CAJ | 학술논문

目的：探讨社区脑卒中后遗症偏瘫患者肱三头肌皮皱厚度(TSF)测量的临床意义。方法对社区脑卒中偏瘫后遗症患者42例及同一社区同年龄段健康人42名，由同一组医生进行体检，包括身高、体重、血压、心率、血糖、腰围、臀围、TSF；对患者进行Brunnstrom分级并调查日常锻炼情况。结果偏瘫组健侧TSF大于患侧(P<0.05)，健、患侧TSF均小于对照组(P<0.05)。偏瘫组中，上肢Brunnstrom分级Ⅳ级及以上者，健侧、患侧TSF均大于Ⅳ级以下者；规律参加运动者，健侧、患侧TSF均大于未规律锻炼者(P<0.01)。偏瘫组体重指数、腰围大于对照组(P<0.05)。结论脑卒中后遗症患者TSF降低。TSF与患者上肢功能及是否规律运动有关。
목적：탐토사구뇌졸중후유증편탄환자굉삼두기피추후도(TSF)측량적림상의의。방법대사구뇌졸중편탄후유증환자42례급동일사구동년령단건강인42명，유동일조의생진행체검，포괄신고、체중、혈압、심솔、혈당、요위、둔위、TSF；대환자진행Brunnstrom분급병조사일상단련정황。결과편탄조건측TSF대우환측(P<0.05)，건、환측TSF균소우대조조(P<0.05)。편탄조중，상지Brunnstrom분급Ⅳ급급이상자，건측、환측TSF균대우Ⅳ급이하자；규률삼가운동자，건측、환측TSF균대우미규률단련자(P<0.01)。편탄조체중지수、요위대우대조조(P<0.05)。결론뇌졸중후유증환자TSF강저。TSF여환자상지공능급시부규률운동유관。
Objective To investigate the triceps skinfold thickness (TSF) of patients with stroke in community. Methods 42 hemiplegics after stroke and 42 normal persons in the same community were measured by a same doctor team, including height, weight, blood pressure, heart rate, waist circumference, hip circumference, and TSF. The grade of Brunnstrom and daily exercise time of the patients were investigat-ed. Results The TSF was thicker in the non-affected side than in the affected side (P<0.05). The bilateral TSF was thinner in the patients than in the normal controls (P<0.05). In the patients, the TSF was thicker in those with function grade above Brunnstrom IV than those be-low (P<0.05), and in those who took part in exercise regularly than those did not (P<0.01). The body mass index was more in the patients than in the controls (P<0.05). Conclusion The TSF is thinner in the patients with stroke, which may associate with the motor function and daily exercise.