University Hospitals Cleveland Medical Center, Cleveland, Ohio; Case Western Reserve University School of Medicine, Cleveland, Ohio.
Case Western Reserve University School of Medicine, Cleveland, Ohio.
J Surg Orthop Adv. 2024 Summer;33(2):93-96.
Atherosclerotic disease in the vessels that supply the cervical spine may lead to degenerative disease. In angina pectoris (AP), atherosclerotic disease leads to coronary vessel occlusion and resulting symptoms. This study aims to determine the relationship between AP and neck pain. Analysis was focused on respondents who had a history of cervical pain disorders, adjusting for demographic, education, and mental health confounders. A total of 30,461 participated in the survey. Of 1,049 respondents, 21% reported neck pain. Mean age of the respondents was 62.6 ± 16.1 years. Nonwhite race, current everyday smokers, lower family income, hypertension, and diabetes had higher prevalence of neck pain (p < 0.05). On multivariate analysis, AP was associated with increased odds of neck pain (odds ratio [OR] = 1.42 [95% confidence interval (CI) 1.04 to 1.92], p = 0.026). AP was independently associated with 42% increased odds of having neck pain. Further study into the association of cardiovascular disease with degenerative disc disease pain should be performed. (Journal of Surgical Orthopaedic Advances 33(2):093-096, 2024).
供应颈椎的血管中的动脉粥样硬化疾病可能导致退行性疾病。在心绞痛 (AP) 中，动脉粥样硬化疾病导致冠状动脉阻塞和由此产生的症状。本研究旨在确定 AP 与颈部疼痛之间的关系。分析重点关注有颈椎疼痛障碍病史的受访者，并调整了人口统计学、教育和心理健康混杂因素。共有 30461 人参与了调查。在 1049 名受访者中，21%报告有颈部疼痛。受访者的平均年龄为 62.6 ± 16.1 岁。非白种人、当前每天吸烟、家庭收入较低、高血压和糖尿病的颈部疼痛患病率更高 (p < 0.05)。在多变量分析中，AP 与颈部疼痛的几率增加相关（比值比 [OR] = 1.42 [95%置信区间 (CI) 1.04 至 1.92]，p = 0.026）。AP 与颈部疼痛的几率增加 42%独立相关。应进一步研究心血管疾病与退行性椎间盘疾病疼痛之间的关系。（《外科矫形进展杂志》33(2):093-096, 2024）。
