慢性颈部疼痛与挥鞭伤：急性挥鞭伤与慢性颈部疼痛关系的病例对照研究
Chronic neck pain and whiplash: a case-control study of the relationship between acute whiplash injuries and chronic neck pain.
作者信息
Freeman M D, Croft Arthur C, Rossignol Annette M, Centeno Christopher J, Elkins Whitney L
机构信息
Department of Public Health and Preventive Medicine, Oregon Health Sciences University School of Medicine, Portland, 97303, USA.
出版信息
Pain Res Manag. 2006 Summer;11(2):79-83. doi: 10.1155/2006/304673.
The authors undertook a case-control study of chronic neck pain and whiplash injuries in nine states in the United States to determine whether whiplash injuries contributed significantly to the population of individuals with chronic neck and other spine pain. Four hundred nineteen patients and 246 controls were randomly enrolled. Patients were defined as individuals with chronic neck pain, and controls as those with chronic back pain. The two groups were surveyed for cause of chronic pain as well as demographic information. The two groups were compared using an exposure-odds ratio. Forty-five per cent of the patients attributed their pain to a motor vehicle accident. An OR of 4.0 and 2.1 was calculated for men and women, respectively. Based on the results of the present study, it reasonable to infer that a significant proportion of individuals with chronic neck pain in the general population were originally injured in a motor vehicle accident.
作者在美国九个州开展了一项关于慢性颈部疼痛和挥鞭伤的病例对照研究，以确定挥鞭伤是否对患有慢性颈部及其他脊柱疼痛的人群有显著影响。随机招募了419名患者和246名对照。患者定义为患有慢性颈部疼痛的个体，对照为患有慢性背痛的个体。对两组进行了慢性疼痛原因及人口统计学信息的调查。使用暴露比值比比较两组。45%的患者将其疼痛归因于机动车事故。男性和女性的比值比分别计算为4.0和2.1。基于本研究结果，可以合理推断，普通人群中相当一部分慢性颈部疼痛患者最初是在机动车事故中受伤的。
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