女性膝骨关节炎患者体质参数和肌肉功能状态的对照研究  

Control study for muscle force and component of body of female patients with knee osteoarthritis

作　　者：庞坚[1] 曹月龙[1] 石印玉[1] 周吉韦[1] 王翔[1] 石瑛[1] 

机构地区：[1]上海市中医研究院骨伤科研究所上海中医药大学附属曙光医院,上海201203

出　　处：《中国骨伤》2008年第11期828-830,共3页China Journal of Orthopaedics and Traumatology

基　　金：上海市重点学科项目(编号:T0303);国家自然科学基金项目(编号:30300459);上海市自然科学基金项目(编号:04ZR14128);上海市卫生局基金项目(编号:2006T005A)

摘　　要：目的:了解女性膝骨关节炎患者体质参数、肌肉功能的状况。方法:对参加试验的37例女性膝骨关节炎患者与37例正常女性,采用MES系统同步检测体重、体脂百分比、下肢肌肉分布系数、下肢最大肌力等数据,统计采用t检验。结果:患者组患侧肢体与对照肢体比较中,患肢的肌肉分布系数高于对照肢体(P=0.009);在肢体的肌肉功能状态比较中,患肢的下肢最大肌力,下肢肌肉功能指数,单位体积肌肉肌力都显著弱于对照肢体(P<0.05)。患者组的双侧下肢最大合力、肌肉功能指数、单位体积肌肉肌力都显著弱于对照组(P<0.001);结论:女性膝OA患者中,有效肌力要低于正常女性,而肌力降低主要是由肌肉效能的降低而非量的减少引起。Objective：To understand the information of female patients with knee osteoarthritis regarding muscle force, constitution parameter. Methods：Thirty-seven cases diagnosed as knee osteoarthritis and 37 controls were examined by MES. T-test was used to analysis two groups differences of muscle force, constitution parameter, et al. Results ： Compared between affected limbs and controls limbs in patients revealed that the lower limb muscle distribution index of the affected limbs was higher than the control limbs （P〈0.05）, but comparison in functional status the lower limb muscle force, muscle functional index and muscle force of unit volume of the affected limbs were lower than the control limbs （P〈0.05）. Compared between patients group and control group the muscle force of both lower limbs, muscle functional index and muscle force of unit volume were lower than control group （P〈0.001 ）. Conclusion： The utility muscle force of lower limbs of female patients with knee osteoarthritis is weaker than healthy female. Muscle function disorder instead of muscle atrophy is the key cause of the weakness.

关 键 词：骨关节炎 膝 肌收缩 妇女 

分 类 号：R684.3[医药卫生—骨科学] R741.044[医药卫生—外科学]