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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09期

頁碼:

33-35

欄目:

調(diào)查研究

出版日期:

2014-09-30

文章信息/Info

Title:

A survey of the etiological factor of scapular myofasciitis

作者:

趙勇¹; 方維¹; 張寬¹; 劉春雨²

1.中國中醫(yī)科學(xué)院望京醫(yī)院,北京 100102;
2.北京市朝陽區(qū)第二醫(yī)院,北京 100026

Author(s):

Zhao Yong^*; Fang Wei; Zhang Kuan; Liu Chunyu.

^*The Wangjing Hospital of China Academy Of Chinese Medical Sciences,Beijing 100102,China

關(guān)鍵詞:

筋膜炎 肩胛肌 致病因素 問卷調(diào)查

Keywords:

Fasciitis;  Scapular muscle;  Etiological factor;  Questionnaires

摘要:

目的:探討肩胛肌筋膜炎的致病因素。方法:在北京市隨機(jī)選擇志愿者作為調(diào)查對(duì)象,采用自行設(shè)計(jì)的調(diào)查問卷進(jìn)行調(diào)查。排除合并頸部及肩胛部位其他疾病的患者或合并內(nèi)臟疾病可產(chǎn)生相同及相似癥狀者。對(duì)按要求完成調(diào)查問卷者,采用根據(jù)《中醫(yī)病證診斷療效標(biāo)準(zhǔn)》中頸肩部疾病的診斷標(biāo)準(zhǔn)制定的肩胛肌筋膜炎診斷標(biāo)準(zhǔn)判斷其是否患有肩胛肌筋膜炎,分析肩胛肌筋膜炎的可能致病因素。結(jié)果:本次調(diào)查共發(fā)放調(diào)查問卷150份,回收150份。其中136名志愿者符合要求,男56名,女80名。年齡20～40歲,中位數(shù)30.5歲。按照自擬的診斷標(biāo)準(zhǔn),76名志愿者患有肩胛肌筋膜炎。肩胛肌筋膜炎患者和非肩胛肌筋膜炎者在工作時(shí)頸部是否前傾、工作時(shí)手臂位置是否固定、生活環(huán)境是否潮濕、工作間歇時(shí)是否鍛煉、每天使用電腦時(shí)間是否≥8 h、每天伏案工作時(shí)間是否≥8 h、夏季每天使用空調(diào)時(shí)間是否≥8 h方面比較,差異均有統(tǒng)計(jì)學(xué)意義(χ2=10.667,P=0.001; χ2=8.437,P=0.004; χ2=14.120,P=0.000; χ2=13.303,P=0.000; χ2=9.420,P=0.002; χ2=10.850,P=0.001; χ2=15.118,P=0.000)。結(jié)論:工作時(shí)頸部前傾、手臂位置固定、生活環(huán)境潮濕、工作間歇時(shí)缺乏鍛煉、每天使用電腦時(shí)間過長(zhǎng)和伏案時(shí)間過長(zhǎng),以及夏季使用空調(diào)時(shí)間過長(zhǎng),都與肩胛肌筋膜炎的發(fā)病有關(guān)。

Abstract:

Objective:To explore the etiological factor of scapular myofasciitis.Methods:The respondents were randomly selected from the volunteers in Beijing city,and they were surveyed by using self-designed questionnaire.The patients with other cervical and scapular diseases and the patients with the same or similar symptoms generated from combined visceral disease were excluded.The respondents who completed the questionnaires as requested were judged whether they had scapular myofasciitis or not according to the scapula myofasciitis diagnosis standard in accordance with the diagnostic criteria of neck and scapular diseases which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes,and the possible etiological factor were analyzed.Results:Totally 150 questionnaires were distributed to the volunteers and 150 were returned and 136 met the requirements.The volunteers consisted of 56 males and 80 females,which ranged in age from 20 to 40 years(Median=30.5 yrs).Seventy-six volunteers were diagnosed with scapular myofasciitis according to the self-compiled diagnostic criterion.There were statistical difference between volunteers with scapular myofasciitis and volunteers without scapular myofasciitis in many factors including anteverted neck at working hours,fixed arm at working hours,damp living environment,exercises during the working breaks,working time on computer,working time at desk and time staying in the air conditioning environment in summer(χ2=10.667,P=0.001; χ2=8.437,P=0.004; χ2=14.120,P=0.000; χ2=13.303,P=0.000; χ2=9.420,P=0.002; χ2=10.850,P=0.001; χ2=15.118,P=0.000).Conclusion:Such factors are concerned with the morbidity of scapular myofasciitis as the anteverted neck at working hours,fixed arm at working hours,damp living environment,less exercises during the working breaks,too much time on computer or at desk and too much time in the air conditioning environment in summer.

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更新日期/Last Update: 2014-09-30