|
|
|
| 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.
|
|
|
|
|
|
[1] 中华外科杂志编辑部.颈椎病的分型、诊断及非手术治疗专家共识（2018）[J].中华外科杂志，2018，56（6）：401-402.
[2] 李卓，曲红梅，谢云辉，等.认知行为疗法联合正骨法对颈椎病患者焦虑抑郁的观察[J].中国伤残医学，2016， 24（10）：126-127.
[3] 刘凤花.临床干预对颈椎病患者抑郁情绪和睡眠质量的效果分析[J].中国实用神经疾病杂志，2017，20（7）：84-86.
[4] 刘兆力，夏建龙，杨挺，等.Bryan人工椎间盘置换术治疗颈椎病的研究进展[J].现代生物学进展，2013，13（13）：2548-2585，2600.
[5] Kelly JC，Groarke PJ，Butler JS，et al. The natural history and clinical syndromes of degenerative cervical spondylosis [J]. Adv Orthop，2012，2012：393642.
[6] Rosario JL，BezerraDiógenes MS，et al. Differences and similarities in postural alterations caused by sadness and depression [J]. J Bodyw Mov Ther，2014，18（4）：540-544.
[7] 汪向东，王希林，马弘.心理卫生评定量手册（增订版）[M].北京：中国心理卫生杂志社，1999：235-241.
[8] 任龙喜，何家宝，郭函，等.颈部疼痛程度与颈椎曲度相关性的临床观察[J].中国脊柱脊髓杂志，2011，21（9）：750-753.
[9] 张鸣生，许伟成，林仲民，等.颈椎病临床评价量表的信度与效度研究[J].中华物理医学与康复杂志，2003，5（3）：153-154.
[10] 文静，刘茂娟.颈椎病患者抑郁状态与社会支持的调查研究及护理策略[J].护理实践与研究，2013，10（3）：6-9.
[11] Lv Y，Tian W，Chen D，et al. The prevalence and associated factors of symptomatic cervical Spondylosis inChinese adults：a community-based cross- sectional study [J]. BMC MusculoskeletDisord，2018，19（1）：325.
[12] 孙振晓，孙宇新，于相芬.颈椎病患者睡眠质量与焦虑、抑郁的相关性研究[J].山东医学高等专科学校学报，2017， 39（3）：161-165.
[13] 黄春兰，陆青梅，黄连欣，等.颈椎病患者疾病不确定感与焦虑、抑郁相关性调查分析[J].中国医药导报，2013， 10（9）：109-110，113.
[14] 姚雄，姚凯，范晶晶，等.颈椎病患者焦虑抑郁情绪及心理伦理干预的研究[J].中国医学伦理学，2010，23（5）：61-62，128 .
[15] Gerrits MM，van Oppen P，van Marwijk HW，et al. Pain and the onset of depressive and anxiety disorders [J]. Pain，2014，155 （1）：53-99.
[16] 侯琳，张若冰，王詠.颈肩推拿降低Ⅱ型颈型颈椎病员工疼痛和抑郁水平[J].基础医学与临床，2018，38（8）：1141-1144.
[17] Jarcho JM，Mayer EA，Jiang ZK，et al. Pain，affective symptoms，and cognitive deficits in patients with cerebral dopamine dysfunction [J]. Pain，2012，153（4）：744-754.
[18] Bauer H，Emeny RT，Baumert J，et al. Resilience moderates the association between chronic pain and depressive symptoms in the elderly [J]. Eur J Pain，2016，20（8）：1253-1265.
[19] Kim Y，Soffler M，Paradise S，et al. Depression is associated with recurrent chest pain with or without coronary artery disease：A prospective cohort study in the emergency department [J]. Am Heart J，2017，191：47-54.
[20] Hong H，Kim BS，Im HI. Pathophysiological Role of Neuroinflammation in Neurodegenerative Diseases and Psychiatric Disorders [J]. Int Neurourol J，2016，20（Suppl 1）：S2-S7.
[21] 毛成洁，陈菊萍，胡伟东，等.运动障碍疾病伴发抑郁的临床观察[J].中华医学杂志，2013，93（1）：26-29.
[22] 伍明，李梅笑.抑郁障碍与基底节区脑梗死患者早期运动障碍加重的关系[J].实用预防医学，2013，20（8）：1013-1015.
[23] 李小平，万毅新，王晓平，等.慢性阻塞性肺疾病合并抑郁的发生率及危险因素分析[J].中欧呼吸机危重监护杂志，2013，12（4）：334-337.
[24] Yimiya R. Depression in medical illness The role of the immune system [J]. West J Med，2000，173（5）：333-336.
[25] 刘会玲，郝晓宇.神经根型颈椎病患者生活质量调查[J].西部中医学，2017，30（5）：51-53.
[26] 孙振晓，孙宇新，于相芬.颈椎病患者睡眠质量及相关因素研究[J].长治医学院学报，2018，32（3）：191-194，207.
[27] 李铁军，王慧超，李慧，等.高血压患者并发抑郁危险因素分析[J].内科，2016，11（4）：567-569.
[28] 李守霞，齐昆青，陈小平，等.老年2型糖尿病患者伴发抑郁的危险因素分析[J].河南医学研究，2019，28（6）：978-981. |
|
|
|
