| 肥胖与青少年腰椎间盘突出症发病关系 |
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投稿时间：2020-04-12
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| 作者 | Author | 单位 | Address | E-Mail |
| 李渊 |
LI Yuan |
山西医科大学第二医院骨科, 山西 太原 030001 |
Department of Orthopaaedics, the Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China |
liyuan4yuanli9@163.com |
| 石俊俊 |
SHI Jun-jun |
山西医科大学第二医院骨科, 山西 太原 030001 |
Department of Orthopaaedics, the Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China |
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| 任捷 |
REN Jie |
山西医科大学第二医院骨科, 山西 太原 030001 |
Department of Orthopaaedics, the Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China |
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| 关海山 |
GUAN Hai-shan |
山西医科大学第二医院骨科, 山西 太原 030001 |
Department of Orthopaaedics, the Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China |
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| 高远鹏 |
GAO Yuan-peng |
山西医科大学第二医院骨科, 山西 太原 030001 |
Department of Orthopaaedics, the Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China |
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| 赵峰 |
ZHAO Feng |
山西医科大学第二医院骨科, 山西 太原 030001 |
Department of Orthopaaedics, the Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China |
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| 孙剑 |
and SUN Jian |
山西医科大学第二医院骨科, 山西 太原 030001 |
Department of Orthopaaedics, the Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China |
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| 期刊信息：《中国骨伤》2020年，第33卷，第8期，第725-729页 |
| DOI：10.12200/j.issn.1003-0034.2020.08.008 |
| 基金项目: |
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中文摘要:目的：探讨肥胖与青少年腰椎间盘突出症发病关系。
方法：2018年1月至2019年7月经排除标准筛选后，581例接受手术治疗的腰椎间盘突出症患者纳入研究，其中男337例，女244例。按照联合国世界卫生组织对年龄的划分标准将其分为两组，青少年组235例，男145例，女90例，年龄14~44（32.2±7.3）岁；中老年组346例，男192例，女154例，年龄45~85（58.7±9.8）岁。入院时由同一名经过培训的调查员用卷尺测量身高、腰围、臀围，电子称测量体重。所有数据测量2次取平均值。计算得出体重指数（body mass index，BMI）和腰臀比。根据各个参数标准将患者分为正常、超重、肥胖，计算不同年龄组各个参数肥胖者的比例，并进行统计学分析。
结果：青少年患者中BMI、腰围、腰臀比正常者分别为78例（33.2%），91例（38.7%），85例（36.2%）；超重者分别为104例（44.3%），95例（40.4%），99例（42.1%）；肥胖者分别为53例（22.5%），49例（20.9%），51例（21.7%）。中老年患者BMI、腰围、腰臀比正常者分别为145例（41.9%），138例（39.9%），147例（42.5%）；超重者分别为153例（44.2%），162例（46.8%），155例（44.8%）；肥胖者分别为48例（13.9%），46例（13.3%），44例（12.7%）。青少年组3个参数中肥胖者比例均高于中老年组（P<0.05）。
结论：肥胖可能额外增加了青少年腰椎间盘的负荷，加速了腰椎退变，对于青少年来说肥胖是腰椎间盘突出症更为显著的危险因素，因此在青少年中控制体重、预防肥胖对减少腰椎间盘突出症的发生率更为重要。 |
| 【关键词】腰椎 椎间盘移位 体重指数 肥胖 青少年 腰围 腰臀比 |
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| Relationship between obesity and lumbar disc herniation in adolescents |
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ABSTRACT Objective: To explore the relationship between obesity and lumbar disc herniation in adolescents.
Methods: From January 2018 to July 2019,581 patients (337 males,244 females) with lumbar disc herniation were included in the surgical treatment. According to the age classification standard of the World Health Organization,they were divided into two groups:the adolescent group,235 cases (145 males,90 females),age 14 to 44 years old with an average of (32.2±7.3) years. The middle-aged and elderly group,346 cases (192 males,154 females),age 45 to 85 years old with an average age of (58.7±9.8) years. At the time of admission,the same trained investigator measured height,waist circumference and hip circumference with tape measure and weight with electronic scale. All the data were measured twice and the average value was taken and recorded. The body mass index and the waist-hip ratio were calculated. According to each parameter standard,the patients were divided into normal,overweight and obese. The proportion of obese people in different age groups was calculated and analyzed statistically.
Results: The normal of the BMI,waist circumference and waist-hip ratio of the young patients were 78(33.2%),91(38.7%) and 85(36.2%) respectively;104(44.3%),95(40.4%),99(42.1%) were overweight,53(22.5%),49(20.9%),51(21.7%) were obese. The normal of the BMI,waist circumference and waist-hip ratio of the middle-aged and old patients were 145(41.9%),138(39.9%) and 147(42.5%) respectively;153(44.2%),162(46.8%),155(44.8%) were overweight,48(13.9%),46(13.3%),44(12.7%) were obese. Among the three parameters,the proportion of obese people in the adolescent group was higher than that in the middle-aged group,and the difference was significant (χ2 was 8.836,6.228 7,8.536 3 respectively,P<0.05).
Conclusion: For adolescent patients,obesity may increase the load of lumbar disc,affect its metabolism and accelerate its degeneration. For adolescent,obesity is a more significant risk factor of lumbar disc herniation,so it is more important to control weight and prevent obesity in adolescent to reduce the incidence of lumbar disc herniation. |
| KEY WORDS Lumbar vertebrae Intervertebral disc displacement Body mass index Obesity Adolescents Waist circumference Waist-hip ratio |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李渊,石俊俊,任捷,关海山,高远鹏,赵峰,孙剑.肥胖与青少年腰椎间盘突出症发病关系[J].中国骨伤,2020,33(8):725~729 |
| 英文格式: | LI Yuan,SHI Jun-jun,REN Jie,GUAN Hai-shan,GAO Yuan-peng,ZHAO Feng,and SUN Jian.Relationship between obesity and lumbar disc herniation in adolescents[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(8):725~729 |
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