摘要
目的旨在初步确立中国健康青年人群脊柱活动度参考值,为普通人群体测及强直性脊柱炎病患评估提供参考依据。方法招募并调查大学生志愿者人口统计学特征,由规范培训的测量团队进行脊柱活动度测量。通过SPSS26.0统计软件计算脊柱活动度百分位数,采用Spearman秩相关分析法分析各项脊柱活动度与身高、体重、体重指数(BMI)、腿长等指标的相关性。结果共招募351名健康青年志愿者,其中21.9%Bath强直性脊柱炎计量指数(BASMI)-3>0;在BASMI-3>0的志愿者中,87%因改良Schober试验未达标而被计分。仅3名志愿者(0.8%)的BASMI-10得分为0;在BASMI-10>0的志愿者中,96.9%因改良Schober试验未达标而被计分。据第95百分位数,BASMI-3>1分或BASMI-10>1.6分可能提示有病理意义的脊柱活动受限。胸廓扩张度,改良Schober试验,立位踝间距,卧位踝间距,指地距存在性别差异;身高、体重、BMI、腿长与各项脊柱活动度无显著相关性。结论初步建立中国健康青年人群脊柱活动度参考值。大多数中国健康青年BASMI得分大于0,低分值BASMI是否系病变所致,需结合实际临床情况。脊柱活动度受性别影响较大,身高、体重、BMI、腿长对脊柱活动度影响较小。
Objective To preliminarily establish the reference value of spinal activity of healthy young people in China,and provide references for physical fitness measures of the general population and assessment of patients with ankylosing spondylitis(AS).Methods The demographic characteristics of college student were recruited and investigated,and the standardized measurement of spinal mobility was carried out by our well-trained measurement team.The percentile of each spinal mobility was calculated by SPSS 26.0,and the correlations between each spinal mobility and height,weight,body mass index(BMI),leg length,and other indicators were analyzed by Spearman rank correlation analysis.Results A total of 351 healthy young volunteers were recruited.21.9%of the participants had the Bath Ankylosing Spondylitis metrology index(BASMI)-3>0.Among these subjects with BASMI-3>0,87%of the subjects acquired bonus points duo to the modified Schober test failed to meet the standard.Only 3 subjects(0.8%)had BASMI-10 score of 0.Among those subjects with a BASMI-10>0,96.9%of the participants failed in the modified Schober test.According to the 95th percentile,BASMI-3>1 or BASMI-10>1.6 might indicate that there was pathological spinal mobility limitation.There were gender differences in thoracic expansion,modified Schober test,ankle to ankle distance in standing and supine position,and finger to ground distance.There were no significant correlation between height,weight,BMI,leg length and spinal mobility.Conclusions The reference values of spinal mobility of healthy young people were preliminarily established in China.BASMI scores of most of young people are greater than 0.Whether BASMI with low score is caused by disease,it should be analyzed in combination with the actual clinical situation.Spinal mobility is significantly affected by gender,but not height,weight,BMI,and leg length.
作者
李夏秦
郭耿耿
林禾
张胜利
LI Xia-qin;GUO Geng-geng;LIN He;ZHANG Sheng-li(Department of Endocrinology and Rheumatology,The 900th Hospital of Joint Logistic Support Force,PLA,Fuzhou 350025,China;Department of Rheumatology,People’s Hospital of Longyan,Longyan 364000,Fujian,China;Department of Rheumatology,Shengli Clinical Medical College of Fujian Medical University,Fuzhou 350001,China)
出处
《中华临床免疫和变态反应杂志》
CAS
2023年第2期109-114,共6页
Chinese Journal of Allergy & Clinical Immunology
基金
福建省自然科学基金面上项目(2020J011077)。
关键词
脊柱活动度
强直性脊柱炎
参考值
spinal mobility
ankylosing spondylitis
reference value
