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轻中度青少年特发性脊柱侧弯患者肺功能与呼吸肌力分析

李柯蓉 赵智 陈茉弦 敖丽娟 孟繁媛

李柯蓉, 赵智, 陈茉弦, 敖丽娟, 孟繁媛. 轻中度青少年特发性脊柱侧弯患者肺功能与呼吸肌力分析[J]. 昆明医科大学学报, 2023, 44(7): 88-93. doi: 10.12259/j.issn.2095-610X.S20230707
引用本文: 李柯蓉, 赵智, 陈茉弦, 敖丽娟, 孟繁媛. 轻中度青少年特发性脊柱侧弯患者肺功能与呼吸肌力分析[J]. 昆明医科大学学报, 2023, 44(7): 88-93. doi: 10.12259/j.issn.2095-610X.S20230707
Kerong LI, Zhi ZHAO, Moxian CHEN, Lijuan AO, Fanyuan MENG. Pulmonary Function and Respiratory Muscle Strength in Mild to Moderate Adolescent Idiopathic Scoliosis Patients[J]. Journal of Kunming Medical University, 2023, 44(7): 88-93. doi: 10.12259/j.issn.2095-610X.S20230707
Citation: Kerong LI, Zhi ZHAO, Moxian CHEN, Lijuan AO, Fanyuan MENG. Pulmonary Function and Respiratory Muscle Strength in Mild to Moderate Adolescent Idiopathic Scoliosis Patients[J]. Journal of Kunming Medical University, 2023, 44(7): 88-93. doi: 10.12259/j.issn.2095-610X.S20230707

轻中度青少年特发性脊柱侧弯患者肺功能与呼吸肌力分析

doi: 10.12259/j.issn.2095-610X.S20230707
基金项目: 云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目(202201AY070001-014)
详细信息
    作者简介:

    李柯蓉(1999~),女,云南楚雄人,在读硕士研究生,主要从事骨骼肌肉康复研究工作

    通讯作者:

    孟繁媛,E-mail: mengfanyuan@kmmu.edu.cn

  • 中图分类号: R744;R563

Pulmonary Function and Respiratory Muscle Strength in Mild to Moderate Adolescent Idiopathic Scoliosis Patients

  • 摘要:   目的   探究青少年特发性脊柱侧弯患者(adolescent idiopathic scoliosis,AIS)对比同龄健康人肺功能与呼吸肌力的相关指标,并研究侧弯角度的大小和侧弯类型与AIS患者肺功能和呼吸肌力的相关性。   方法   分析2022年6月至12月在昆明医科大学第二附属医院骨科的50名AIS患者[Cobb = (29.720±11.875)]和50名健康青少年的肺功能指标,指标包括:用力肺活量占预计值百分数(FVC pred%)、第1秒最大呼气容积占预计值百分数(FEV1 pred%)、最大呼气流速占预计值百分数(PEF pred%)、FEV1 /FVC占正常预计值的百分比( FEV1/FVC% pred);呼吸肌功能指标:最大呼气压力(MEP)、最大吸气压力(MIP)。   结果   AIS组和健康对照组的FEV1/FVC、PEF pred%差异无统计学意义(P > 0.05),AIS组FVC pred%、FEV1 pred%、吸气肌力和呼气肌力差于健康组( P < 0.01)。肺功能参数、呼吸肌力与Cobb角之间没有相关性,不同侧弯类型患者之间的肺功能和呼吸肌力差异无统计学意义( P > 0.05)。   结论   AIS患者的FVC pred%和FEV1 pred%,及呼吸肌力差于同年龄健康人,不同侧弯类型和Cobb角的大小与肺功能受限无相关性。
  • 表  1  2组一般资料比较( $\bar x \pm s $)

    Table  1.   Comparison of two groups of general data ( $\bar x \pm s $)

    组别 n 性别(n 年龄
    (岁)
    身高
    (cm)
    体重
    (kg)
    BMI(kg/m2
    男/女
    侧弯组 50 5/45 14.920 ± 2.183 1.610 ± 0.075 47.536 ± 7.279 18.264 ± 2.009
    健康组 50 6/44 14.240 ± 2.543 1.580 ± 0.099 46.930 ± 11.032 18.601 ± 3.186
    χ2/t 0.090 1.696 1.694 0.324 −0.632
    P 0.764 0.093 0.094 0.094 0.746
    下载: 导出CSV

    表  2  2组肺功能比较( $\bar x \pm s $)

    Table  2.   Comparison of lung function between two groups ( $\bar x \pm s $)

    组别 n FVC pred%(%) FEV1 pred%(%) FEV1 /FVC %pred(%) PEF pred%(%)
    侧弯组 50 79.920 ± 9.733 80.740 ± 10.743 101.180 ± 8.270 78.440 ± 22.032
    健康组 50 89.440 ± 15.602 88.980 ± 14.289 100.080 ± 9.341 86.140 ± 21.393
    t −3.702 −3.274 0.638 −1.773
    P < 0.001* 0.001* 0.525 0.079
       *P < 0.05。
    下载: 导出CSV

    表  3  2组呼吸肌力比较( $\bar x \pm s $)

    Table  3.   Comparison of respiratory muscle strength between two groups ( $\bar x \pm s $)

    组别 n MIP MEP
    侧弯组 50 52.740 ± 17.073 64.940 ± 12.838
    健康组 50 62.580 ± 16.970 74.120 ± 16.923
    t −2.890 −3.056
    P 0.005* 0.003*
       *P < 0.05。
    下载: 导出CSV

    表  4  Cobb角与肺功能、呼吸肌力间的相关性

    Table  4.   Correlation of Cobb Angle with lung function and respiratory muscle strength

    参数 Cobb角
    r P
    FVC pred% −0.059 0.682
    FEV1 pred% 0.029 0.844
    FEV1 /FVC% pred 0.276 0.052
    PEF pred% 0.077 0.594
    MIP −0.079 0.587
    MEP −0.096 0.507
    下载: 导出CSV

    表  5  不同类型侧弯肺功能比较( $\bar x \pm s $)

    Table  5.   Comparison of function of different types of lateral curved lung ( $\bar x \pm s $)

    组别 n FVC pred%(%) FEV1 pred%
    (%)
    FEV1 /FVC pred%(%) PEF pred%
    (%)
    MIP MEP
    胸弯型 6 77.330 ± 13.018 79.000 ± 13.416 102.000 ± 3.847 78.830 ± 23.676 44.500 ± 13.397 72.666 ± 11.775
    腰弯型 11 79.360 ± 6.789 44.500 ± 13.397 104.730 ± 5.746 88.090 ± 23.696 53.545 ± 19.511 61.454 ± 10.957
    以胸弯为主的双弯 13 79.080 ± 11.565 104.730 ± 5.746 101.070 ± .6.498 74.210 ± 20.599 52.428 ± 23.889 64.500 ± 18.529
    以腰弯为主的双弯 14 78.830 ± 23.676 79.150 ± 9.512 100.690 ± 10.483 77.920 ± 22.232 54.538 ± 10.038 66.615 ± 7.794
    胸腰弯型 6 81.000 ± 8.485 76.830 ± 12.952 95.170 ± 11.974 71.330 ± 21.621 56.333 ± 9.114 61.000 ± 8.555
    F 0.328 1.077 1.365 0.802 0.438 0.942
    P 0.858 0.379 0.261 0.531 0.780 0.448
    下载: 导出CSV
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