Đặc điểm lâm sàng, cận lâm sàng và một số yếu tố liên quan tới đau cột sống ở người bệnh từ 18 đến 35 tuổi=The clinical, subclinical characteristics and some factors related to spinal pain in patients from 18 to 35 years old

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Tác giả: Thị Ngọc Thủy Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Sức khỏe, 2024

Mô tả vật lý: tr.8

Bộ sưu tập: Metadata

ID: 480751

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Mục tiêu: Mô tả đặc điểm lâm sàng, cận lâm sàng và một số yếu tố liên quan đến đau cột sống ở người bệnh từ 18 đến 35 tuổi mắc bệnh lý cột sống. Đối tượng và phương pháp nghiên cứu: Phương pháp mô tả cắt ngang trên tất cả bệnh nhân từ 18- 35 tuổi có hội chứng cột sống đến khám và điều trị tại khoa Phục hồi chức năng- Bệnh viện Đại học Y Hải Phòng, từ tháng 1 đến tháng 3 năm 2020. Kết quả: 45 bệnh nhân đủ điều kiện nghiên cứu, chiếm tỉ lệ 18,2%, trong đó tỷ lệ nam (45,5%) mắc bệnh thấp hơn nữ (55,5%). Đặc điểm đau cột sống ở người trẻ tuổi đó là đau vùng thắt lưng, đau mạn tính trên 12 tuần, mức độ đau trung bình, đau cơ học và xuất hiện tự nhiên chiếm tỷ lệ cao nhất, lần lượt là 64,4%
77,8%
77,8%
100% và 93,3%. Triệu chứng co cứng cơ cạnh sống và mất đường cong sinh lý phổ biến trên lâm sàng với tỷ lệ lần lượt là 91,1% và 71,1%. Không phát hiện hình ảnh bất thường trên Xquang cột sống chiếm tỷ lệ cao nhất với 51,1%. Tư thế lao động cúi và cường độ lao động có liên quan tới đau cột sống ở người bệnh từ 18- 35 tuổi, có ý nghĩa thống kê với p<
0,05. Kết luận: Những triệu chứng biểu hiện tại chỗ là thường gặp ở bệnh lý cột sống người trẻ tuổi. Một số yếu tố về tư thế và cường độ lao động có liên quan tới đau cột sống ở nhóm đối tượng này.Objectives: To describe the clinical, paraclinical characteristics and some factors related to spinal pain in patients from 18 to 35 years old with spine disorders. Materials and methods: Cross-sectional descriptive method on all patients from 18-35 years old with spinal syndrome who came for examination and treatment at the Rehabilitation department in Hai Phong Medical University Hospital, from January to March 2020. Results: 45 patients were eligible for the study, accounting for 18.2%, of which the proportion of men (45.5%) was lower than that of women (55.5%). The characteristics of spinal pain in young people are low back pain, chronic pain over 12 weeks, moderate pain, mechanical pain, and natural occurrence accounting for the highest percentage, respectively: 64.4%
77.8%
77.8%
100%, and 93.3%. Symptoms of paraspinal muscle spasticity and loss of physiological curve were common in clinical practice with the rate of 91.1% and 71.1%, respectively. No abnormal images were detected on the X-ray of the spine, accounting for the highest rate with 51.1%. Bowing working posture and labor intensity are related to spinal pain in young people, statistically significant with p <
0.05. Conclusion: Local symptoms are common in spine pathology in patients from 18 to 35 years old. Some factors about posture, intensity, and working time are related to spinal pain in this group of subjects.

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