Kelsey J L, Githens P B, O'Conner T, Weil U, Calogero J A, Holford T R, White A A, Walter S D, Ostfeld A M, Southwick W O
Spine (Phila Pa 1976). 1984 Sep;9(6):608-13. doi: 10.1097/00007632-198409000-00012.
An epidemiologic case-control study to identify risk factors for acute prolapsed lumbar intervertebral disc was undertaken in Connecticut during 1979-1981. This paper focuses on nonoccupational factors of possible etiologic significance. Persons in their 30s were affected most frequently. Among surgical cases, the ratio of men to women was 1.5 to 1, while among probable and possible cases not undergoing surgery, the male to female ratio was about 1 to 1. Cigarette smoking in the past year was associated with an increased risk for prolapsed disc. The greater the number of hours spent in a motor vehicle, the higher the risk. Use of Swedish and Japanese cars was associated with a lower-than-average risk, while use of other cars was associated with a higher-than-average risk. For each type of car, older cars were associated with higher risks than newer cars. Variables that did not affect the risk for prolapsed lumbar disc in this study included height, weight, number of pregnancies, number of children, frequency of wearing shoes with high heels, smoking cigars or pipes, and participation in baseball or softball, golf, bowling, swimming, diving from a board, tennis, bicycling or jogging.
1979年至1981年期间，在康涅狄格州开展了一项流行病学病例对照研究，以确定急性腰椎间盘突出症的危险因素。本文重点关注可能具有病因学意义的非职业因素。30多岁的人受影响最为频繁。在接受手术的病例中，男女比例为1.5比1，而在未接受手术的可能病例和疑似病例中，男女比例约为1比1。过去一年吸烟与椎间盘突出风险增加有关。在机动车内花费的时间越多，风险越高。使用瑞典和日本汽车的风险低于平均水平，而使用其他汽车的风险高于平均水平。对于每种类型的汽车，旧车的风险高于新车。在本研究中，不影响腰椎间盘突出风险的变量包括身高、体重、怀孕次数、子女数量、穿高跟鞋的频率、抽雪茄或烟斗、参加棒球或垒球、高尔夫、保龄球、游泳、跳板跳水、网球、骑自行车或慢跑。
