超声检测健康成人四肢近端肌肉的厚度及影响因素
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国家自然科学基金项目(82001829/81971622);四川省科技厅国际港澳台科技创新合作项目(22GJHZ0195);四川省卫健委医学科技项目(21PJ012)


Ultrasonic examination of proximal muscle thicknesses and their influencing factors in healthy adults
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    摘要:

    目的 超声测量健康成人四肢近端肌肉厚度为临床诊断提供依据,同时分析其可能的影响因素。方法 选取2019~2020年在四川大学华西医院招募的18~70岁健康志愿者88例,记录受检者的性别、年龄、BMI及运动习惯。超声测量三角肌、肱二头肌、股直肌、股外侧肌的厚度。结果 双侧肱二头肌、三角肌及股外侧肌厚度比较差异均无统计学意义(均P>0.05);各肌肉厚度男性均大于女性,差异具有统计学意义(P<0.05);18~45岁组股直肌、股外侧肌厚度大于46~70岁组,股直肌与股外侧肌与年龄呈负相关(r=-0.293、-0.357,P<0.05);不同BMI间肌肉厚度比较差异有统计学意义(P<0.05),BMI越高,肌肉厚度值越大,各肌肉厚度与BMI均呈正相关(r=0.320~0.505,P<0.05);规律运动者肱二头肌肉厚度大于少运动者,差异具有统计学意义(P<0.05)。结论 超声检测健康成人四肢近端肌肉厚度双侧比较无明显差异,但不同部位肌肉厚度不同;四肢近端肌肉厚度受性别、年龄、BMI值及运动状态影响,不同部位肌肉影响不同,这可为常累及四肢近端肌肉的特发性炎性肌病评估肌肉厚度改变时提供诊断依据。

    Abstract:

    Objective To measure the thicknesses of proximal limb muscles in healthy adults which provides a basis for clinical diagnosis and analyze their possible influencing factors.Methods 88 healthy volunteers (18~70 years old) were enrolled, and genders, ages, body mass indexes (BMI) values and exercise habits were recorded. Thicknesses of the triangle, biceps brachialis, rectus femoris and lateral femoral muscle were measured by ultrasound.Results Thickness of the triangle, biceps brachialis and lateral femoral muscle had no significant difference between the left and right sides. The muscle thicknesses of males were thicker than those of females, and the differences were statistically significant (P<0.05). The thicknesses of rectus femoris and lateral femoris in the 18~45 age group were thicker than those in the 46~70 age group. There were negative correlations between rectus femoris or lateral femoris and ages (r=-0.293, -0.357, P<0.05, respectively). The differences of muscle thicknesses among different BMI values were statistically significant (P<0.05). The higher of the BMI values, the thicker of the muscle thicknesses. The muscle thicknesses were positively correlated with BMI values, and the r value were 0.320~0.505(P<0.05).Conclusion There was no significant difference in the muscle thicknesses detected by ultrasound between the left and right sides. But different muscles showed different thicknesses. The proximal limb muscle thicknesses were affected by gender, ages, BMI values and motion states, and different muscles had different influence factors. The above provided a reference basis for the evaluation of muscle thickness changes in idiopathic inflammatory myopathies which often involve the proximal muscles of the extremities.

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  • 在线发布日期: 2022-04-15
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