| 腰椎间盘突出症危险因素的病例对照研究 |
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| 引用本文： | 宋滔,钟贵良,刘爱忠,赵自平,梁维君,刘铁滨,杨光凡,邓常青,.腰椎间盘突出症危险因素的病例对照研究[J].中国医学工程,2008(3). |
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| 作者姓名： | 宋滔 钟贵良 刘爱忠 赵自平 梁维君 刘铁滨 杨光凡 邓常青 |
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| 作者单位： | 中南大学湘雅公共卫生学院流行病与卫生统计学系;湖南师范大学医学院预防医学系流行病与卫生统计学教研室;广州医学院荔湾医院骨科; |
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| 基金项目： | 湖南省教育厅课题项目资助(课题编号05C389); 湖南省卫生厅课题项目资助(课题编号B2006-128) |
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| 摘 要： | 目的探讨腰椎间盘突出症(lumbar disc herniation,LDH)的危险因素。方法采用1∶1配对病例对照研究方法,匹配条件为:性别、民族、地区、职业及年龄(±3岁)对LDH的危险因素进行研究,用自行设计的调查问卷采用面对面询问的方法收集资料,危险因素分析采用单因素和多因素条件logistic回归分析。结果在262对调查对象中,多因素分析发现脊柱负荷越大,LDH发生的危险性就越大(OR=2.885);调查对象的文化程度高(OR=1.935)、肥胖(OR=2.090)、偏好辛辣食物(OR=2.690)、睡床越软(OR=1.610)、居住环境潮湿(OR=2.351)、经常生活在一起的家庭成员数越少(OR=2.488)、一二级亲属中有该病的家族史(OR=2.349)都是LDH的危险因素。结论LDH的发生与生物因素、生活方式、脊柱负荷大小和社会心理因素等多个因素有关,应采取针对性的综合干预措施来控制和预防该病的发生。
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| 关 键 词： | 腰椎间盘突出症 危险因素 病例对照研究 |
A Case-Control study on the risk factors of lumbar disc herniation |
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| SONG Tao,ZHONG Gui-liang,LIU Ai-zhong,ZHAO Zhi-ping,LIANG Wei-jun,LIU Tie-bing,YANG Guang-fan,DENG Chang-qin.A Case-Control study on the risk factors of lumbar disc herniation[J].China Medical Engineering,2008(3). |
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| Authors: | SONG Tao ZHONG Gui-liang LIU Ai-zhong ZHAO Zhi-ping LIANG Wei-jun LIU Tie-bing YANG Guang-fan DENG Chang-qin |
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| Institution: | SONG Tao1,ZHONG Gui-liang2,LIU Ai-zhong1,ZHAO Zhi-ping3,LIANG Wei-jun2,LIU Tie-bing2,YANG Guang-fan2,DENG Chang-qin2(1.Department of Epidemiology , Health Statistics,Public Health School of Central South University,Changsha,Hunan,410078,P.R.China,2.Department of Epidemiology , Health Statistics,Medical College of Hunan Normal University,Hunan 410013,3.Department of Orthopaedics,Liwan Hospital of Guangzhou Medical College,Guangzhou,Guangdong 510170,P.R.China) |
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| Abstract: | 【Objective】To estimate the risk factors of lumber disc herniation(LDH).【Methods】We carried out a 1∶1 case control study to examine the risk facts of LDH.The controls were matched with cases in the same sex,race,region,occupation and age group(less than 3 years old).Data were collected in face-to-face interviews using self-design questionnaire.Conditional univariate and multiple logistic regressions were used to analyze the data.【Results】A total of 262 pairs of subjects were investigated.The multiple logisti... |
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| Keywords: | lumbar disc herniation risk factors case-control study |
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