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| 体重指数在骨质疏松伴腰背部疼痛症患者康复评估中的应用研究 |
| The study the application of BMI in the rehabilitation evaluation in osteoporotic patients with lumbago and backache |
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| DOI：10.3969/j.issn.1006-7108.2015.02.016 |
| 中文关键词: 体重指数 骨密度 骨质疏松症 康复评估 |
| 英文关键词:Body mass index (BMI) Bone mineral density (BMD) Osteoporosis Rehabilitation evaluation |
| 基金项目:三峡大学第一临床医学院科研发展基金项目（KFJ2011046） |
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| 中文摘要: |
| 目的 研究骨质疏松症患者体重指数及腰背部疼痛与日常生活活动能力及功能独立性评分关系。方法 选取2011年1月~2013年12月来我院康复医学科就诊并诊断为骨质疏松症的患者，详细记录其体重与身高，疼痛的部位。检测其腰椎骨密度，并对其日常生活活动能力及功能独立性进行评估与评价。其中有175例被纳入到本次研究的范围之内，有51例患者诉有腰背部疼痛（Lumbago and backache, LB）等症状纳入腰背部疼痛组（Lumbago and backache+ , LB+），124例患者诉没有腰背部疼痛等症状纳入无腰背部疼痛组（Lumbago and backache -, LB-）。统计分析应用U检验及Pearson相关分析进行分析研究。结果 LB+组患者的日常生活活动能力及功能独立性评分分值比LB-较低。体重指数（body mass index , BMI）与日常生活活动能力（the activity of daily living , ADL）及功能独立性评分（functional independence measure , FIM）成负相关（ρ=-0.154，-0.214， -0.236；P<0.05）。腰椎骨密度（Bone mineral density , BMD）与日常生活活动能力（ADL）及功能独立性评分（FIM）成正相关（ρ=0.248，0.319，0.145；P<0.05）。结论 体重指数应考虑纳入骨质疏松症患者的康复评估治疗之中。 |
| 英文摘要: |
| Objective To study the relationships between body mass index, lumbago and backache, activity of daily living score, and functional independence score in patients with osteoporosis. Methods The patients with osteoporosis were chosen from January 2011 to December 2013 in the rehabilitation medicine department of our hospital. The detail of weight, height, and the site of pain were recorded. Bone mineral density of the lumbar vertebrae was assessed. The daily life activities ability and the functional independence were evaluated. A total of 175 patients were enrolled in this study, including 51 patients with lumbago and backache (LB+ group), 124 patients without lumbago and backache (LB- group). Mann-Whitney U tests and Spearman’s rank order correlations were used for statistical analysis. Results The activity of daily living (ADL) and functional independence measure (FIM) scales of patients in LB+ group were lower than those in LB- group (P<0.05). BMI scores were negatively correlated with ADL scores and FIM scores, (ρ=-0.154, -0.214, -0.236; P<0.05). BMD was positively correlated with ADL scores and FIM scores (ρ=0.248, 0.319, 0.145; P<0.05). Conclusion BMI should be considered to include in the rehabilitation evaluation to the patients in treatment of osteoporosis. |
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