带气囊色努矫形器治疗青少年特发性脊柱侧弯的疗效观察

发布时间：2018-05-04 23:08

本文选题：气囊 + 色努矫形器　；参考：《福建中医药大学》2014年硕士论文

【摘要】：目的：在色努矫形器上安装气囊装置,观察带气囊色努矫形器治疗中度青少年特发性脊柱侧弯(adolescent idiopathic scoliosis AIS)患者的疗效。方法：于2012.10.1-2013.6.1期间,根据病例纳入标准和排除标准,收集中度AIS患者30例,所有患者均在泉州市中医院骨科门诊收集(包括泉州市鲤城区中小学健康体检中筛选出的病例)。患者一般情况：性别：男5例,女25例；年龄：10岁-16岁,平均：13.3士1.5岁；Cobb角度：20°-32°,平均：26.7±3.7°;椎体旋转(AVR)等级：1-2级；Risser征：0-2度；色努脊柱侧弯分类：三弯：5例,四弯：25例。病程：1个月至1年。30例患者随机分成治疗组和对照组,每组15例。治疗方法：治疗组佩戴带气囊的色努矫形器治疗；对照组佩戴不带气囊色努矫形器治疗。治疗后每3个月拍X线片复查,分析比较治疗前后两组患者脊柱侧弯程度(Cobb角)、椎体旋转(AVR)等级。结果：27例患者(女25例,男2例)获得6个月至1年的随访,平均随访9.5个月。其中3名患者(治疗组1名,对照组2名,均为男性)因皮肤反复出现压痛、水泡等不适而选择终止矫形器治疗。Cobb角、椎体旋转等级(AVR)情况如下：①Cobb角：治疗前：治疗组26.3士3.9°,对照组27.4+4.0°；治疗后：治疗组22.7+4.7°,对照组26.2+6.1。。治疗组平均改善3.6+1.3°,平均矫正率为13.7%。对照组平均改善1.1±2.6°,平均矫正率为4.0%。按照2005年SRS年会对支具治疗脊柱侧弯的有效性统一的标准[1]评定治疗效果。治疗组：显效3例,有效11例,无效0例,总有效率为100%。对照组：显效1例,有效11例,无效1例,总有效率为92.3%。说明两组数据差异有统计学意义(p0.05)。②椎体旋转度(AVR)等级：治疗前：治疗组1.64±0.50级,对照组1.69±0.48级；治疗后：治疗组1.21±0.43级,对照组1.54±0.66级,说明两组数据差异有统计学意义(p0.05)。结论：与不带气囊的色努矫形器相比,采用带气囊的色努矫形器治疗中度AIS患者可能会更有效的抗脊柱侧弯和抗椎体旋转。
[Abstract]:Objective: to observe the efficacy of sac with sac in the treatment of moderate adolescent idiopathic scoliosis due to idiopathic scoliosis is. Methods: during the period from October to March, 2012.10.2013.6.1, according to the criteria of inclusion and exclusion of cases, 30 patients with AIS were collected. All the patients were collected in the outpatient department of orthopedics department of Quanzhou traditional Chinese Medicine Hospital (including the cases selected from the physical examination of primary and secondary schools in the city of Leicheng, Quanzhou). Patients' general condition: sex: 5 males, 25 females; age: 10 to 16 years old, mean: 13.3 + 1.5 years old / Cobb angle: 20 掳-32 掳, averagely: 26.7 卤3.7 掳; vertebral rotation AVR grade: grade 1-2: Risser sign 0-2 degree; Sthenus scoliosis classification: 5 cases with three curvature: 5 cases, 25 cases with four knuckle. Course of disease: from 1 month to 1 year, 30 patients were randomly divided into treatment group and control group with 15 cases in each group. Treatment methods: the treatment group was treated with Seanu orthosis with airbag, while the control group was treated with no sac Seonu orthosis. Every 3 months after treatment, the degree of scoliosis and the grade of Cobb angle and vertebral rotation AVR were analyzed and compared between the two groups. Results 27 patients (25 females and 2 males) were followed up for 6 months to 1 year with an average follow-up of 9.5 months. Among them, 3 patients (1 in the treatment group and 2 in the control group, all male) chose to terminate the orthosis therapy. Cobb angle because of repeated tenderness, blisters and other discomfort. The status of AVR was as follows: 1 Cobb angle: before treatment: 26.3 卤3.9 掳in treatment group, 27.4 掳in control group, 22.7 掳in treatment group and 26.2 6.1.in control group after treatment. In the treatment group, the average improvement was 3.6 1. 3 掳, and the average correction rate was 13. 7 掳. In the control group, the average improvement was 1.1 卤2.6 掳, and the average correction rate was 4.0 掳. Evaluate the efficacy of the treatment according to the unified criteria for the efficacy of brace in the treatment of scoliosis [1]. In the treatment group, there were 3 cases of remarkable effect, 11 cases of effective and 0 cases of ineffectiveness. The total effective rate was 100%. In the control group, there were 1 case of remarkable effect, 11 cases of effective and 1 case of ineffectiveness. The total effective rate was 92.33%. The results showed that there was significant difference between the two groups in vertebral rotation and AVR: before treatment, the treatment group was 1.64 卤0.50, the control group was 1.69 卤0.48, after treatment, the treatment group was 1.21 卤0.43, and the control group was 1.54 卤0.66, indicating that the difference between the two groups was statistically significant (p 0.05). Conclusion: compared with Seanu orthosis without airbag, the treatment of moderate AIS with sac may be more effective in the treatment of scoliosis and vertebral rotation.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R682.3

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