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  

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

作　　者：李柯蓉 赵智[2] 陈茉弦 敖丽娟 孟繁媛 LI Kerong;ZHAO Zhi;CHEN Moxian;AO Lijuan;MENG Fanyuan(Dept.of Physical Therapy,School of Rehabilitation,Kunming Medical University,Kunming Yunnan 650500;Dept.of Orthopedics,The 2nd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650101,China)

机构地区：[1]昆明医科大学康复学院物理治疗系,云南昆明650500 [2]昆明医科大学第二附属医院骨科,云南昆明650101

出　　处：《昆明医科大学学报》2023年第7期88-93,共6页Journal of Kunming Medical University

基　　金：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)。

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。Objective To investigate the correlation between pulmonary function and respiratory muscle strength in adolescent idiopathic scoliosis(AIS)patients compared to healthy subjects of the same age,and to investigate the correlation between the size of the scoliosis angle and the type of scoliosis with pulmonary function and respiratory muscle strength in AIS patients.Methods We analyzed the lung function indicators of 50 patients with AIS(Cobb=29.720±11.875)and 50 healthy adolescents treated at the Department of Orthopedics,Second Affiliated Hospital of Kunming Medical University from June to December 2022.Pulmonary function indicators included forced vital capacity(FVC)as a percentage of predicted value(FVC pred%),and forced expiratory volume in one second(FEV1).(FEV1 pred%),maximum expiratory flow volume(PEF pred%),and the maximum expiratory rate in one second(FEV1/FVC).Respiratory muscle function indicators included maximum expiratory pressure(MEP)and maximum inspiratory pressure(MIP).Results There were no statistical differences in FEV1/FVC and PEF pred%between the AIS group and healthy controls,and FVC pred%,FEV1 pred%(P<0.01),inspiratory muscle strength,and expiratory muscle strength were worse in the AIS group than in the healthy group.There was no correlation between pulmonary function parameters,respiratory muscle strength,and Cobb’s angle,and no difference in pulmonary function and respiratory muscle strength between patients with different scoliosis types.Conclusions Patients with AIS have poorer FVC pred%and FEV1 pred%,and respiratory muscle strength than healthy subjects of the same age.Different types of lateral bending and the size of Cobb angle are not correlated with restricted lung function.

关 键 词：青少年特发性脊柱侧弯 肺功能 呼吸肌力 COBB角 

分 类 号：R744[医药卫生—神经病学与精神病学] R563[医药卫生—临床医学]