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腰椎间盘突出症胖者椎间盘退变的病例对照研究
目 录
中文摘要 ···················································1
英文摘要 ···················································2
引 言 ·····················································4
正 文 ·····················································6
1.临床资料 ·················································6
1.1 研究规模及分组 ···········································6
1.2 一般情况 ·················································6
2. 研究方法 ··················································6
2.1 病例纳入及排除标准 ···································6
2.2 评定标准 ················································7
2.3 观测指标 ···············································8
2.4 统计方法 ·················································9
3.结 果 ··················································9
3.1 各组年龄及性别情况比较 ······························9
3.2 年龄与体质指数的关系分析 ···························9
3.3 年龄、BMI 与腰椎间盘退变分级关系分析 ··············10
4.讨 论 ·················································11
5. 问题和展望 ·············································15
结 论 ····················································17
参考文献 ··················································18
综 述 ····················································20
致 谢 ····················································28
攻读学位期间发表的学术论文目录 ·······················29
作者声明 ··················································30
个人简历 ··················································31
中 文 摘 要
目 的：通过观察腰椎间盘突出症肥胖患者的腰椎间盘核磁共振图像，
了解肥胖者腰椎间盘的退变特点，探讨肥胖与腰椎间盘退变的关联性，
为腰椎间盘退变性疾病的早期防治提供理论依据。
方 法：选取90例于2009年10月至2011年2月期间在广西中医学院第一
附属医院就诊的年龄在20岁～49岁之间的青壮年腰椎间盘突出症患者作
为研究对象，首先根据既定标准随机选取30例腰椎间盘突出症肥胖患者
作为观察组，然后将同期就诊并与观察组民族及性别相同且年龄、职业、
地域等相近的30例体重正常者及30例超重者作为两个对照组。所有研究
对象均进行MRI检查，根据Pfirrmann分级方法判断腰椎间盘退变的程度，
然后运用SPSS13.0统计软件对数据进行统计分析。
结 果：肥胖组BMI平均值为(28.64 ±4.23), Pfirrmann分级(3.37±
0.88)；超重组BMI平均值为(26.31±2.77)，Pfirrmann分级(2.11 ±
0.98)；体重正常组BMI平均值为(19.66±2.98)，Pfirrmann分级(1.84 ±
0.81)，
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