刘西花,伊长松,周铂,等.特发性脊柱侧凸青少年患者肺功能的影响因素分析[J].中华物理医学与康复杂志,2022,44(8):732-735
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| 特发性脊柱侧凸青少年患者肺功能的影响因素分析 |
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| DOI：10.3760/cma.j.issn.0254-1424.2022.08.014 |
| 中文关键词: 特发性脊柱侧凸 肺功能 膈肌功能 影响因素 青少年 |
| 英文关键词: Scoliosis Pulmonary function Diaphragm functioning Adolescents |
| 基金项目:国家自然科学基金青年科学基金项目（81802239） |
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| 中文摘要: |
| 目的 探讨特发性脊柱侧凸青少年患者肺功能的影响因素。 方法 选取特发性脊柱侧凸青少年患者44例，采用肺功能测试系统进行肺通气功能测试，指标包括用力肺活量百分比（FVC%）、第1秒用力呼气容积百分比（FEV1%）、最大通气量百分比（MVV%）。同时收集患者信息，包括年龄、性别、病程、是否学习舞蹈、是否经常运动、体重指数（BMI）、Cobb角度、旋转角度、膈肌厚度、膈肌移动度。采用线性回归分析影响患者肺功能的因素，并采用Spearman相关分析探讨膈肌功能与肺功能之间的相关性。 结果 患者FVC%、FEV1%、MVV%分别为70.80±12.52、56.32±14.52、77.50±17.71。单因素分析显示，是否学习舞蹈和膈肌移动度是FVC%、FEV1%、MVV%的影响因素。进一步线性回归分析显示，膈肌活动度是影响轻中度特发性脊柱侧凸青少年患者肺功能的独立因素（P<0.05）。膈肌活动度与FVC%、FEV1%、MVV%之间均呈正相关（P均<0.01）。 结论 对于特发性脊柱侧凸患者，以增强膈肌活动度为目的的呼吸训练非常必要，可改善患者的肺通气功能，降低脊柱侧凸对呼吸功能的损害。 |
| 英文摘要: |
| Objective To explore the factors influencing the pulmonary function of persons with mild to moderate adolescent idiopathic scoliosis (AIS). Methods Forty-four persons with AIS were tested for their pulmonary ventilation functioning. The indicators were the percentage of forced vital capacity (FVC%), the percentage of forced expiratory volume in the first second (FEV1%) and the percentage of maximum chase volume (MVV%). Data including age, gender, course of disease, dancing habits, exercise habits, body mass index (BMI), Cobb angle, rotation angle, diaphragm thickness, and diaphragm excursion (DE) were also collected. Linear regressions were evaluated to analyze the factors best predicting pulmonary functioning. Spearman correlation coefficients were computed to quantify the correlation between respiratory muscle functioning and pulmonary functioning. Results The univariate analysis showed that dancing and DE independently influence FVC%, FEV1%, and MVV%. DE was the only independent factor significantly predicting pulmonary functioning for mild to moderate AIS patients. DE was also significantly positively correlated with average FVC%, FEV1% and MVV%. Conclusions Respiratory training aimed at enhancing DE is necessary to improve the pulmonary ventilation of persons with AIS. |
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