87例慢性阻塞性肺疾病患者上下肢肌力等速测试分析

doi:10.13418/j.issn.1001-165x.2019.06.021

中国临床解剖学杂志 ›› 2019, Vol. 37 ›› Issue (6): 718-720.doi: 10.13418/j.issn.1001-165x.2019.06.021

87例慢性阻塞性肺疾病患者上下肢肌力等速测试分析

白利明，　张雷，　张鸣生

广东省人民医院（广东省医学科学院），广东省老年医学研究所康复医学科，广州 510080

收稿日期:2018-12-11 出版日期:2019-11-25 发布日期:2019-12-03
通讯作者: 张鸣生，主任医师，E-mail：mszrch@163.com
作者简介:白利明（1972-），男，山西兴县人，硕士研究生，研究方向：骨科康复与肺康复，E-mail：blmrch@126.com

Analysis of upper and lower limbs muscle strength in 87 patients with chronic obstructive pulmonary disease by using isokinetic testing

BAI Li-ming, ZHANG Lei, ZHANG Ming-sheng

Deptartment of Rehabilitation Medicine, Guangdong Institute of Geriatrics Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, China

Received:2018-12-11 Online:2019-11-25 Published:2019-12-03

摘要/Abstract

摘要： 目的　运用等速肌力测试分析慢性阻塞性肺疾病（COPD）患者上、下肢屈、伸肌群的肌力情况。方法　对87例COPD患者（实验组，其中轻度17例、中度44例、重度26例）和34例健康体检者（对照组）进行肘和膝屈、伸肌群等速肌力测试，分别记录角速度60°/s、180°/s时上、下肢屈、伸肌群的峰力距；计算下肢屈、伸肌群的易疲劳指数。结果　实验组屈肘肌群和伸肘肌群峰力距分别为（20.56±7.54）N·m、（22.61±9.26）N·m，屈膝肌群和伸膝肌群峰力距分别为（35.78±16.99）N·m、（71.86±27.98）N·m，均低于对照组（P＜0.05）；实验组下肢屈、伸肌群的易疲劳指数低于对照组（P<0.05）。结论　等速肌力测试可作为分析COPD患者外周肌力变化的一种方法。

关键词: 慢性阻塞性肺疾病, 　等速肌力测试, 　峰力矩

Abstract: Objective　To analyze the muscle strength of upper and lower limbs in patients with chronic obstructive pulmonary disease (COPD) by using isokinetic testing.　Methods　The flexors and extensors of the elbow and knee in 87 patients with COPD (experimental group, mild 17, moderate 44, severe 26) and those in 34 healthy subjects (control group) were assessed by using isokinetic testing. The flexion and extension muscle peak torque (PT) of elbow and knee at angular velocity 60°/s and 180°/s were recorded respectively. The fatigue index of lower limb flexor and extensor muscles was also calculated respectively. Results　The muscle PT of elbow flexion and extension in experimental group were (20.56±7.54) Nm and (22.61±9.26) Nm respectively, the muscle PT of knee flexion and extension in experimental group were (35.78±16.99) Nm and (71.86±27.98) Nm respectively, which were lower than those of in the control group (P<0.05). The fatigue index of lower limb flexor and extensor muscles in experimental group was lower than that of in the control group (P<0.05).　Conclusions　Isokinetic muscle testing can be used as a method to analyze the changes of peripheral muscle strength in patients with COPD.

Key words: Chronic obstructive pulmonary disease, 　Isokinetic muscle testing, 　 Peak torque

中图分类号:

R563
R496

白利明, 张雷, 张鸣生. 87例慢性阻塞性肺疾病患者上下肢肌力等速测试分析[J]. 中国临床解剖学杂志, 2019, 37(6): 718-720.

BAI Li-ming, ZHANG Lei, ZHANG Ming-sheng. Analysis of upper and lower limbs muscle strength in 87 patients with chronic obstructive pulmonary disease by using isokinetic testing[J]. Chinese Journal of Clinical Anatomy, 2019, 37(6): 718-720.

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87例慢性阻塞性肺疾病患者上下肢肌力等速测试分析

Analysis of upper and lower limbs muscle strength in 87 patients with chronic obstructive pulmonary disease by using isokinetic testing

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