神经根型颈椎病复发因素的Logistic回归分析

目的评价神经根型颈椎病的复发因素对复发的影响。方法选择神经根型颈椎病患者210例,采用中央随机方法,分为试验组106例,对照组104例。试验组采用手法治疗,对照组采用牵引治疗,两组疗程均为2周。治疗结束后1个月、3个月、6个月、3年随访,由患者自己填写复发及相关因素的患者自身评价表。结果治疗结束后1个月3个月、6个月及3年随访时,复发率分别为4.88%、16.46%、26.82%、39.63%。对随访患者复发相关因素进行Logistic回归分析,显示长时间低头伏案工作、长时间电脑操作、长时间驾车、高枕、不良坐姿、颈肩受寒、手提重物、颈部外伤、近视、情绪紧张、缺乏体育锻炼为神经根型颈椎病复发的相关因素。结论长时间低头伏案工作、长时间电脑操作、颈肩受寒、手提重物、颈部外伤等因素对神经根型颈椎病的复发具有重要影响。

Logistic Regression Analysis on the Recurrence Factors of Radicular Cervical Spondylosis

Objective To evaluate the relevant factors of the recurrence of radicular cervical spondylosis（RCS）.Methods 210 cases of RCS were divided randomly into two groups：a trial group（106 cases）and a control group（104 cases）.In trial group,manipulation therapy was adopted.In control group,traction therapy was used.The duration of treatment was 2 weeks in two groups.The follow-up visit was performed in 1,3 and 6 months and in 3 years after treatment separately.The patients themselves filled up the self-evaluation form of the recurrence and relevant factors.Results The recurrence rates were 4.88%,16.46%,26.82% and 39.63% in 1,3 and 6 months and 3 years follow-up visit separately.Logistic regression analysis was used to analyze the relevant factors of recurrence.It was shown that the relevant factors of the recurrence of RCS included working at the desk,long-term computer operation,long-term driving,sleeping on high pillow,bad posture,cold invasion to the neck and shoulder,carrying heavy things,traumatic injury in the neck,myopia,emotional stress and lack of physical exercise.Conclusion Working at the desk,long-term computer operation,cold invasion to the neck and shoulder,carrying heavy things,traumatic injury in the neck and other factors seriously impact the recurrence of radicular cervical spondylosis.