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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:

第25卷

期數(shù):

2013年01期

頁碼:

23-25

欄目:

臨床研究

出版日期:

2013-01-20

文章信息/Info

Title:

Study on the relationship between sacroiliac joint dysfunction and L_4/5 lumbar disc herniation

作者:

師寧寧¹; 沈國權²; 何水勇³

1.甘肅省中醫(yī)院,甘肅 蘭州 730050;
2.上海中醫(yī)藥大學附屬岳陽中西醫(yī)結合醫(yī)院, 上海 200437;
3.江西省中醫(yī)院,江西 南昌 330006

Author(s):

SHI Ning-ning^*; SHEN Guo-quan; HE Shui-yong.

^*Traditional Chinese Medical Hospital of Gansu Province,Lanzhou 730050,Gansu,China

關鍵詞:

椎間盤移位 脊椎關節(jié)紊亂 骶髂關節(jié) 危險性評估 危險因素 流行病學研究

Keywords:

Intervertebral disk displacement;  Spondyloarthropathy;  Sacroiliac joint;  Risk assessment;  Risk factors;  Epidemiologic studies

摘要:

目的:研究骶髂關節(jié)紊亂與L_4～5椎間盤突出的關系。方法:將129例腰椎間盤突出癥患者分為2組,L_4～5椎間盤突出的61例患者納入觀察組,L₅S₁椎間盤突出的68例患者納入對照組。采用病例對照研究的方法計算骶髂關節(jié)紊亂對L_4～5椎間盤突出癥發(fā)病的危險度。采用流行病學調查的方法確定L_4～5椎間盤突出的有關因素,然后采用單因素分析對自變量進行篩選,最后通過Logistic回歸分析確定L_4～5椎間盤突出的危險因素。結果:病例對照研究的結果表明骶髂關節(jié)紊亂是L_4～5椎間盤突出的危險因素(OR=2.310,P=0.030)。流行病學調查共確定了17個與L_4～5椎間盤突出有關的因素,經(jīng)單因素篩選確定對年齡、“4”字形試驗、腰痛、腰部壓痛、腰椎側彎、髂嵴不平及腰骶角異常7個變量進行Logistic回歸分析,結果顯示腰痛(OR=3.924,P=0.088)、腰椎側彎(OR=3.308,P=0.072)、髂嵴不平(OR=21.376,P=0.002)及腰骶角異常(OR=2.212,P=0.057)為L_4～5椎間盤突出的危險因素,其中髂嵴不平為高危險因素。結論:骶髂關節(jié)紊亂是L_4～5椎間盤突出的危險因素,其中髂嵴不平是L_4～5椎間盤突出的高危因素。

Abstract:

Objective:To study on the relationship between sacroiliac joint dysfunction and L_4/5 lumbar disc herniation(LDH).Methods:One hundred and twenty-nine LDH patients were divided into 2 groups,61 patients with L_4/5 LDH were included into observation group,while the others with L₅S₁ LDH were included into control group.The risk for L_4/5 LDH caused by sacroiliac joint dysfunction was assessed through case-control study.The relative factors of L_4/5 LDH were determined through epidemiologic investigation,then the independent variables were screened through single factor analysis,and the risk factors for L_4/5 LDH were determined through logistic regression analysis finally.Results:It was proved that sacroiliac joint dysfunction was the risk factor for L_4/5 LDH according to the findings of case-control study(OR=2.310,P=0.030).Seventeen factors were determined to have relation with L_4/5 LDH through the epidemiologic investigation.After single factor screening,7 independent variables,including age,Patrick sign,lumbago,waist tenderness,lumbar scoliosis,uneven iliac crest and abnormal lumbosacral angle,were analyzed through logistic regression analysis.The results showed that such factors were the risk factors for L_4/5 LDH as lumbago(OR=3.924,P=0.088),lumbar scoliosis(OR=3.308,P=0.072),uneven iliac crest(OR=21.376,P=0.002)and abnormal lumbosacral angle(OR=2.212,P=0.057),and the uneven iliac crest was the high risk factor.Conclusion:The sacroiliac joint dysfunction is the risk factor for L_4/5 LDH,and the uneven iliac crest is the high risk factor.

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更新日期/Last Update: 2013-01-20