CAJ | 학술논문

目的评价老年腹股沟疝患者的肌肉质量和力量. 方法拟接受腹股沟疝手术,年龄在70～90岁的男性住院患者30例为研究对象,40～50岁10例男性健康受试者为对照组,进行人体测量、应用生物电阻抗和双能X线扫描的方法测定人体组分、CT扫描腹部和大腿,通过专用软件计算相应肌肉面积. 结果老年男性腹股沟疝患者握力和小腿围低于对照组;全身肌肉组织总量结果相近,均低于对照组,肢体骨骼肌指数为7.53±0.78,其中Ⅰ类肌减症(男性＜7.01 kg/m2)为22.7％,Ⅱ类(男性＜6.08 kg/m2)为0;CT扫描发现老年组腹壁肌肉和大腿肌肉均少于对照组,但竖脊肌结果两组相近,L3骨骼肌指数≤52.4(男性)为70.0％. 结论老年腹股沟疝患者肌肉质量和力量低于成年人,肌减症发生率增高.
목적 평개노년복고구산환자적기육질량화역량. 방법 의접수복고구산수술,년령재70～90세적남성주원환자30례위연구대상,40～50세10례남성건강수시자위대조조,진행인체측량、응용생물전조항화쌍능X선소묘적방법측정인체조분、CT소묘복부화대퇴,통과전용연건계산상응기육면적. 결과 노년남성복고구산환자악력화소퇴위저우대조조;전신기육조직총량결과상근,균저우대조조,지체골격기지수위7.53±0.78,기중Ⅰ류기감증(남성＜7.01 kg/m2)위22.7％,Ⅱ류(남성＜6.08 kg/m2)위0;CT소묘발현노년조복벽기육화대퇴기육균소우대조조,단수척기결과량조상근,L3골격기지수≤52.4(남성)위70.0％. 결론 노년복고구산환자기육질량화역량저우성년인,기감증발생솔증고.
Objective To evaluate the muscle mass in elderly patients with inguinal hernia.Methods Totally 30 male hospitalized patients aged 70-90 years with inguinal hernia were involved in the study group,and 10 male healthy volunteers aged 40-50 years was considered as the control group.Human body measurement was conducted.Body composition was detected by and dual energy X-ray scanning.Stomach and thigh muscles were scanned by CT and the muscle area was calculated by using a special software.Results The grip strength index and calf circumference were less in the study group than the control group.Total body muscle mass was reduced in the study group as compared with the control group.The limb skeletal muscle index in study group was 7.53 ±0.78,sarcopenia type Ⅰ (male ＜ 7.01 kg/m2) was 22.7％,and sarcopenia typeⅡ (male ＜ 6.08 kg/m2) was 0.The mass of stomach and thigh muscles was less in study group than in the control group by CT scanning,but there was no difference in vertical spinal muscle mass between both groups.L3 skeletal muscle index was 70.0％ (male ＜ 52.4).Conclusions The muscle mass and strength are less or lower in elderly patients with inguinal hernia than those in healthy adults,and the incidence of sarcopenia is increased significantly in the former than in the latter.