非特异性腰痛患者腰骶结构特征及其影响因素

发布时间：2018-02-23 23:38

本文关键词： 运动医学非特异性腰痛腰骶结构影响因素　出处：《武汉体育学院学报》2017年05期 　论文类型：期刊论文

【摘要】：研究非特异性腰痛(non-specific low back pain,NLBP)患者的腰骶结构特征及其影响因素。方法:招募筛选NLBP患者71例(NLBP组)及29例无腰痛的健康人群(Con组)。填写问卷评估疼痛程度和腰功能障碍,并分别拍摄矢状面及额状面的X光片,测定腰椎前凸程度和骨盆侧倾程度的相关指标。研究发现:(1)NLBP组腰椎前凸程度与Con组相比无显著性差异(P0.05);(2)NLBP组与Con组相比骨盆发生明显侧倾(P0.05);(3)性别对NLBP患者腰骶结构没有影响;(4)不同年龄的NLBP患者腰椎结构有发生不同的改变,青年患者与中老年患者相比,腰骶出现了显著的腰曲变直(P0.05)及骨盆侧倾(P0.01);(5)症状也会影响NLBP患者的腰椎前凸程度(P0.05)。研究结论:(1)骨盆侧倾是NLBP患者的共性,可将该指标用于临床诊断和疗效评估;(2)不同年龄、性别和症状的NLBP患者进行康复时应有针对性。
[Abstract]:To study the characteristics and influencing factors of lumbosacral structure in patients with non-specific low back pain (NLBP). Methods: 71 patients with NLBP and 29 healthy people without low back pain were recruited to evaluate the pain degree and lumbar dysfunction. The sagittal and frontal planes were taken respectively. The study showed that there was no significant difference in the degree of lordosis of lumbar vertebrae between the Con group and the Con group. There was no significant difference in the degree of Lumbar Lumbar Lumbar kyphosis between the two groups (P0.05NLBP group and Con group). Sex had a significant effect on the lumbosacral structure of NLBP patients compared with the Con group. There were different changes in lumbar vertebrae structure in patients with NLBP at different ages. Compared with the middle and old patients, the symptoms of lumbosacral curvature and pelvic tilting could also affect the degree of lumbar kyphosis in NLBP patients (P 0.05). Conclusion: the pelvic tilting is a common feature in patients with NLBP. This index can be used to evaluate the clinical diagnosis and curative effect of NLBP patients with different age, sex and symptoms.
【作者单位】：成都体育学院运动医学与健康学院;
【基金】：国家体育总局运动医学重点实验室暨运动医学四川省重点实验室资助项目(CTYY2015018)
【分类号】：R68

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