A case-control study on the risk factors of cervical spondylosis associated with emotional disorders
LIU Yamei1 TAN Liduan2 LIN Lin3 LIU Yan4 ZHANG Linna5 WANG Shujuan1
1.Department of Rehabilitation, Affiliated Hospital of Chengde Medical University, Hebei Province, Chengde 067000, China;
2.Department of Emergency, Chengde Central Hospital, Hebei Province, Chengde 067000, China;
3.Department of Neurology, Chengde Xinglong County Hospital, Hebei Province, Chengde 067300, China;
4.Department of Neurosurgery, Affiliated Hospital of Chengde Medical University, Hebei Province, Chengde 067000, China;
5.Department of Vascular Surgery, Affiliated Hospital of Chengde Medical University, Hebei Province, Chengde 067000, China
Abstract：Objective To explore the risk factors of cervical spondylotic with emotional disorders and provide the basis for prevention and treatment strategy. Methods A total of 240 patients with cervical spondylosis who were admitted to the Department of Rehabilitation Medicine of Affiliated Hospital of Chengde Medical University from January 2016 to May 2018 were selected. The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used for evaluation, and the patients were divided into emotional disorder group (172 cases) and non-emotional disorder group (68 cases) by SAS and SDS. Univariate logistic regression analysis and multivariate logistic regression analysis were performed to analyze the influencing factors of cervical spondylosis accompanied by mood disorders. Results Univariate analysis showed that gender, age, education level, marital status, family per capita monthly income, neck pain, headache, limb numbness, limb movement disorder and disease course were all related to mood disorder (P ＜ 0.05). Multivariate logistic regression analysis showed that neck pain (OR = 16.862, 95%CI = 1.511-188.228, P = 0.022), limb movement disorders (OR = 0.386, 95%CI = 0.162-0.938, P = 0.032), education level (OR = 3.989, 95%CI = 1.712-7.294, P = 0.001), and disease course (OR = 2.017, 95%CI = 1.173-3.469, P = 0.011). Neck pain, dyspepsia, education level and course of disease are risk factors for mood disorders associated with cervical spondylosis. Conclusion The neck pain, dyskinesia of limbs, educational level, course of disease and type of cervical spondylosis are the main factors for the cervical spondylosis with emotional disorders.
刘亚梅1 檀立端2 林琳3 刘岩4 张琳娜5 王淑娟1. 颈椎病伴发情绪障碍危险因素的病例对照研究[J]. 中国医药导报, 2020, 17(5): 117-120,124.
LIU Yamei1 TAN Liduan2 LIN Lin3 LIU Yan4 ZHANG Linna5 WANG Shujuan1. A case-control study on the risk factors of cervical spondylosis associated with emotional disorders. 中国医药导报, 2020, 17(5): 117-120,124.
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2020, Vol. 17 
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