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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:

第26卷

期数:

2014年09期

页码:

33-35

栏目:

调查研究

出版日期:

2014-09-30

文章信息/Info

Title:

A survey of the etiological factor of scapular myofasciitis

作者:

赵勇¹; 方维¹; 张宽¹; 刘春雨²

1.中国中医科学院望京医院,北京 100102;
2.北京市朝阳区第二医院,北京 100026

Author(s):

Zhao Yong^*; Fang Wei; Zhang Kuan; Liu Chunyu.

^*The Wangjing Hospital of China Academy Of Chinese Medical Sciences,Beijing 100102,China

关键词:

筋膜炎 肩胛肌 致病因素 问卷调查

Keywords:

Fasciitis;  Scapular muscle;  Etiological factor;  Questionnaires

摘要:

目的:探讨肩胛肌筋膜炎的致病因素。方法:在北京市随机选择志愿者作为调查对象,采用自行设计的调查问卷进行调查。排除合并颈部及肩胛部位其他疾病的患者或合并内脏疾病可产生相同及相似症状者。对按要求完成调查问卷者,采用根据《中医病证诊断疗效标准》中颈肩部疾病的诊断标准制定的肩胛肌筋膜炎诊断标准判断其是否患有肩胛肌筋膜炎,分析肩胛肌筋膜炎的可能致病因素。结果:本次调查共发放调查问卷150份,回收150份。其中136名志愿者符合要求,男56名,女80名。年龄20～40岁,中位数30.5岁。按照自拟的诊断标准,76名志愿者患有肩胛肌筋膜炎。肩胛肌筋膜炎患者和非肩胛肌筋膜炎者在工作时颈部是否前倾、工作时手臂位置是否固定、生活环境是否潮湿、工作间歇时是否锻炼、每天使用电脑时间是否≥8 h、每天伏案工作时间是否≥8 h、夏季每天使用空调时间是否≥8 h方面比较,差异均有统计学意义(χ2=10.667,P=0.001; χ2=8.437,P=0.004; χ2=14.120,P=0.000; χ2=13.303,P=0.000; χ2=9.420,P=0.002; χ2=10.850,P=0.001; χ2=15.118,P=0.000)。结论:工作时颈部前倾、手臂位置固定、生活环境潮湿、工作间歇时缺乏锻炼、每天使用电脑时间过长和伏案时间过长,以及夏季使用空调时间过长,都与肩胛肌筋膜炎的发病有关。

Abstract:

Objective:To explore the etiological factor of scapular myofasciitis.Methods:The respondents were randomly selected from the volunteers in Beijing city,and they were surveyed by using self-designed questionnaire.The patients with other cervical and scapular diseases and the patients with the same or similar symptoms generated from combined visceral disease were excluded.The respondents who completed the questionnaires as requested were judged whether they had scapular myofasciitis or not according to the scapula myofasciitis diagnosis standard in accordance with the diagnostic criteria of neck and scapular diseases which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes,and the possible etiological factor were analyzed.Results:Totally 150 questionnaires were distributed to the volunteers and 150 were returned and 136 met the requirements.The volunteers consisted of 56 males and 80 females,which ranged in age from 20 to 40 years(Median=30.5 yrs).Seventy-six volunteers were diagnosed with scapular myofasciitis according to the self-compiled diagnostic criterion.There were statistical difference between volunteers with scapular myofasciitis and volunteers without scapular myofasciitis in many factors including anteverted neck at working hours,fixed arm at working hours,damp living environment,exercises during the working breaks,working time on computer,working time at desk and time staying in the air conditioning environment in summer(χ2=10.667,P=0.001; χ2=8.437,P=0.004; χ2=14.120,P=0.000; χ2=13.303,P=0.000; χ2=9.420,P=0.002; χ2=10.850,P=0.001; χ2=15.118,P=0.000).Conclusion:Such factors are concerned with the morbidity of scapular myofasciitis as the anteverted neck at working hours,fixed arm at working hours,damp living environment,less exercises during the working breaks,too much time on computer or at desk and too much time in the air conditioning environment in summer.

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更新日期/Last Update: 2014-09-30