摘要
目的 探讨中青年女性健身运动与半月板损伤之间的关系.方法 从门诊、病房、社区和健身房招募年龄20～49岁,每天练习羽毛球、慢跑或爬山运动1h以上至少1年,或练习瑜伽运动每天1h以上至少3个月的女性志愿者819名.通过体格检查及MR扫描确定有无膝关节半月板损伤,并据此将调查对象分成病例组（273例）和对照组（546名）.采用巢式病例对照模型及Logistic回归方程评估整体样本不同暴露因素（不同运动项目）者发生半月板损伤的相对危险度.将瑜伽组（181名）按锻炼时间长短分成3～6个月、6～12个月及超过12个月三个亚组,分析各亚组年龄、体重指数及Lysholm膝关节评分的差异.结果 相对于其他运动,练习瑜伽者发生半月板损伤的相对危险度较大（0R=1.621,P=0.008）,其他运动的相对危险度分别为羽毛球1.028、慢跑1.116、爬山1.259.瑜伽3～6个月组和超过12个月组的体重指数（P=0.003）及Lysholm膝关节评分（P=0.006）的差异有统计学意义.结论 相对于其他运动,瑜伽是半月板损伤的高风险因素,锻炼时间长导致锻炼者体重减轻及Lysholm膝关节评分降低.
Objective This investigation was launched to characterize the relationship between some popular sports and the meniscus injury as well as the impairment extent due to practice duration.Methods The overall 819 women aged 20-49 years from clinic service,hospital,community and gymnasium were selected to join the investigation.The participants practice yoga or any other popular sports including badminton,jogging,climbing hills for at least one hour per day.The subjects were diagnosed with meniscus injury by means of physical examination and MR imaging.All of the subjects were therefore divided into the ＂case＂（273）and the ＂control＂（546）pools.The nested case-control model was applied to assess the relative risk of the meniscus.The 181 yoga subjects had been further divided into three sub-groups of 3-6 months,6-12 months and over 12 months,and they were accordingly analyzed with the variables of the age,body mass index（BMI）and Lysholm score.Results The study showed that yoga was associated with higher risk（OR=1.621,P=0.008）of meniscus injury,but the other sports showed no statistically significant risk （badminton 0R=1.028,jogging OR=1.116,climbing hills OR=1.259）.The trainees appeared to be statistically different between the groups of 3-6 months and over 12 months on the items of the Lysholm score（P=0.006）and BMI（P=0.003）.Conclusion Yoga plays a risky role on the issue of meniscus injury comparing some other popular sports among young women.The yoga players who exercise longer got lower Lysholm scores and lighter weight.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
2012年第2期141-144,共4页
Chinese Journal of Orthopaedics
关键词
运动损伤
半月板
胫骨
瑜伽
Athletic injuries
Menisci, tibial
Yoga
