigate the cervical vertebrei X rays. As the resuIt 685 cases were collected, 221 cases were men and 464 cases were women. The results showed that prevalence rate of cervical spondylosis at a Chinese medicine hospital of Urumqi was 48. 5%. Prevalence rate varied significantly in age and occupation, The prevalenee rate of patients from sixteen to twenty-nine year olds was significantly higher than that of patients from 30 to 39 years old, The prevalence rate of retirees and students were significantly higher than that of other professional groups. Logistic regression re