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

卷:

第26卷

期數(shù):

2014年02期

頁碼:

12-15

欄目:

調(diào)查研究

出版日期:

2014-02-20

文章信息/Info

Title:

Analysis on clinical characteristics of patients with lumbar disc herniation treated by non-surgical methods in Gansu Provincial Hospital of TCM,2004—2011

作者:

趙繼榮; 張海清; 鄧強; 陳文

甘肅省中醫(yī)院,甘肅 蘭州 730050

Author(s):

Zhao Jirong^*; Zhang Haiqing; Deng Qiang; Chen Wen.

^*Gansu Provincial Hospital of TCM,Lanzhou 730050,Gansu,China

關(guān)鍵詞:

椎間盤移位 腰椎 流行病學(xué)研究

Keywords:

Intervertebral disc displacement;  Lumbar vertebrae;  Epidemiologic studies

摘要:

目的:分析甘肅省中醫(yī)院近年來采用非手術(shù)方法治療的腰椎間盤突出癥患者的臨床特征。方法:調(diào)查整理2004—2011年4 880例在甘肅省中醫(yī)院采用非手術(shù)方法治療的腰椎間盤突出癥患者的病歷資料,建立資料庫,從性別、年齡、病因、突出節(jié)段、合并癥、職業(yè)及醫(yī)療付款方式7各方面分析患者的臨床特點。結(jié)果:①性別。納入研究的4 880例患者中,男2 548例,女2 332例。②年齡。20歲以下患者38例,21～30歲患者332例,31～40歲患者996例,41～50歲患者1 392例,51～60歲患者1 152例,61～70歲患者672例,70歲以上患者298例。③病因。有慢性勞損史者1 598例,有明確外傷史者942例,有明確扭傷史者690例,無明顯誘因者1 668例。④突出節(jié)段。L_1～2突出82例,L_2～3突出224例,L_3～4突出1 194例,L_4～5突出3 420例,L₅S₁突出2 560例; 單節(jié)段突出2 996例,雙節(jié)段突出1 182例,三節(jié)段突出702例。⑤合并癥。合并高血壓病684例,糖尿病537例,骨質(zhì)疏松癥402例,膽囊炎270例,膝骨關(guān)節(jié)炎204例。⑥職業(yè)。工人1 202例,農(nóng)民1 084例,干部894例,學(xué)生86例,軍人26例,會計38例,文員232例,教師212例,司機94例,其他職業(yè)者1 010例。⑦醫(yī)療付款方式。社會基本醫(yī)療保險2 550例,自費2 030例,商業(yè)保險26例,公費醫(yī)療26例,大病統(tǒng)籌8例。結(jié)論:2004—2011年甘肅省中醫(yī)院采用非手術(shù)治療的腰椎間盤突出癥患者男性多于女性,以20～40歲的青壯年患者為主,慢性勞損、外傷和扭傷是發(fā)病的主要原因,突出節(jié)段以L_4～5和L₅S₁多見,工人、農(nóng)民和干部所占比例最高。

Abstract:

Objective:To analyze the clinical characteristics of patients with lumbar disc herniation(LDH)treated by non-surgical methods in Gansu provincial hospital of TCM.Methods:The medical records of 4 880 patients with LDH treated by non-surgical methods in Gansu provincial hospital of TCM from 2004 to 2011 were investigated and sorted,and then a database was built,after that,the clinical characteristics of the patients were analyzed in such parameters as gender,age,pathogenesis,protrusion segments,complications,occupation and medical payment method.Results:The 4 880 patients that included in the study consisted of 2 548 males and 2 332 females.The patients who under 20 years were 38 cases,21-30 years were 332,31-40 years were 996,41-50 years were 1 392,51-60 years were 1152,61-70 ys were 672,older than 70 were 298.The pathogenesis of the patients include chronic strain(1 598 cases),trauma(942 cases),sprain(690 cases).The 4 880 patients with protrusion segments in L_1～2 were 82 cases, L_2～3 were 224 cases, L_3～4 were 1 194 cases, L_4～5 were 3 420 cases, L₅S₁ were 2 560 cases; in which consisted of single segmental protrusion(2 996 cases),double segmental protrusion(1 182 cases)and three segmental protrusion(702 cases).The complications of the patients include hypertension(684 cases),diabetes mellitus(537 cases),osteoporosis(402 cases),cholecystitis(270 cases)and knee osteoarthritis(204 cases).The 4 880 patients that included in the study consisted of worker(1202 cases),peasants(1084 cases),cadre(894 cases),student(86 cases),soldier(26 cases),accountant(38 cases),office clerk(232 case),teacher(212 cases),driver(94 cases)and other occupations(1010 cases).And the medical payment methods were adopted for them were social basic medical insurance(2 550 cases),self-supporting(2 030 cases),commerial insurance(26 cases),free medical service(26 cases)and comprehensive arrangement for serious disease(2 cases).Conclusion:There were more males than females in the patients with LDH treated by non-surgical methods in Gansu provincial hospital of TCM from 2004 to 2011,and mainly dominated by young adults aged(20-40 years old),chronic strain,trauma and sprain were the main causes of this disease,and the protrusion segments were mainly in L_4～5 and L₅S₁,besides,workers,peasants and cadres were the highest proportion.

備注/Memo

備注/Memo:

基金項目:甘肅省省科技廳科技支撐項目(1204KFCA166)
通訊作者:張海清 E-mail:[email protected]

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更新日期/Last Update: 2014-02-20