| 腰椎间盘突出症患者腰骶部多裂肌肌电的比较研究 |
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投稿时间：2019-06-11
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| 作者 | Author | 单位 | Address | E-Mail |
| 赵烨 |
ZHAO Ye |
上海中医药大学附属曙光医院石氏伤科医学中心, 上海 201203
上海市中医药研究院骨伤科研究所, 上海 201203 |
Shi's Traumatology Medical Center of Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 201203, China |
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| 胡零三 |
HU Ling-san |
上海中医药大学附属曙光医院石氏伤科医学中心, 上海 201203
上海市中医药研究院骨伤科研究所, 上海 201203 |
Shi's Traumatology Medical Center of Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 201203, China |
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| 张承哲 |
ZHANG Cheng-zhe |
上海中医药大学附属曙光医院石氏伤科医学中心, 上海 201203
上海市中医药研究院骨伤科研究所, 上海 201203 |
Shi's Traumatology Medical Center of Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 201203, China |
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| 张敏 |
ZHANG Min |
上海中医药大学附属曙光医院放射科, 上海 201203 |
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| 詹红生 |
ZHAN Hong-sheng |
上海中医药大学附属曙光医院石氏伤科医学中心, 上海 201203
上海市中医药研究院骨伤科研究所, 上海 201203 |
Shi's Traumatology Medical Center of Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 201203, China |
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| 元唯安 |
and YUAN Wei-an |
上海中医药大学附属曙光医院石氏伤科医学中心, 上海 201203
上海市中医药研究院骨伤科研究所, 上海 201203 |
Shi's Traumatology Medical Center of Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 201203, China |
weian_1980@163.com |
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| 期刊信息：《中国骨伤》2020年，第33卷，第5期，第449-453页 |
| DOI：10.12200/j.issn.1003-0034.2020.05.012 |
| 基金项目:国家自然科学基金资助项目（编号：81403414） |
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中文摘要:
目的：比较腰椎间盘突出症患者腰骶部多裂肌退变的情况。
方法：2015年12月至2017年9月招募健康志愿者和单侧L4，5腰椎间盘突出患者各35例，每组男20例，女15例，年龄25~55岁，其中健康志愿者组年龄（35.66±8.73）岁，BMI（21.85±1.94）kg/m2；腰椎间盘突出症组年龄（36.09±7.70）岁，BMI（21.50±1.78）kg/m2，VAS评分（4.40±0.88）分，病程（11.20±7.14）个月，对两组的多裂肌进行表面肌电图测定分析，通过分析平均肌电振幅数值，比较两组多裂肌观察指标的差异。
结果：健康志愿者多裂肌平均肌电振幅左侧为（48.84±7.77）μV，右侧为（49.13±7.86）μV，两侧差异无统计学意义（P>0.05）；腰椎间盘突出症患者多裂肌平均肌电振幅健侧为（48.82±8.14）μV，患侧为（42.81±7.00）μV，两侧差异有统计学意义（P<0.05）。腰椎间盘突出症健侧与健康志愿者左侧多裂肌的平均肌电振幅，腰椎间盘突出症健侧与健康志愿者右侧多裂肌的平均肌电振幅，差异均无统计学意义（P>0.05）；腰椎间盘突出症患者患侧与健康志愿者左侧多裂肌的平均肌电振幅，腰椎间盘突出症患者患侧与健康者愿者右侧多裂肌的平均肌电振幅，差异均有统计学意义（P<0.05）。
结论：慢性期腰椎间盘突出症患者存在肌电活动失衡，患侧多裂肌肌力较明显下降。 |
| 【关键词】椎间盘移位 多裂肌 表面肌电图 |
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| A comparative study on the surface electromyography of lumbosacral multifidus muscle in patients with lumbar disc herniation |
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ABSTRACT
Objective: To compare the degeneration of lumbosacral multifidus muscle in patients with lumbar disc herniation.
Methods: Thirty-five healthy volunteers and 35 patients with unilateral L4,5 lumbar disc herniation from December 2015 to September 2017 were recruited. There were 20 males and 15 females in each group,aged from 25 to 55 years old. In healthy volunteers group,the mean age was (35.66±8.73) years old and the BMI was (21.85±1.94) kg/m2. In patients with lumbar disc herniation,the mean age was (36.09±7.70) years old,the BMI was(21.50±1.78) kg/m2,the VAS score was 4.40±0.88,the course of disease was (11.20±7.14) months. Surface electromyography analysis was performed on the multifidus muscle of the two groups. The average myoelectric amplitude of the multifidus muscle in the two groups were compared.
Results: The average myoelectric amplitude of the multifidus muscle of healthy volunteers was (48.84±7.77)μV on the left and (49.13±7.86)μV on the right. There was no significant difference between the two sides(P>0.05). The average myoelectric amplitude of multifidus muscle in patients with lumbar disc herniation was(48.82±8.14)μV on the healthy side and (42.81±7.00)μV on the affected side,and the difference was statistically significant between two sides(P<0.05). There was no significant difference in the average myoelectric amplitude of multifidus muscle between the healthy side of lumbar disc herniation and on the left of healthy volunteers,or between the healthy side of lumbar disc herniation and on the right of healthy volunteers(P>0.05). There was significant difference in the average myoelectric amplitude of multifidus muscle between the affected side of lumbar disc herniation and on the left of healthy volunteers,and also between the affected side of lumbar disc herniation and on the right of healthy volunteers(P<0.05).
Conclusion: Patients with chronic lumbar disc herniation have an imbalance in myoelectric activity,and the muscle strength of the multifidus muscle on the affected side is significantly reduced. |
| KEY WORDS Intervertebral disk displacement Multifidus muscle Surface electromyography |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 赵烨,胡零三,张承哲,张敏,詹红生,元唯安.腰椎间盘突出症患者腰骶部多裂肌肌电的比较研究[J].中国骨伤,2020,33(5):449~453 |
| 英文格式: | ZHAO Ye,HU Ling-san,ZHANG Cheng-zhe,ZHANG Min,ZHAN Hong-sheng,and YUAN Wei-an.A comparative study on the surface electromyography of lumbosacral multifidus muscle in patients with lumbar disc herniation[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(5):449~453 |
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