非特异性腰痛患者自主神经功能的研究

Nishant Kashyap, Jhillmill Kumari, W. Ahmad, Santosh Kumar
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摘要

目的和目的评估非特异性慢性腰痛患者的副交感神经和交感神经反应性,并评估任何一方或双方肢体自主神经功能的紊乱。非特异性慢性腰痛(nCLBP)在成年人中普遍存在,通常导致功能限制、心理症状、生活质量降低和医疗保健支出。自主神经功能与健康的焦点一直是心血管疾病;肌肉骨骼综合症的关注要少得多。然而,有许多流行病学和其他研究表明,肌肉骨骼疾病与压力等心理风险因素之间存在联系。材料与方法从骨科门诊招募年龄在24-45岁、有慢性非特异性腰痛病史的男性患者(n= 40),对照组为与研究组年龄和BMI相匹配的同龄健康青年。采用常规自主神经功能测试法评估自主神经功能。收集的数据使用SPSS 17进行评估。采用Unpaired student " t "检验比较结果,p值小于0.05被认为具有统计学意义。结果对照组的E: I比值为1.85±0.14,研究组的E: I比值为1.30±0.17,差异有统计学意义,其他副交感神经反应性试验的E: I比值为30:15,差异有统计学意义。结论我们的研究结果和文献综述使我们认为非特异性慢性腰痛患者的副交感神经活动减少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Study of Autonomic Functions in Patients with Non-Specific Low Back Pain
Aim and Objectives To evaluate parasympathetic and sympathetic reactivity and assess any derangement in either or both of the limb of autonomic functions in patients of non specific chronic low back pain. Introduction Non specific chronic low back pain (nCLBP) is prevalent among adults and often leads to functional limitations, psychological symptoms, lower quality of life, and expenditure on health care. The focus of autonomic function and health has been cardiovascular diseases; musculoskeletal syndromes have been paid much less attention. However, there are many epidemiological and other studies suggesting that there is a connection between musculoskeletal disorders and psychological risk factors such as stress. Material and Method Male patients within the age group of 24–45 years(n= 40), who had a history suggesting chronic non specific low back pain were recruited from Orthopedics OPD and the control were the age and BMI matched healthy young adults within the same age bracket as that of study group. Autonomic function was assessed by using conventional autonomic function test. The data collected was evaluated using SPSS 17. Unpaired student “t” test was applied to compare the results P-value ˂ 0.05 was taken as statistically significant. Result The E: I ratio of control group was1.85±0.14 and in study group it1.30±0.17, the difference being statistically significant, Similar observation was made for other parasympathetic reactivity test like 30: 15 ratio. Conclusion Our results and review of literature make us of the view that parasympathetic activity decreases in patients of non specific chronic low back pain.
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