《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (04): 293-294.

• 专题 • 上一篇    下一篇

颈段脊髓损伤患者肺功能分析

孙岚1,2a; 徐基民2b; 徐知非2c   

  1. 1.首都医科大学康复医学院 北京市 100068;2.北京博爱医院;a中西医结合康复科;b中医康复科;c功能检查科 北京市 100068
  • 收稿日期:2005-09-27 出版日期:2006-04-25 发布日期:2006-04-25

Analysis of the Pulmonary Function in Patients with Cervical Spinal Cord Injury

SUN Lan, XU Ji-min, XU Zhi-fei   

  1. Faculty of Rehabilitation of the Capital University of Medical Sciences, Beijing 100068, China
  • Received:2005-09-27 Published:2006-04-25 Online:2006-04-25

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摘要： 目的探讨颈段脊髓损伤(SCI)患者肺功能变化的特点及影响因素。方法回顾性分析48例颈段SCI患者的肺功能资料,分析肺活量(VC)、最大通气量(MVV)、1秒钟最大呼气量(FEV1)、75%肺活量用力呼气流速比(V75)的预测百分比与ASIA感觉评分和运动评分的相关性,然后分别以VC、MVV、FEV1、V75的实测值为自变量进行多元线性回归分析。结果颈段SCI患者肺功能指标中VC、MVV、FEV1、V75的预测百分比均明显下降,表现为限制性通气功能障碍;相关分析显示,VC、FEV1、V75的预测百分比均与ASIA运动评分呈正相关,与感觉评分无相关性;在分别以VC、MVV、FEV1、V75实测值为自变量的4个多元线性回归方程中,身高均以保护因素出现于其中的3个方程中,体重为保护因素出现于另外1个方程中;与SCI有关的ASIA运动评分、感觉评分和病程等指标中只有运动评分出现于以MVV、FEV1、V75实测值为自变量的多元线性回归方程中,感觉评分和病程未出现于任何一个多元线性回归方程中。结论除身高和体重外,ASIA运动评分是影响颈段SCI患者肺功能的主要因素。

关键词: 颈段脊髓损伤, 肺功能, 功能评定

Abstract: ObjectiveTo investigate the features of pulmonary function and influencing factors in patients with cervical spinal cord injury (SCI).MethodsThe pulmonary function data of 48 patients with cervical SCI were analyzed. The correlations between the percent predicted values of vital capacity (VC), maximal voluntary ventilation (MVV), forced expiratory volume of 1st second (FEV1) and V75 (expressed as VC%, MVV%, FEV1%, V75%) and ASIA motor/sensory scores were analyzed. Then, four multiple linear regressions were run to use VC, MVV, FEV1, V75 as an independent variable respectively.ResultsThe percent predicted values of the pulmonary function (VC%, MVV%, FEV1%, V75%) in patients with cervical SCI obviously decreased, which suggested that these patients had a restrictive ventilation disorder. There were significant positive correlations between VC%、FEV1%、V75% and ASIA motor scores (by bivariate correlation tests), no significant correlations between any of pulmonary function parameters and the ASIA sensory scores. Of four linear regression models, the height showed as a protecting factor in 3 linear regression models and weight did in the other one respectively. Of parameters associated with SCI, just ASIA motor scores showed as a protecting factor in 3 linear regression models, no sensory scores or duration appeared in any linear regression models.ConclusionBesides the height and weight, the ASIA motor score is a main factor influencing the pulmonary function.

Key words: cervical spinal cord injury, pulmonary function, function evaluation