评估患有慢性非特异性腰部疼痛的患者的危险因素
1Dr Md Ahsanul Hoque, Assistant Professor, Department of Physical Medicine & Rehabilitation, Coxsbazar Medical College, Cox's Bazar, Bangladesh;
Mymensingh medical journal : MMJ
|June 30, 2025
概括
慢性腰痛在孟加拉国普遍存在,与身体曲/扭曲运动和较低的教育水平有很大关系. 超重个体也面临更高的风险,突出了预防策略的关键因素.
科学领域:
- 整形外科 整形外科 整形外科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 慢性腰部疼痛是全球残疾的主要原因之一.
- 包括姿势,生活方式和社会经济地位在内的众多风险因素与腰部疼痛有关.
- 了解这些因素对于制定有效的预防和管理策略至关重要.
研究的目的:
- 在孟加拉国人口中调查慢性腰痛与各种风险因素之间的关联.
- 为了确定导致腰部疼痛的特定姿势,教育和生活方式因素.
- 为了确定研究环境中腰部疼痛的患病率和风险因素.
主要方法:
- 进行了一项病例对照研究,其中64名患者患有腰部疼痛 (病例) 和64名没有腰部疼痛的对照.
- 关于人口统计信息,姿势,睡眠习惯,教育,收入和体重指数 (BMI) 的数据是使用结构化问卷收集的.
- 使用统计分析,包括几率比率和千平方测试,以确定有意义的关联.
主要成果:
- 低背部疼痛的点患病率为63.0%.
- 确定的显著风险因素包括曲和扭动 (几率比=4.6),睡眠时间少于6小时 (几率比=5.212),教育程度较低 (p<0.05),超重 (p<0.05).
- 超重个体占病例的38.3%,而对照人群的23.4%.
结论:
- 腰部疼痛在孟加拉国非常普遍.
- 曲/扭曲运动,较低的教育水平和较高的BMI是腰部疼痛的重要危险因素.
- 建议针对性干预以姿势,教育和体重管理为重点,以预防腰部疼痛.
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