贵阳市高校教师颈椎慢性疼痛现状及影响因素分析

目的 了解贵阳市高校教师颈椎慢性疼痛情况，为高校教师颈椎慢性疼痛方面的医疗卫生服务提供参考依据。 方法 采取单纯随机抽样方法抽出7所公办本科高校，再整群随机抽取部分学院的教师，采用问卷对抽中的教师进行面对面调查。 结果 共调查963名高校教师，检出颈椎慢性疼痛患者360例，颈椎慢性疼痛患病率37.4%。男性患病率为29.9%，女性患病率为42.9%，女性患病率高于男性（〖XC五号.EPSP〗=16.927，P<0.001）。高校教师颈椎慢性疼痛患者的平均疼痛时间3年，女性较男性疼痛时间要长（Z=-2.936，P=0.003）；疼痛最主要类型为酸、胀痛。颈椎疼痛对80%以上的高校教师的日常、睡眠、心情都有轻度以上的影响。多因素分析结果显示，伏案时间（OR=1.247，95%CI:1.035~1.502）和每周运动天数较少:<1天（OR=2.808，95%CI:1.859~4.243）、1~2天（OR=1.750，95%CI:1.207~2.537）、3~4天（OR=1.636，95%CI:1.133~2.363）是高校教师患颈椎慢性疼痛的独立危险因素。 结论 贵阳市高校教师群体颈椎慢性疼痛患病率较高、呈年轻化趋势，疼痛病史较长，女性较男性严重；颈椎慢性疼痛影响患者的睡眠和心情。应关注高校教师颈椎慢性疼痛的防控。

Analysis on the situation and influential factors of chronic cervical pain among college teachers in Guiyang

To understand the chronic pain and its influencing factors of the cervical spine of college teachers in Guiyang, and to provide reference for the health services. Methods 7 public undergraduate colleges and universities were selected by random sampling method, and some teachers from several colleges were randomly selected by cluster sampling. Questionnaires were used to conduct a face-to-face survey of the selected teachers. Results 963 university teachers were surveyed and 360 cases of chronic cervical pain were detected. The prevalence rate of chronic cervical pain was 37.4%. The prevalence rate of male was 29.9%, and that of women was 42.9%. The prevalence rate of women was higher than that of men(X2=16.927, P<0.001). The average pain time of patients with chronic cervical pain was 3 years, and women suffered longer than men(Z=-2.936, P=0.003). The main types of pain were soreness and fullness. Cervical vertebra pain affected the daily life, sleep and mood of more than 80% of college teachers, and reached mild or above. The results of multivariate analysis showed that the independent risk factors of chronic cervical pain were desk time(OR=1.247, 95%CI: 1.035-1.502) and fewer days of exercise per week: <1 day(OR=2.808, 95%CI: 1.859-4.243),1-2 days(OR=1.750, 95%CI: 1.207-2.537) and 3-4 days(OR=1.636, 95%CI: 1.133-2.363) for college teachers. Conclusion The prevalence of chronic cervical pain in college teachers in Guiyang is higher and it shows a trend of youth, with a longer history of pain, and women are more serious than men. Chronic pain in the cervical spine affects patients’ sleep and mood. Attention should be paid to the prevention and control of chronic pain in the cervical spine of college teachers.