Abstract：
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).
摘要：
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血管闭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。分析的重点是有颈椎疼痛病史的受访者，适应人口统计，教育,和心理健康的混杂因素。共有30,461人参加了调查。在1049名受访者中，21%报告颈部疼痛。受访者的平均年龄为62.6±16.1岁。非白人种族，目前的日常吸烟者，家庭收入较低,高血压,糖尿病患者颈痛患病率较高(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变性椎间盘疾病疼痛的关系。(外科骨科进展杂志33(2)：093-096，2024)。
