摘要
目的观察脊柱后凸畸形对绝经后骨质疏松症患者肺功能及活动能力的影响，进而指导骨质疏松伴脊柱后凸畸形患者康复训练。方法共选取2012年6月至10月期间在北京大学第三医院骨质疏松门诊就诊的绝经后骨质疏松症患者60例，其中伴有脊柱后凸畸形患者30例，将其纳入脊柱后凸组，余30例不伴有脊柱后凸畸形患者则纳入无脊柱后凸组。应用Cobb角和枕一墙距（WOD）评定人选患者脊柱后凸程度；采用视觉模拟评分（VAS）评定患者背部疼痛；同时对2组患者进行肺功能及胸廓扩张度评定；采用6min行走试验（6-MWT）评定2组患者活动能力。结果脊柱后凸组患者背部疼痛VAS评分[（4．92±2．72）分]较无脊柱后凸组患者评分[（2．42±2．50）分]明显加重，其肺功能[最大吸气压为（3．21±0．57）kPa，最大呼气压为（2．90±0．74）kPa]及6-MWT结果[（338．43±80．72）m]亦明显不及无脊柱后凸组肺功能[最大吸气压为（4．32±0．67）kPa，最大呼气压为（3．95±0．60）kPa]及6-MWT结果[（403．52±67．42）m]，组间差异均具有统计学意义（均P〈0．05）。相关性分析结果显示，绝经后骨质疏松伴脊柱后凸畸形患者其肺功能与脊柱后凸程度、背部疼痛、胸廓扩张度及活动能力间存在明显相关性（均P〈0．05）。结论脊柱后凸畸形能加重绝经后骨质疏松症患者背部疼痛，影响其肺功能及活动能力，故临床在针对该类患者制订运动方案时应重视呼吸功能训练，以尽可能提高患者肺功能，促其机体活动能力及耐力改善，从而提高生活质量。
Objective To observe the influence of spine kyphotic deformity on postmenopausal osteoporois patients＇ pulmonary function and physical activity, and then provide a guide for the rehabilitation training of patients with osteoporosis and a kyphotic spine. Methods Sixty postmenopausal women with osteoporosis were recruited from the osteoporosis outpatients of the Third Hospital of Peking University. Half of them suffered from spine kyphosis （the spine kyphosis group） and the other half did not （the non-spine kyphosis group）. There was no significant difference in the average ages and body mass indexes of the two groups. The research applied Cobb＇s angle and wall-occiput distance （WOD） to assess kyphosis severity, a visual analogue scale （VAS） to evaluate the patient＇s pain level, plus pulmonary function assessments and thoracic expansion assessments in both groups simulta- neously, and the 6-minute walking test （6-MWT） to assess the patients＇ physical activity. Results The spine kyphosis group said they experienced significantly more pain than the non-kyphosis group, and they had worse pulmonary function and poorer physical activity. These differences were statistically significant. Pulmonary function was significantly correlated with the severity of spine kyphosis, back ache, thoracic expansion as well as physical activity. Conclusion Spine kyphosis deformity can aggravate back ache among postmcnopausal osteoporosis patients, and affect their pulmonary function and physical activity. When planning clinical exercise training for such patients, physicians should pay attention to respiratory function training so as to improve the patients＇ pulmonary function, physical activity and endurance as much as possible, and thus improve their quality of life.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2013年第4期311-314,共4页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
脊椎后凸
肺功能
活动能力
疼痛
骨质疏松
Spine kyphosis
Pulmonary function
Physical activity
Pain
Osteoporosis
