目的:探讨北京地区在校大学生颈痛患者的颈椎曲度特点。方法:采集北京地区5所高校216例在校大学生颈痛患者的一般情况、发病信息、生活习惯、颈痛情况4个方面的临床信息,并拍摄颈椎中立位侧位x线片,采用Borden深度测量法、Harrison夹角测量法及颈椎曲度指数法3种方法对颈椎曲度进行测量,分析临床信息与颈椎曲度的相关性。结果:①一般结果。共纳入颈痛患者216例,主动退出18例,因信息不全剔除17例,因颈椎椎体融合剔除5例,最终观察样本数为176例。②临床信息采集结果。176例颈痛患者,男36例、女140例,年龄(21.78±2.23)岁,身高(1.65±0.07)m,体质量指数20.60±2.70kg·m^2,病程(8.68±7.70)个月,NorthwickPark颈痛量表评分(20.59±10.0)分。颈痛发生频率,大部分每月≥1次,每月〈1次者仅26例。大部分人每天伏案时间〉6h,每天睡眠时间均在6h以上。③颈椎曲度测量结果。176例颈痛患者,颈椎Borden深度(6.00±5.36)mm、Harrison夹角15.21°±12.48°、颈椎曲度指数8.0±11.5,与正常参考值相比,异常例数分别为117例、134例、113例。Borden深度异常的117例中,曲度减小87例、反曲26例、曲度变大4例。(蓟临床信息与颈椎曲度的相关性分析结果。经相关分析,性别、年龄、身高、体质量指数、病程、颈痛发生频率与颈椎曲度无相关性。每天使用电脑时间、使用手机时间、伏案时间与颈椎Borden深度、Harrison夹角、颈椎曲度指数呈负相关;每天伏案时间越长,颈椎曲度的各项测量值越小(r=-0.237,P=0.000;r=-0.214,P=0.000;r=-0.202,P=0.000)。每天睡眠时间与颈椎曲度各项测量值呈正相关,睡眠时间越充足颈椎曲度各项测量值减小的趋势越不明显(r=0.202,P=0.000;r=0.228,P=0.000;r=0.216,P=0.000)。颈痛评分与颈
Objective: To explore the cervical curvature characteristics of college students with neck pain in Beijing. Methods: Two hundred and sixteen students with neck pain were recruited from five colleges in Beijing and their clinical information were collected,including general state of health,frequency of neck pain,living habits and neck pain scores. Furthermore,neutral lateral radiographs of cervical vertebrae were taken and the cervical curvatures were measured by using 3 methods respectively including Borden depth measurement,Harrison angle measurement and cervical curvature index( CCI). At last,the correlations between clinical information and cervical curvature were analyzed. Results: Of 216 students with neck pain,18 students dropped out initiatively and 17 students were excluded for uncomplete information and 5 students were excluded for cervical interbody fusion. Finally,176 students( 36 males and 140 females) were chosen as the observation samples. Their ages were 21. 78 + /- 2. 23 yrs,body heights were 1. 65 + /- 0. 07 meters,body mass indexs were 20. 60 + /- 2. 70 kg ∕ m( 2),disease courses were 8. 68 + /- 7. 70 months and Northwick Park neck pain scale scores were 20. 59 + /- 10. 0 points. The monthly frequency of neck pain of≥1 were found in the majority of the students,and those of 1 were found in 26 students. The working time at desk exceeded 6 hrs every day in the majority of the students,and the hours of sleep exceeded 6 hrs every day in all of the students.The Borden depth of cervical vertebra of the 176 students was 6. 00 + /- 5. 36 mm and Harrison included angle was 15. 21 + /- 12. 48 degrees and CCI was 8. 0 + /- 11. 5. According to normal reference value,above outcome measures were abnormal in 117,134 and 113 students respectively; and decreased cervical curvature( 87),contrary flexure( 26) and increased cervical curvature( 4) were found in the 117 students with abnormal Borden depth of cervical vertebra. The results of correlation analysis showe