基于德尔菲法研究慢性腰痛的致病危险因素

目的评价并分析慢性腰痛致病危险因素的专家共识,为制订《中医治未病实践指南—慢性腰痛易发人群》提供依据。方法采用德尔菲法(Delphi method),在总结古代及现代文献的基础上编制专家调查问卷,对全国8个省市30位专家进行3轮调查问卷,对所得数据进行统计、分析。结果 2次调查问卷回收有效问卷各30份,问卷回收率为100%,专家积极系数为100%。专家对腰椎长期受到反复劳损及过度活动等不良因素的刺激,长期姿势不正确,肥胖等7个危险因素集中程度与协调程度较高。结论确定将腰椎长期受到反复劳损及过度活动等不良因素的刺激,长期姿势不正确,肥胖,外伤史,重体力劳动,骨质疏松,久居湿地7种因素作为《中医治未病实践指南—慢性腰痛易发人群》的内容。

Study on risk factors of chronic low back pain based on Delphi Methods

Objective To provide a basis for establishing TCM preventive treatment practical guideline for chronic of low back pain prone group based on evaluating and analyzing the expert consensus on the risk factors of chronic low back pain.Methods With Delphi Methods,the expert questionnaire was worked out on the basis of the summary of ancient and modem literature research,and three rounds questionnaires were conducted form 30 experts in eight provinces and cities nationwide,the investigation data of experts were evaluated and analyzed.Results The recede effective questionnaire amount was 30 in two rounds with effective recovery of 100％.The positive coefficient of experts was 100％.Experts had higher degree of concentration and coordination on seven risk factors including the stimulation of long-term repeated strain and hyperactivity and the other negative factors,long-term incorrect body posture and obesity and so on.Conclusion Seven risk factors including the stimulation of long-term repeated strain and hyperactivity and the other negative factors,long-term incorrect body posture,obesity history of trauma,heavy physical labour,osteoporosis and long live in wetlands are identified as the content of TCM preventive treatment practical guideline for chronic of low back pain prone group.