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[1]朱金超,方婷,王小樂,等.中國(guó)人群頸椎病發(fā)病危險(xiǎn)因素的Meta分析[J].中醫(yī)正骨,2024,36(10):32-38.
　ZHU Jinchao,FANG Ting,WANG Xiaole,et al.Risk factors for the onset of cervical spondylosis in the Chinese population:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2024,36(10):32-38.
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中國(guó)人群頸椎病發(fā)病危險(xiǎn)因素的Meta分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第36卷
期數(shù):
2024年10期
頁(yè)碼:
32-38
欄目:
文獻(xiàn)研究
出版日期:
2024-10-20

文章信息/Info

Title:
Risk factors for the onset of cervical spondylosis in the Chinese population:a meta-analysis
作者:
朱金超1; 方婷2; 王小樂2; 楊煜乾1; 鄧彪1; 劉福水2
1.江西中醫(yī)藥大學(xué)臨床醫(yī)學(xué)院,江西 南昌 330004; 2.江西中醫(yī)藥大學(xué)附屬醫(yī)院,江西 南昌 330006
Author(s):
ZHU Jinchao1; FANG Ting2; WANG Xiaole2; YANG Yuqian1; DENG Biao1; LIU Fushui2
1.The Clinical Medical College of Jiangxi University of Chinese Medicine,Nanchang 330004,Jiangxi,China 2.The Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330006,Jiangxi,China
關(guān)鍵詞:
頸椎病;  危險(xiǎn)因素;  中國(guó)人群;  專題Meta分析
Keywords:
cervical spondylosis;  risk factors;  Chinese population;  meta-analysis as topic
摘要:
目的:系統(tǒng)評(píng)價(jià)中國(guó)人群頸椎病發(fā)病的危險(xiǎn)因素。方法:應(yīng)用計(jì)算機(jī)檢索中國(guó)知網(wǎng)、維普網(wǎng)、萬(wàn)方數(shù)據(jù)庫(kù)、中國(guó)生物醫(yī)學(xué)文獻(xiàn)服務(wù)系統(tǒng)、Embase、Web of Science、Cochrane Library中關(guān)于中國(guó)人群頸椎病發(fā)病危險(xiǎn)因素的橫斷面研究、病例對(duì)照研究或隊(duì)列研究文獻(xiàn),檢索時(shí)限為數(shù)據(jù)庫(kù)建庫(kù)至2024年5月25日。2名研究者分別獨(dú)立進(jìn)行文獻(xiàn)篩選、數(shù)據(jù)提取和納入研究的質(zhì)量評(píng)價(jià)。采用RevMan5.4軟件進(jìn)行Meta分析。結(jié)果:共檢索到7726篇文獻(xiàn),最終納入17篇文獻(xiàn),共涉及15 936例頸椎病患者。Meta分析結(jié)果顯示,女性[OR=2.23,95%CI(1.19,4.18),P=0.010]、年齡>30歲[OR=2.30,95%CI(1.66,3.17),P=0.000]、缺乏鍛煉[OR=1.78,95%CI(1.33,2.39),P=0.000]、伏案低頭[OR=1.80,95%CI(1.37,2.35),P=0.000]、環(huán)境濕冷[OR=1.29,95%CI(1.24,1.34),P=0.000]、負(fù)面情緒[OR=1.68,95%CI(1.25,2.26),P=0.001]、每天使用電子設(shè)備>4 h[OR=2.55,95%CI(1.37,4.77),P=0.000]、高枕[OR=1.77,95%CI(1.42,2.20),P=0.000]、吸煙[OR=1.22,95%CI(1.17,1.27),P=0.000]、長(zhǎng)時(shí)間工作[OR=3.51,95%CI(3.35,3.69),P=0.000]、工齡>10年[OR=3.26,95%CI(2.59,4.11),P=0.000]、咽部感染[OR=1.31,95%CI(1.25,1.38),P=0.000]均為中國(guó)人群頸椎病發(fā)病的危險(xiǎn)因素,飲酒[OR=1.00,95%CI(0.71,1.41),P=0.990]、頸部外傷史[OR=1.48,95%CI(0.76,2.88),P=0.250]與頸椎病發(fā)病的關(guān)聯(lián)均無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論:現(xiàn)有證據(jù)表明,女性、年齡>30歲、缺乏鍛煉、伏案低頭、環(huán)境濕冷、負(fù)面情緒、每天使用電子設(shè)備>4 h、高枕、吸煙、長(zhǎng)時(shí)間工作、工齡>10年、咽部感染均為中國(guó)人群頸椎病發(fā)病的危險(xiǎn)因素,而飲酒、頸部外傷史與中國(guó)人群頸椎病的發(fā)病無(wú)關(guān)聯(lián)性。
Abstract:
Objective:To systematically review the risk factors for the onset of cervical spondylosis(CS)in the Chinese population.Methods:All the cross-sectional study articles,case-control study articles and cohort study articles about the risk factors for the onset of CS in the Chinese population included from database's inception to May 25,2024 were retrieved from the China National Knowledge Infrastructure,Vip Database,Wanfang Database,Chinese Biomedical Literature Service System,Embase,Web of Science,and Cochrane Library through computer.The pertinent articles were screened,the information was extracted and the methodological quality of the included researches in the articles was evaluated independently by two researchers,and then a Meta-analysis was conducted by using RevMan5.4 software.Results:Seven thousand seven hundred and twenty-six articles were searched out.After screening,17 articles were included in the final analysis,involving 15 936 CS patients.The results of Meta-analysis revealed that female(OR=2.23,95%CI(1.19,4.18),P=0.010),age over 30 years old(OR=2.30,95%CI(1.66,3.17),P=0.000),less exercises(OR=1.78,95%CI(1.33,2.39),P=0.000),head bowing over desk(OR=1.80,95%CI(1.37,2.35),P=0.000),cold and humid environment(OR=1.29,95%CI(1.24,1.34),P=0.000),negative emotions(OR=1.68,95%CI(1.25,2.26),P=0.001),using electronic devices over 4 hours per day(OR=2.55,95%CI(1.37,4.77),P=0.000),using a high pillow(OR=1.77,95%CI(1.42,2.20),P=0.000),smoking(OR=1.22,95%CI(1.17,1.27),P=0.000),long-time working(OR=3.51,95%CI(3.35,3.69),P=0.000),length of service over 10 years(OR=3.26,95%CI(2.59,4.11),P=0.000),pharyngeal infection(OR=1.31,95%CI(1.25,1.38),P=0.000)were the risk factors for the onset of CS in the Chinese population; while,the associations of alcohol drinking(OR=1.00,95%CI(0.71,1.41),P=0.990)and neck trauma history(OR=1.48,95%CI(0.76,2.88),P=0.250)with the onset of CS were not statistical significant.Conclusion:Available evidences suggest that the female,age over 30 years old,less exercises,head bowing over desk,cold and humid environment,negative emotions,using electronic devices over 4 hours per day,using a high pillow,smoking,long-time working,length of service over 10 years,pharyngeal infection are the risk factors for the onset of CS in the Chinese population; while,the alcohol drinking and neck trauma history are not related to the onset of CS in the Chinese population.

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備注/Memo

備注/Memo:
基金項(xiàng)目:國(guó)家自然科學(xué)基金項(xiàng)目(82360940); 江西省自然科學(xué)基金資助項(xiàng)目(20224ACB206041); 江西省教育廳科學(xué)技術(shù)研究項(xiàng)目(GJJ2200984,GJJ2200990); 國(guó)家中醫(yī)優(yōu)勢(shì)專科建設(shè)項(xiàng)目(贛中醫(yī)藥綜合字〔2024〕3號(hào))
通訊作者:劉福水 E-mail:[email protected]
更新日期/Last Update: 1900-01-01