【作者】 高翔； 刘道矩；

【Author】 Gao Xiang, Liu Dao Ju

【机构】 天津市第一中心医院东院；

【摘要】 目的 研究现今颈椎病的发病的重要原因.方法 我们于临床病例中抽取700例颈椎病患者,就其发病原因进行分析.研究病人年龄跨度在11岁-82岁,平均年龄49.6岁.结果 对发病年龄进行分析表明,现今发病年龄集中在40～59岁之间的壮年时期,40岁以下和59岁以上呈对称性递减分布,并未表现出退行性病变所应表现出的年龄越大,患病人数越多的趋势.而这700例病人当中,具有长期工作姿势不良,即低头工作的病人就有561人,占调查总人数的80.14%,其中工作时间最长者为16小时/天,平均为6.09小时/天,年限最长者为50年;具有睡眠姿势不良,即喜睡高枕的病人就有344人,所占比例为49.14%,其中用枕最高者达40厘米,平均为17.01厘米,使用高枕时间最长者为60年;具有不良日常生活习惯,即躺着阅读和看电视小时/天,有此习惯最长者为50年.其中只有59人不存在上述情况,仅占调查人数的8.43%.并且调查的700例病人中有158人同时有这三种不良习惯,占总人数的22.57%;有258人存在上述三种情况中的两种,占总人数的36.86%.～结论 长期习惯性姿势不良是颈椎病发病的最重要原因.从生物力学的角度,长期习惯性姿势不良可使颈部处于过度屈曲状态.颈部组织正常的力的平衡被打相对,椎间盘压力增高,颈部韧带肌肉高度紧张,超过所能承担的负荷,即导致颈椎病的发生.因此长期习惯性姿势不良是导致颈椎病发生的重要因素.更多还原

【Abstract】 Objective To study the reason of cervical Spondylosis curently. Method We took out 700 clinical cases of cervical Spondylosis in order to find the causes of the disease. From 11 to 82, these patients’ average age is 49.62. Results Through studying we find that the disease coming age concentrates from 40 to 59, the more mature stage of a person’s life. The number of patients who is above 59 or below 40 is symmetrical decrease successively. Among these 700 patients, there are 561 patients, accounting for 80.14%, have long - term wrong working postures; 344 patients, accounting for 49. 14%, have wrong sleep postures (high pillow) ; 297 patients, accounting for 42. 43% , have wrong routine living habituate (lying to read and watch TV) ;59 patients, accounting only for 8. 43% have no such postures. The number of patients who have all these wrong postures is 158, accounting for 22. 57% . There are also 258 patients, accounting for 36. 86%, fit in two sifuations of these postures. The average working time is 6.09 hours per day among 561 patients those have wrong working postures, and the largest working time is 16 hours per day, the largest number of years is 50. The average height of pillow is 17.01 cm among 344 patients those have wrong sleep posture, and the highest is 40cm, the longest timesuing high pillow is 60 years. The aveage time that lying to read and watch TV is 1.89 hours per day among those 297 patients those have this habit, and the longest time is 10 hours per day, the largest munber of years is 50. Conclusion Wrong habit postures being for a long time are important inducements of cervical Spondylosis Fromthe biological mechanics point, long - term wrong habitual postures can make the cervical curvature excess flexion, and the normal mechanical balance is broken, the pressure of the intervertebral disc iucreased. Cervical ligament and muscle is so tense that the tension excess what it can accept, so it brought out the cervical Spondylosis.更多还原