摘要
目的评价健康教育配合颈椎导引术预防颈椎病的效果。方法采用前瞻性队列研究设计,选择同一公司身体健康的软件从业人员为研究对象,以张江分公司140例为干预组(予健康教育配合颈椎导引术进行干预)、南汇分公司146例为对照组(不采取任何干预措施)进行同期对照,时间为3年;观察两组人群颈椎病发生率,并选择9个可能对颈椎病的发生产生影响的因素,通过Logistic回归模型进行多因素分析。结果干预组3年间颈椎病发生率为8.28%,对照组颈椎病发生率为22.3%,组间差异有统计学意义(P<0.001),干预组患颈椎病的危险度较对照组降低(RR=0.37);影响颈椎病发病的主要因素是低头伏案时间长、颈部受凉和缺少运动锻炼。结论长时间低头伏案、颈部受凉和缺少运动是颈椎病的主要危险因素,健康教育及颈椎导引术对预防颈椎病具有积极的作用。
Objective To evaluate the clinical efficacy of health education combined with Daoyin technique in preventing cervical spondylosis.Methods Perspective cohort study was used to detect the incidence rate.The healthy software professionals in one company were selected to be the subjects,140 subjects in Zhangjiang office were employed as intervention group,and 146 subjects in Nanhui office were employed as control group,with the course of 3 years;the incidence rates were observed in both groups,nine factors of the cervical spondylosis were selected and analyzed by Logistic regression.Results The incidence rates were 8.28% and 22.3% in intervention group and control group respectively,with a significant difference between the two groups（P0.001）;the risk of cervical spondylosis was lower in intervention group than in control group（RR=0.37）;the main factors for the onset of cervical spondylosis included lowering the head for a long time,cold contraction on neck and lack of exercise.Conclusion Lowering the head for a long time,cold contraction on neck and lack of exercise are the main risk factors of cervical spondylosis.Combination of health education with Daoyin technique can prevent cervical spondylosis effectively.
出处
《上海中医药杂志》
2012年第4期10-12,共3页
Shanghai Journal of Traditional Chinese Medicine
基金
上海市卫生局青年科研项目(2008Y129)
关键词
健康教育
导引术
颈椎病
队列研究
health education
Daoyin technique
cervical spondylosis
cohort study
