摘要
目的 探讨社区老年人发生退变性脊柱侧凸的危险因素.方法 采用回顾性病例对照研究方法,随机抽取2020年8月—2021年6月在上海市静安区共和新路街道社区卫生服务中心体检的社区老年人资料,统计社区老年人退变性脊柱侧凸的发生情况,并采用logistic回归分析方法分析社区老年人发生退变性脊柱侧凸的危险因素.结果 在600例参加老年人脊柱侧凸筛查的居民中,有102例发生退变性脊柱侧凸,发生率为17.00%.logistic多因素分析结果显示,年龄≥75岁(OR=2.308,95%CI:1.211～3.859,P=0.004)、女性(OR=2.369,95%CI:1.207～3.114,P=0.005)、体质量指数≥24.9 kg/m2(OR=2.418,95%CI:1.245～3.098,P=0.004)、骨质疏松症(OR=2.731,95%CI:1.438～3.046,P=0.002)、糖尿病(OR=2.687,95%CI:1.392～3.045,P=0.004)、骨盆前倾(OR=2.561,95%CI:1.489～3.082,P=0.003)、扁平足(OR=2.468,95%CI:1.347～3.119,P=0.007)、下肢不等长(OR=2.324,95%CI:1.269～3.205,P=0.006)、胸椎旋转不对称(OR=2.406,95%CI:1.352～3.069,P=0.002)是社区老年人发生退变性脊柱侧凸的危险因素.结论 年龄≥75岁、女性、体质量指数≥24.9 kg/m2、骨质疏松症、糖尿病、骨盆前倾、扁平足、下肢不等长、胸椎旋转不对称是社区老年人发生退变性脊柱侧凸的危险因素.
Abstract
Objective To investigate the risk factors of degenerative scoliosis in community elderly.Methods A retrospective case-control study was conducted to randomly select the data of community elderly who underwent physical ex-amination at the Community Health Service Center Gonghexinlu of Jing'an District,Shanghai,From August 2020 to June 2021.The occurrence of degenerative scoliosis in elderly was counted,and logistic regression analysis was used to analyze the risk factors of degenerative scoliosis in elderly.Results Of the 600 residents who participated in screening for scolio-sis in the elderly,102 developed degenerative scoliosis(17.00%).Logistic multivariate analysis showed that age≥75 years(OR=2.308,95%CI:1.211-3.859,P=0.004),female(OR=2.369,95%CI:1.207-3.114,P=0.005),BMI≥24.9 kg/m2(OR=2.418,95%CI:1.245-3.098,P=0.004),osteoporosis(OR=2.731,95%CI:1.438-3.046,P=0.002),diabetes(OR=2.687,95%CI:1.392-3.045,P=0.004),pelvic anteversion(OR=2.561,95%CI:1.489-3.082,P=0.003),fat feet(OR=2.468,95%CI:1.347-3.119,P=0.007),leg length discrepancy(OR=2.324,95%CI:1.269-3.205,P=0.006),asymmetrical thoracic rotation(OR=2.406,95%CI:1.352-3.069,P=0.002)were risk factors for developing degenerative scoliosis in community older adults.Conclusion The risk factors of degenerative scoliosis in community elderly,who were≥75 years,female,BMI≥24.9 kg/m2,osteoporosis,diabetes,pelvic antever-sion,fat feet,leg length discrepancy,and asymmetrical thoracic rotation.
基金项目
同济大学医学院附属社区卫生服务中心科学研究项目(TUSM2020C25)
维普
万方数据