腰椎间盘突出症患者的体质分析

从进化论医学的角度出发，对腰椎间盘突出症患者进行多项力学体质指标的测量并与正常人群的常模对比以找出二者间的差异。结果：腰椎间盘突出症患者的腰臀围比是极其敏感的数值。ＷＨＯ推荐０．８作为正常上限，腰椎间盘突出症患者〉０．８，其中男性均值〉０．９，女性均值〉０．８５，显示腰部力学结构的不稳定性。提示：腰臀围比值〉０．８，可考虑作为腰腿痛高危人群的筛选指标、康复治疗的目标及预后的标准之一。

Constitutional Analysis of Patients with Prolapse of Intervertebral Disc

Based upon evolutionism, multiple mechanics constitutional parameters were measured in patients with intervertebral disc protrusion, and compared with the routine model in normal population. The differences between these two groups were analyzed statistically. The lumbar /sacral periphery ratio (L/S R) was the most sensitive index for patients with protrusion of intervertebral disc. The recommended normal upper limit for L/S ratio by WHO is 0 8 and L/S ratios of our patients were more than 0 8 with the average for male >0 9 and that for female >0 85, suggesting mechanics instability of loin structures. Our results implied that L/S ratio>0 8 may be used as both selective, prognostic indexes, and rehabilitation objective for a population at high risk of lumbocrural pain.