[1]李伟 詹红生△ 陆念祖 徐洪亮 王慧芳 黄骏.原发性冻结肩危险因素的病例对照研究[J].中国中医骨伤科杂志,2015,23(12):20-24.
　LI Wei ZHAN Hongsheng LU Nianzu XU Hongliang WANG Huifang HUANG Jun.Case Control Study on the Risk Factors of Primary Frozen Shoulder[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(12):20-24.
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原发性冻结肩危险因素的病例对照研究
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年12期
页码:
20-24
栏目:
临床研究
出版日期:
2015-12-08

文章信息/Info

Title:
Case Control Study on the Risk Factors of Primary Frozen Shoulder
文章编号:
1005-0205(2015)12-0020-05
作者:
李伟1; 2 詹红生1△ 陆念祖2 徐洪亮2 王慧芳2 黄骏2
1.上海中医药大学曙光临床医学院(上海,201203)
2.上海市静安区中心医院(复旦大学附属华山医院静安分院)
△.通信作者 E-mail:shgsyjs@139.com
Author(s):
LI Wei1; 2 ZHAN Hongsheng1△ LU Nianzu2 XU Hongliang2 WANG Huifang2 HUANG Jun2
1.Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicin,Shanghai 201203,China;
2.Jing'an District Centre Hospital of Shanghai(Jing'an Branch of Huashan Hospital Affiliated to Fudan University),Shanghai 200041,China.
关键词:
糖尿病;  肩周炎;  冻结肩;  危险因素
Keywords:
diabetes;  periarthritis of shoulder;  frozen shoulder;  risk factors
分类号:
R684
文献标志码:
A
摘要:
目的:探讨肩周炎的相关危险因素,为肩周炎的病因学研究提供线索,为肩周炎的预防、治疗和预后提供临床依据。方法:采用以医院为基础1:1配比的病例对照研究。病例组来自2012年1月至2013年6月在上海市静安区中心医院中医科收治的肩周炎住院患者100例。对照组是同期前往医院探望病人的健康人群或无肩部疾病的就诊患者,对照组与病例组年龄相差5岁以内1:1匹配,共100例。根据性别、职业、既往疾病等制定调查问卷,通过面谈对潜在的肩周炎发病的危险因素进行信息收集。数据资料应用SPSS17.0统计软件进行分析,筛选出影响肩周炎的危险因素。结果:1)糖尿病、轻微外伤史、甲状腺疾病、颈椎病是有意义的变量,可能与肩周炎发病有关联,OR(95.0% CI)值分别是3.8(1.419,10.177),4.25(1.430,12.630),2.1(0.989,4.459),2.273(1.118,4.619)。2)多因素逐步分析,轻微外伤史和糖尿病是肩周炎发病的独立危险因素,OR(95.0% CI)值分别是3.747(1.227,11.446),3.381(1.23,9.295)。3)职业、体育运动、胆囊炎、手术史、缺血性心脏病等相关因素在两组间比较差异无统计学意义。结论:糖尿病、肩部外伤史、甲状腺疾病和颈椎病是肩周炎发病的危险因素,其中糖尿病和肩部外伤史是独立的危险因素。
Abstract:
Objective:To examine the associated risk factors of frozen shoulder,to provide clues for the study of the etiology of frozen shoulder,and to provide clinical basis for prevention,treatment,and prognosis of frozen shoulder.Methods:We performed a ratio of 1:1 hospital-based case-control study involving 100 patients with pathologically diagnosed frozen shoulder and 100 patients hospitalized during the same time period with non-shoulder related complaints who were recruited as controls.Information on potential risk factors was collected on both case and control groups through questionnaires and face-to-face interview.Univariate and multivariate logistic regression analyses were performed.Results:Multivariate analysis suggested that diabetes and history of slight trauma were independent risk factors for the disease.The frozen shoulder patients also had a higher prevalence of thyroid disease,and cervical spondylosis than the controls.The incidence of frozen shoulder was higher in female compared to male patients.No significant difference was found in occupations,physical exercise,cholecystitis,history of surgical and ischemic heart disease between the frozen shoulder group and the control group.Conclusion:The findings in the present study indicate that diabetes,history of slight shoulder trauma,thyroid disease,and cervical spondylosis are factors significantly associated with increased frozen shoulder risk.

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备注/Memo

备注/Memo:
收稿日期:2015-02-05
基金项目:国家中医药管理局“十二五”重点专科(ZJ0901ZJ022)
上海市中医临床重点学科(ZYXK2012017)
上海市海派中医流派及特色技术扶持项目(ZYSNX D-CC-HPGC-FC-007)
更新日期/Last Update: 2015-12-15