摘要
目的调查分析温州市瓯海区青年腰椎间盘突出症(LDH)患者的危险因素。方法选择温州市瓯海区汉族居民中的180例青年LDH患者为观察组,以120例因其他非椎间盘突出症就诊的青年为对照组。设计腰椎间盘突出症和与本次流行病学调查问卷,分别对两组对象的性别、体质量指数(BMI)、身高、LDH家族史、职业史、腰背部损伤史、工作姿势、运动量、吸烟及紧张心理等项目进行调查。对选取的自变量进行赋值后先进行单因素分析,再进行多因素非条件Logistic回归分析。结果单因素结果显示,BMI、身高、LDH家族史、职业史、腰背部损伤史、工作姿势、运动量及紧张心理均是温州市瓯海区青年患LDH的重要影响因素(P均<0.05)。Logistic多因素结果显示,BMI、职业史、腰背部损伤史、工作姿势及紧张心理是温州市瓯海区青年患LDH的独立危险因素(P均<0.05)。结论 BMI≥25 kg/m2,职业史较长,有腰背部损伤史,工作姿势及存在紧张心理为温州市瓯海区青年患LDH的高危因素。
Objective To investigate and analyze the risk factors for lumbar disc herniation （LDH） among young patients in Ouhai District, Wenzhou City. Methods One hundred and eighty young t-tan patients with LDH in Ouhai District, Wenzhou City were selected as the observation group, and 120 young patients without LDH served as the control group. We surveyed the patients of the two groups by a self - designed questionnaire concerning epidemiology d LDH, including gender, body mass index （BMI）, height, family history of LDH, occupational history, history of lower back injury, working posture, amount of exercise, smoking and mental tension. After value assignment, the selected independent variables were firstly analyzed by single factor analysis, and then performed multifactor non- conditional Logistic regression analysis. Results Single factor analysis showed that BMI, height, family history of LDH, occupational history, history of lower back injury, working posture, amount of exer- cise and mental tension were the important influencing factors for the young suffering from LDH in Ouhai District, Wenzhou City （P 〈 0.05）. Multifactor non- conditional Logistic regression analysis showed that BMI, occupational history, history of lower back injury, working posture and mental tension were the independent risk factors （P 〈 0.05）. Conclusions The high- risk factors for the young developing LDH in Ouhai District, Wenzhou City are as follows： BMI≥25 kg/m2, history of long- term occupational exposure, history of lower back injury, working posture and nervousness.
出处
《实用预防医学》
CAS
2015年第10期1204-1206,共3页
Practical Preventive Medicine
基金
温州市科技研究开发专项(Y20143004)
