| 青少年颈痛患者颈椎失稳特点与生活习惯的相关性分析 |
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Received:February 14, 2018
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| 作者 | Author | 单位 | Unit | E-Mail |
| 徐铭康 |
XU Ming-kang |
北京中医药大学第三附属医院筋伤科, 北京 100029 |
Department of Tendon Trauma, the Third Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100029, China |
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| 王庆甫 |
WANG Qing-fu |
北京中医药大学第三附属医院筋伤科, 北京 100029 |
Department of Tendon Trauma, the Third Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100029, China |
qingpu-wang@sohu.com |
| 张栋 |
ZHANG Dong |
北京中医药大学第三附属医院筋伤科, 北京 100029 |
Department of Tendon Trauma, the Third Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100029, China |
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| 杨黎黎 |
YANG Li-li |
北京中医药大学第三附属医院筋伤科, 北京 100029 |
Department of Tendon Trauma, the Third Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100029, China |
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| 甘稳 |
GAN Wen |
北京中医药大学第三附属医院筋伤科, 北京 100029 |
Department of Tendon Trauma, the Third Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100029, China |
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| 郭玉茹 |
GUO Yu-ru |
北京中医药大学第三附属医院筋伤科, 北京 100029 |
Department of Tendon Trauma, the Third Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100029, China |
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| 杜汪洋 |
DU Wang-yang |
北京中医药大学第三附属医院筋伤科, 北京 100029 |
Department of Tendon Trauma, the Third Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100029, China |
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| 期刊信息：《中国骨伤》2018年31卷，第10期，第916-921页 |
| DOI：10.3969/j.issn.1003-0034.2018.10.008 |
| 基金项目:教育部高等学校博士学科点专项科研基金（编号：20110013110013） |
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目的：探讨青少年颈痛患者的颈椎失稳与生活习惯之间的关系。
方法：收集青少年颈痛患者59例（颈痛组）及健康青少年17例（对照组）的基本信息和生活习惯，拍摄颈椎侧位及动力位X线片，分析颈椎失稳特点及颈椎失稳与生活习惯的相关性。
结果：两组患者的年龄、身高、体重、体重指数基线资料比较差异均无统计学意义。生活习惯比较，颈痛组平均每天使用手机时间多于对照组，而对照组每天运动时间多于颈痛组。颈椎失稳测量结果，颈痛组失稳发生率大于对照组；在过屈位时，颈痛组在C3-C4，C4-C5，C5-C6之间的椎体角位移大于对照组；颈痛组自身C4-C5段过屈位角位移大于过伸位，C6-C7段过伸位角位移大于过屈位。颈痛组生活习惯与颈椎失稳的相关分析，C4-C5角位移值在过伸位与使用手机时间呈正相关（r=0.275，P=0.035），过屈位与使用手机时间呈显著正相关（r=0.577，P<0.001），与每天运动时间呈负相关（r=-0.279，P=0.032）。C5-C6角位移在过屈位与每天运动时间呈负相关（r=-0.292，P=0.025），在过伸位角位移与每天使用电脑时间呈负相关（r=-0.262，P=0.045）。
结论：青少年颈痛患者每天使用手机时间多于正常青少年，而运动时间少于正常青少年，且颈椎失稳出现率较高，以C3-C4，C4-C5，C5-C6节段为主。每天运动时间越长，C4-C5，C5-C6角位移测量值就越小；每天使用手机时间越长，C4-C5角位移测量值就越大。 |
| [关键词]:颈痛 颈椎 影响因素分析 青少年 |
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| Analysis of the relationship between living habit and cervical instability in adolescent patients with neck pain |
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Abstract:
Objective:To investigate the relationship between living habit and cervical instability in adolescent patients with neck pain.
Methods:Fifty-nine adolescent patients with neck pain(neck pain group) and seventeen healthy teenagers (control group) were recruited and divided into two groups,and clinical information,living habit were collected. In addition,all people were taken lateral,hyperextension and hyperflexion radiography to analyze relationship between living habit and cervical instability.
Results:There was no obvious difference in age,height,weight and body mass index between two groups. The neck pain group using cellphone time per day is longer than control group,while control group had more exercise time than neck pain group(P<0.01). The incidence of instability in neck pain group was significantly higher than that in control group(P<0.01). In hyperflexion,angular displacement(AD) of neck pain group in vertebral body between C3-C4,C4-C5 and C5-C6 was significantly higher than that of control group. In neck pain group,AD of hyperflexion was higher than that of hyperextension on C4-C5(P<0.01),and AD of hyperextension is higher than that of hyperflexion on C6-C7(P<0.05). In neck pain group,AD of hyperextension on C4-C5 was positively correlated with time of using cellphone every day(r=0.275,P=0.035). And AD of hyperflexion was significantly positive correlated with time of using cellphone(r=0.577,P<0.001),but was negatively correlated with exercise time(r=-0.279,P=0.032). The AD of hyperflexion on C5-C6 was negatively correlated with exercise time every day(r=-0.292,P=0.025),AD of hyperextension was negatively correlated with time of using computer every day(r=-0.262,P=0.045).
Conclusion:Adolescent neck pain patients had more time to use cellphone than normal teens every day,and exercise time is less than healthy teenagers,and occurrence rate of cervical instability is higher on C3-C4,C4-C5,C5-C6 segment. The longer daily exercise time,the smaller C4-C5 and C5-C6 AD values; the longer cellphone usage every day,the greater C4-C5 AD values. |
| KEYWORDS:Neck pain Cervical vertebrae Root cause analysis Adolescent |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 徐铭康,王庆甫,张栋,杨黎黎,甘稳,郭玉茹,杜汪洋.青少年颈痛患者颈椎失稳特点与生活习惯的相关性分析[J].中国骨伤,2018,31(10):916~921 |
| 英文格式: | XU Ming-kang,WANG Qing-fu,ZHANG Dong,YANG Li-li,GAN Wen,GUO Yu-ru,DU Wang-yang.Analysis of the relationship between living habit and cervical instability in adolescent patients with neck pain[J].zhongguo gu shang / China J Orthop Trauma ,2018,31(10):916~921 |
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