风险因素和相互作用影响在复发的腰部疼痛
Lin Wang1, Zhiming Mao2, Huiyuan Huang2
1Department of Neurology, The 924th Hospital of The People's Liberation Army Joint Logistic Support Force Guilin 541000, Guangxi Zhuang Autonomous Region, China.
American journal of translational research
|November 21, 2025
概括
升高的白细胞数量,焦虑和长时间工作是腰部疼痛复发的关键预测因素. 一个新的名图有助于预测复发风险,有助于个性化干预.
科学领域:
- 整形外科和运动医学
- 疼痛管理 疼痛管理
- 流行病学 流行病学
背景情况:
- 腰部疼痛 (LBP) 是一种普遍的疾病,具有显著的复发率.
- 确定LBP复发的预测因素对于有效的管理和预防策略至关重要.
- 了解风险因素之间的相互作用可以改进预测模型.
研究的目的:
- 为了确定腰部疼痛复发的独立风险因素.
- 开发和验证LBP复发的预测模型 (nomogram).
- 调查已识别的风险因素之间的相互作用效应.
主要方法:
- 追溯的队列研究与导出 (n=216) 和外部验证 (n=46) 队列.
- 使用单变量,拉索和多变量逻辑回归对独立风险因素的选.
- 评估相互作用效应和构建/验证一个名ogram.
主要成果:
- 一个月后LBP复发率为33.8%.
- 独立预测因素包括白细胞 (WBC) 计数升高,焦虑,每天工作>8小时,以及升高的互白素-1β (IL-1β).
- 在BMI和工作时间,WBC和焦虑,焦虑和工作时间之间发现了显著的相互作用.
结论:
- 增加的白血球,IL-1β,焦虑和长时间的工作时间是LBP复发的重要预测因素.
- 这些因素之间的相互作用会影响复发风险.
- 开发的名图为个性化风险分层提供了出色的歧视,并指导干预.
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