【摘要】 目的:探讨慢性腰背痛及体位对老年患者肺功能的影响及意义。方法:60岁以上老年患者87例,其中骨折性(椎体压缩)慢性腰背痛患者28例,非骨折性慢性腰背痛患者34例和非腰背痛患者25例。骨折组采用坐位、侧卧位、俯卧位,其他组取坐位,分别测量肺活量和第1秒时间肺活量(forcedexpiratoryvolumein1s,FEV1),进行校正处理。结果:老年骨折性慢性腰背痛患者肺活量和FEV1占正常值的百分数值明显低于非骨折慢性腰背痛组,也明显低于非腰背痛组。非骨折性腰背痛组的肺活量和FEV1均低于非腰背痛组。骨折组内俯卧位组的肺活量和FEV1明显低于坐位组及侧卧位组。结论:慢性腰背痛可降低老年患者肺功能,脊柱骨折时尤其明显;俯卧位不利于椎体压缩骨折患者的肺功能恢复。更多还原

【Abstract】 AIM:To evaluate the influence of chronic back pain(CBP) and different postures on pulmonary function in aged patients and its clinical significance. METHODS:Eighty seven patients,aged over 60 years old,were involved in the study,including 28 cases of chronic back pain(CBP) due to vertebral compression fracture(VCF)(fracture group),34 cases of non fracture CBP(non fracture group),and 25 patients without CBP(control group).The vital capacity(VC) and forced expiratory volume in 1 s(FEV1) in sitting position were measured for each group and in lateral decubitus position and prone position in addition for fracture group. RESULTS:Measured VC/normal value of VC(%VC) and measured FEV1/normal value of FEV1(%FEV1) in sitting position in the fracture group were the lowest among the three groups.VC and FEV1 in sitting position in the non frature group were lower than those in the control group.VC and FEV1 in prone position were obviously lower than those in sitting position and lateral decubitus position in fracture group. CONCLUSION:CBP can reduce the pulmonary function,especially when CBP with VCF,and prone position is the negative posture to the pulmonary function in VCF patients.更多还原