[1]朱金超,方婷,王小乐,等.中国人群颈椎病发病危险因素的Meta分析[J].中医正骨,2024,36(10):32-38.
　ZHU Jinchao,FANG Ting,WANG Xiaole,et al.Risk factors for the onset of cervical spondylosis in the Chinese population:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2024,36(10):32-38.
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中国人群颈椎病发病危险因素的Meta分析()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第36卷
期数:
2024年10期
页码:
32-38
栏目:
文献研究
出版日期:
2024-10-20

文章信息/Info

Title:
Risk factors for the onset of cervical spondylosis in the Chinese population:a meta-analysis
作者:
朱金超1; 方婷2; 王小乐2; 杨煜乾1; 邓彪1; 刘福水2
1.江西中医药大学临床医学院,江西 南昌 330004; 2.江西中医药大学附属医院,江西 南昌 330006
Author(s):
ZHU Jinchao1; FANG Ting2; WANG Xiaole2; YANG Yuqian1; DENG Biao1; LIU Fushui2
1.The Clinical Medical College of Jiangxi University of Chinese Medicine,Nanchang 330004,Jiangxi,China 2.The Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330006,Jiangxi,China
关键词:
颈椎病;  危险因素;  中国人群;  专题Meta分析
Keywords:
cervical spondylosis;  risk factors;  Chinese population;  meta-analysis as topic
摘要:
目的:系统评价中国人群颈椎病发病的危险因素。方法:应用计算机检索中国知网、维普网、万方数据库、中国生物医学文献服务系统、Embase、Web of Science、Cochrane Library中关于中国人群颈椎病发病危险因素的横断面研究、病例对照研究或队列研究文献,检索时限为数据库建库至2024年5月25日。2名研究者分别独立进行文献筛选、数据提取和纳入研究的质量评价。采用RevMan5.4软件进行Meta分析。结果:共检索到7726篇文献,最终纳入17篇文献,共涉及15 936例颈椎病患者。Meta分析结果显示,女性[OR=2.23,95%CI(1.19,4.18),P=0.010]、年龄>30岁[OR=2.30,95%CI(1.66,3.17),P=0.000]、缺乏锻炼[OR=1.78,95%CI(1.33,2.39),P=0.000]、伏案低头[OR=1.80,95%CI(1.37,2.35),P=0.000]、环境湿冷[OR=1.29,95%CI(1.24,1.34),P=0.000]、负面情绪[OR=1.68,95%CI(1.25,2.26),P=0.001]、每天使用电子设备>4 h[OR=2.55,95%CI(1.37,4.77),P=0.000]、高枕[OR=1.77,95%CI(1.42,2.20),P=0.000]、吸烟[OR=1.22,95%CI(1.17,1.27),P=0.000]、长时间工作[OR=3.51,95%CI(3.35,3.69),P=0.000]、工龄>10年[OR=3.26,95%CI(2.59,4.11),P=0.000]、咽部感染[OR=1.31,95%CI(1.25,1.38),P=0.000]均为中国人群颈椎病发病的危险因素,饮酒[OR=1.00,95%CI(0.71,1.41),P=0.990]、颈部外伤史[OR=1.48,95%CI(0.76,2.88),P=0.250]与颈椎病发病的关联均无统计学意义。结论:现有证据表明,女性、年龄>30岁、缺乏锻炼、伏案低头、环境湿冷、负面情绪、每天使用电子设备>4 h、高枕、吸烟、长时间工作、工龄>10年、咽部感染均为中国人群颈椎病发病的危险因素,而饮酒、颈部外伤史与中国人群颈椎病的发病无关联性。
Abstract:
Objective:To systematically review the risk factors for the onset of cervical spondylosis(CS)in the Chinese population.Methods:All the cross-sectional study articles,case-control study articles and cohort study articles about the risk factors for the onset of CS in the Chinese population included from database's inception to May 25,2024 were retrieved from the China National Knowledge Infrastructure,Vip Database,Wanfang Database,Chinese Biomedical Literature Service System,Embase,Web of Science,and Cochrane Library through computer.The pertinent articles were screened,the information was extracted and the methodological quality of the included researches in the articles was evaluated independently by two researchers,and then a Meta-analysis was conducted by using RevMan5.4 software.Results:Seven thousand seven hundred and twenty-six articles were searched out.After screening,17 articles were included in the final analysis,involving 15 936 CS patients.The results of Meta-analysis revealed that female(OR=2.23,95%CI(1.19,4.18),P=0.010),age over 30 years old(OR=2.30,95%CI(1.66,3.17),P=0.000),less exercises(OR=1.78,95%CI(1.33,2.39),P=0.000),head bowing over desk(OR=1.80,95%CI(1.37,2.35),P=0.000),cold and humid environment(OR=1.29,95%CI(1.24,1.34),P=0.000),negative emotions(OR=1.68,95%CI(1.25,2.26),P=0.001),using electronic devices over 4 hours per day(OR=2.55,95%CI(1.37,4.77),P=0.000),using a high pillow(OR=1.77,95%CI(1.42,2.20),P=0.000),smoking(OR=1.22,95%CI(1.17,1.27),P=0.000),long-time working(OR=3.51,95%CI(3.35,3.69),P=0.000),length of service over 10 years(OR=3.26,95%CI(2.59,4.11),P=0.000),pharyngeal infection(OR=1.31,95%CI(1.25,1.38),P=0.000)were the risk factors for the onset of CS in the Chinese population; while,the associations of alcohol drinking(OR=1.00,95%CI(0.71,1.41),P=0.990)and neck trauma history(OR=1.48,95%CI(0.76,2.88),P=0.250)with the onset of CS were not statistical significant.Conclusion:Available evidences suggest that the female,age over 30 years old,less exercises,head bowing over desk,cold and humid environment,negative emotions,using electronic devices over 4 hours per day,using a high pillow,smoking,long-time working,length of service over 10 years,pharyngeal infection are the risk factors for the onset of CS in the Chinese population; while,the alcohol drinking and neck trauma history are not related to the onset of CS in the Chinese population.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(82360940); 江西省自然科学基金资助项目(20224ACB206041); 江西省教育厅科学技术研究项目(GJJ2200984,GJJ2200990); 国家中医优势专科建设项目(赣中医药综合字〔2024〕3号)
通讯作者:刘福水 E-mail:20050827@jxutcm.edu.cn
更新日期/Last Update: 1900-01-01