本文選題：頸椎退行性疾病 + Modic改變　； 參考：《長(zhǎng)春中醫(yī)藥大學(xué)》2015年碩士論文

【摘要】：目的：通過(guò)這項(xiàng)研究進(jìn)一步證實(shí)頸椎間盤(pán)退變患者M(jìn)odic改變的相關(guān)因素。從而為頸椎退行性疾病的基礎(chǔ)與臨床研究提供有力的幫助。方法：回顧性分析我院我科住院及門(mén)診2013/1-2014/12期間的293例頸椎退行性疾病患者的MRI片,根據(jù)這些患者M(jìn)odic改變類(lèi)型,記錄患者的性別、年齡、體重、身高、勞動(dòng)量等相關(guān)影響因素,探討Modic改變與勁肩痛的關(guān)系。使用流行病學(xué)當(dāng)中病因研究的統(tǒng)計(jì)學(xué)分析方法。結(jié)果：共293例頸椎退行性疾病患者當(dāng)中56例患者64個(gè)椎間盤(pán)發(fā)生Modic改變,發(fā)生率為19.11%；其中男性患者25例、占Modic改變患者中的44.64%,女性患者31例、占Modic改變患者中的55.36%,；伴有明顯勁肩痛者188例,無(wú)明顯勁肩痛者105例,勁肩痛發(fā)生率為64.16%；頸椎Modic改變患者當(dāng)中ModicⅠ型患者8例、ModicII型患者36例、ModicⅢ型患者12例,發(fā)生率分別是2.73%、13.31%和4.09%；發(fā)生勁椎Modic改變的節(jié)段為C2/3 3個(gè)、C3/4 10個(gè)、C4/5 16個(gè)、C5/6 26個(gè)、C6/7 9個(gè),發(fā)生率由C2/3至C6/7依次為4.69%、15.62%、25%、40.63%、1 4.06%；①研究結(jié)果”女性患者和男性患者M(jìn)odic改變相比較P0.05無(wú)統(tǒng)計(jì)學(xué)意義”(見(jiàn)表1)；②研究結(jié)果”x2=7.304, 青年組和中年組相比較P=0.0070.05,有統(tǒng)計(jì)學(xué)意義；x2＝19.102, 青年組和老年組相較P=0.0000.05,有統(tǒng)計(jì)學(xué)意義；中年組和老年組頸椎Modic改變發(fā)生率相比較P=0.470.05無(wú)統(tǒng)計(jì)學(xué)意義”(見(jiàn)表2)； ③本研究結(jié)果”x2=9.496,正常組和超重組相比較P=0.0020.05,有統(tǒng)計(jì)學(xué)意義； x2=8.706,正常組和肥胖組相比較P=0.0030.05,有統(tǒng)計(jì)學(xué)意義；x2＝1.060, 超重組和肥胖組相比較P=0.3030.05,無(wú)統(tǒng)計(jì)學(xué)意義” (見(jiàn)表3)；④本研究結(jié)果“x2=12.796, 輕體力組和中體力組相比較P=0.0310.05,有統(tǒng)計(jì)學(xué)意義；x2＝7.436, 中體力組和重體力組相比較P=0.0040.05,有統(tǒng)計(jì)學(xué)意義；x2=11.346,輕體力組和重體力組相比較P=0.0130.05,有統(tǒng)計(jì)學(xué)意義。”(見(jiàn)表4)；⑤發(fā)生頸椎Modic改變病例共56例、其中伴有勁肩痛的病例47例,發(fā)生率為83.92%；無(wú)頸椎Modic改變的病例共237例、其中發(fā)伴有勁肩痛的病例141例,發(fā)生率為59.49%,研究Modic改變與勁肩痛關(guān)系結(jié)果也表明”有Modic改變和無(wú)Modic改變相比較P=0.0010.05,有統(tǒng)計(jì)學(xué)意義”(見(jiàn)表5)；⑥研究結(jié)果表明”x2=0.002,Ⅰ型和Ⅱ型相比較P=0.9630.05,無(wú)統(tǒng)計(jì)學(xué)意義；x2=0.056, Ⅱ型和Ⅲ型相比較P=0.8130.05,無(wú)統(tǒng)計(jì)學(xué)意義：x2=0.996, Ⅰ型和Ⅲ型相比較P=0.3190.05,無(wú)統(tǒng)計(jì)學(xué)意義”(見(jiàn)表6)結(jié)論：本研究結(jié)果發(fā)現(xiàn)頸椎Modic改變跟性別之間沒(méi)有統(tǒng)計(jì)學(xué)意義。頸椎退變患者當(dāng)中,頸椎Modic改變與年齡、BM工指數(shù)、勞動(dòng)量及勁肩痛具有一定的相關(guān)性。頸椎Modic改變是發(fā)生勁肩痛的一個(gè)重要的因素,勁肩痛跟各型Modic改變無(wú)統(tǒng)計(jì)學(xué)意義。
[Abstract]:Objective: to further confirm the related factors of Modic changes in cervical disc degeneration patients and to provide a powerful help for the basis and clinical study of cervical degenerative diseases. Methods: a retrospective analysis of the MRI tablets of 293 patients with cervical degenerative diseases during the hospitalization and outpatient 2013/1-2014/12 of our hospital was reviewed. Modic changes in the patient's sex, age, weight, height, labor and other related factors, and explore the relationship between Modic changes and shoulder pain. Statistical analysis of the etiological study in epidemiology. Results: a total of 293 patients with 56 cervical spondylosis patients had 64 intervertebral disc changes in 64 intervertebral discs. The rate was 19.11%, of which 25 were male patients, 44.64% of Modic changes, 31 in women, 55.36% in Modic, 188 with severe shoulder pain, 105 with no obvious shoulder pain and 64.16% for shoulder pain, 8 in Modic type I patients, 36 in ModicII type, and Modic III in Modic change patients. The incidence of 12 patients was 2.73%, 13.31% and 4.09%, and the segments of the Modic changes were C2/3 3, C3/4 10, C4/5 16, C5/6 26 and C6/7 9, and the incidence from C2/3 to C6/7 was 4.69%, 15.62%, 25%, 40.63%, 14.06%; (1) there was no statistical significance compared to P0.05 in female patients and male patients compared with P0.05. See Table 1); (2) the results of study "x2=7.304, the youth group and the middle-aged group were compared P=0.0070.05, statistically significant; x2 = 19.102, the youth group and the elderly group were compared with P=0.0000.05, statistically significant; the incidence of cervical Modic changes in the middle age group and the elderly group was compared with P=0.470.05 no systematic significance" (see Table 2); (3) the results of this study "x2= 9.496, the normal group and the super recombination compared with P=0.0020.05, statistically significant; x2=8.706, the normal group and the obesity group compared P=0.0030.05, statistically significant; x2 = 1.060, the super recombination and obesity group compared P=0.3030.05, no statistically significant "(see Table 3); (4) the results of this study, x2=12.796, light physical and medium physical groups compared P =0.0310.05, statistically significant; x2 = 7.436, the middle physical and heavy manual groups compared P=0.0040.05, statistically significant; x2=11.346, the light physical group and the heavy manual group compared P=0.0130.05, statistically significant. (see Table 4); 5 cases of cervical Modic changes in a total of 56 cases, including 47 cases with severe shoulder pain, the incidence of 83.92 %; there were 237 cases of Modic without cervical spondylosis, of which 141 cases with shoulder pain were found, the incidence was 59.49%. The results of the study of Modic changes and the pain of the shoulder pain showed that "there was a Modic change compared with P=0.0010.05 without Modic" (see Table 5). (6) the results showed that "x2=0.002, type I and type I compared P=. 0.9630.05, no statistical significance; x2=0.056, type II and type III compared P=0.8130.05, no statistical significance: x2=0.996, type I and type III comparison P=0.3190.05, no statistical significance. (see Table 6) conclusion: the results of this study found that there is no statistical significance between the cervical Modic changes and sex. Cervical vertebra degeneration patients with Modic modification. Change has a certain correlation with age, BM index, labor and pain in the shoulder. The Modic change of the cervical spine is an important factor in the occurrence of hard shoulder pain, and there is no statistical significance for the changes of the shoulder pain and the changes of the various types of Modic.
【學(xué)位授予單位】：長(zhǎng)春中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類(lèi)號(hào)】：R681.5

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