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[1]吳忌,王慶甫,張棟,等.北京地區(qū)在校大學(xué)生頸痛患者頸椎曲度特點的調(diào)查研究[J].中醫(yī)正骨,2016,28(02):28-32.
　WU Ji,WANG Qingfu,ZHANG Dong,et al.A survey of cervical curvature characteristics of college students with neck pain in Beijing[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(02):28-32.
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北京地區(qū)在校大學(xué)生頸痛患者頸椎曲度特點的調(diào)查研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年02期
頁碼:
28-32
欄目:
調(diào)查研究
出版日期:
2016-02-20

文章信息/Info

Title:
A survey of cervical curvature characteristics of college students with neck pain in Beijing
作者:
吳忌1; 王慶甫2; 張棟2; 鄭皓云3; 石鑫超2; 楊黎黎2;  時宗庭2
1.四川省骨科醫(yī)院,四川 成都 610041;
2.北京中醫(yī)藥大學(xué)第三附屬醫(yī)院,北京 100029;
3.北京市中醫(yī)院,北京 100029
Author(s):
WU Ji1; WANG Qingfu2; ZHANG Dong2; ZHENG Haoyun3; SHI Xinchao2; YANG Lili2; SHI Zongting2
1.Sichuan Orthopaedic Hospital,Chengdu 610041,Sichuan,China 2.The Third Affiliated Hospital of Beijing University of Traditional Chinese Medicine,Beijing 100029,China 3.Beijing Hospital of Traditional Chinese Medicine,Beijing 100029,China
關(guān)鍵詞:
頸痛;  頸椎;  曲度;  青年人;  健康調(diào)查
Keywords:
neck pain;  cervical vertebrae;  curvature;  young adult;  health surveys
摘要:
目的:探討北京地區(qū)在校大學(xué)生頸痛患者的頸椎曲度特點。方法:采集北京地區(qū)5所高校216例在校大學(xué)生頸痛患者的一般 情況、發(fā)病信息、生活習(xí)慣、頸痛情況4個方面的臨床信息,并拍攝頸椎中立位側(cè)位X線片,采用Borden深度測量法、Harrison夾 角測量法及頸椎曲度指數(shù)法3種方法對頸椎曲度進(jìn)行測量,分析臨床信息與頸椎曲度的相關(guān)性。結(jié)果:①一般結(jié)果。共納入頸痛 患者216例,主動退出18例,因信息不全剔除17例,因頸椎椎體融合剔除5例,最終觀察樣本數(shù)為176例。②臨床信息采集結(jié)果。176 例頸痛患者,男36例、女140例,年齡(21.78±2.23)歲,身高(1.65±0.07)m,體質(zhì)量指數(shù)20.60±2.70 kg·m2,病程(8.68±7.70)個月,Northwick Park頸痛量表評分(20.59±10.0)分。頸痛發(fā)生頻率,大部分 每月≥1次,每月<1次者僅26例。大部分人每天伏案時間>6 h,每天睡眠時間均在6 h以上。③頸椎曲度測量結(jié)果。176例 頸痛患者,頸椎Borden深度(6.00±5.36)mm、Harrison夾角15.21°±12.48°、頸椎曲度指數(shù)8.0±11.5,與正常 參考值相比,異常例數(shù)分別為117例、134例、113例。Borden深度異常的117例中,曲度減小87例、反曲26例、曲度變大4例。④ 臨床信息與頸椎曲度的相關(guān)性分析結(jié)果。經(jīng)相關(guān)分析,性別、年齡、身高、體質(zhì)量指數(shù)、病程、頸痛發(fā)生頻率與頸椎曲度無相 關(guān)性。每天使用電腦時間、使用手機(jī)時間、伏案時間與頸椎Borden深度、Harrison夾角、頸椎曲度指數(shù)呈負(fù)相關(guān); 每天伏案時 間越長,頸椎曲度的各項測量值越小(r=-0.237,P=0.000; r=-0.214,P=0.000; r=-0.202,P=0.000)。每天睡眠時間與頸椎曲度 各項測量值呈正相關(guān),睡眠時間越充足頸椎曲度各項測量值減小的趨勢越不明顯(r=0.202,P=0.000; r=0.228,P=0.000; r=0.216,P=0.000)。頸痛評分與頸椎曲度各項測量值呈負(fù)相關(guān),頸痛評分越高頸椎曲度測量值越小(r=-0.178,P=0.031; r=- 0.183,P=0.028; r=-0.165,P=0.047)。結(jié)論:北京地區(qū)大學(xué)生頸痛患者頸椎曲度異常率超過60%,且以頸椎曲度減小為主,伏案時 間越長頸椎曲度減小的趨勢越明顯,睡眠時間越充足頸椎曲度減小的趨勢越不明顯,頸椎曲度越小頸痛越明顯。
Abstract:
Objective:To explore the cervical curvature characteristics of college students with neck pain in Beijing.Methods:Two hundred and sixteen students with neck pain were recruited from five colleges in Beijing and their clinical information were collected,including general state of health,frequency of neck pain,living habits and neck pain scores.Furthermore,neutral lateral radiographs of cervical vertebrae were taken and the cervical curvatures were measured by using 3 methods respectively including Borden depth measurement,Harrison angle measurement and cervical curvature index(CCI).At last,the correlations between clinical information and cervical curvature were analyzed.Results:Of 216 students with neck pain,18 students dropped out initiatively and 17 students were excluded for uncomplete information and 5 students were excluded for cervical interbody fusion.Finally,176 students(36 males and 140 females)were chosen as the observation samples.Their ages were 21.78+/-2.23 yrs,body heights were 1.65+/-0.07 meters,body mass indexs were 20.60+/-2.70 kg∕m(2),disease courses were 8.68+/-7.70 months and Northwick Park neck pain scale scores were 20.59+/-10.0 points.The monthly frequency of neck pain of≥1 were found in the majority of the students,and those of <1 were found in 26 students.The working time at desk exceeded 6 hrs every day in the majority of the students,and the hours of sleep exceeded 6 hrs every day in all of the students.The Borden depth of cervical vertebra of the 176 students was 6.00+/-5.36 mm and Harrison included angle was 15.21+/-12.48 degrees and CCI was 8.0+/-11.5.According to normal reference value,above outcome measures were abnormal in 117,134 and 113 students respectively; and decreased cervical curvature(87),contrary flexure(26)and increased cervical curvature(4)were found in the 117 students with abnormal Borden depth of cervical vertebra.The results of correlation analysis showed that gender,age,body height,body mass index,disease course and frequency of neck pain had no correlations with cervical curvature.The everyday working time on computer,mobile phone and desk had negatively correlated with Borden depth of cervical vertebra,Harrison included angle and CCI.The longer the everyday working time on desk was,the smaller the measured values of cervical curvature became(r=-0.237,P=0.000; r=-0.214,P=0.000; r=- 0.202,P=0.000).The everyday hours of sleep were positively correlated with the measured values of cervical curvature,in other words,the more sufficient the everyday hours of sleep were,the more unconspicuous the decreased tendency of the measured values of cervical curvature was(r=0.202,P=0.000; r=0.228,P=0.000; r=0.216,P=0.000).The neck pain scores were negatively correlated with the measured values of cervical curvature,in other words,the higher the neck pain scores was,the smaller the measured values of cervical curvature became(r=-0.178,P=0.031; r=-0.183,P=0.028; r=-0.165,P=0.047).Conclusion:The abnormal rate of cervical curvature of college students with neck pain in Beijing is more than 60%,and the abnormality of cervical curvature presents mainly with decreased cervical curvature.The longer the working time on desk is,the more obvious the decreased tenency of the cervical curvature is.The more sufficient the hours of sleep are,the more unconspicuous the decreased tendency of the cervical curvature is.The smaller the cervical curvature is,the more obvious the neck pain is.

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備注/Memo

備注/Memo:
基金項目:教育部高等學(xué)校博士學(xué)科點專項科研基金項目(20110013110013); 首都醫(yī)學(xué)發(fā)展基金項目(SF-2007-III-05); 國家 級臨床重點專科“十二五”建設(shè)項目; 國家中醫(yī)藥管理局“十二五”重點學(xué)科建設(shè)項目
通訊作者:王慶甫 E-mail:[email protected]
更新日期/Last Update: 2016-04-30