新型矫形支具治疗青少年特发性脊柱侧弯(开放获取)
作者:
作者单位:

1.广东省广州市番禺区中医院脊柱外科,广东广州 511400 ;2.广州中医药大学,广东广州 610006

作者简介:

廖昌和,在读研究生,研究方向:脊柱外科,(电子信箱)704278775@qq.com

通讯作者:

中图分类号:

R687

基金项目:

广州市番禺医疗卫生重大项目(编号:2020-Z04-004)


(Open Access) A novel braces for treatment of adolescent idiopathic scoliosis
Author:
Affiliation:

1.Department of Spine Surgery, Panyu Hospital of Traditional Chinese Medicine, Guangzhou, Guangdong 511400 ,China ;2.Guangzhou University of Traditional Chinese Medicine, Guangzhou, Guangdong 610006 , China

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    [目的] 评价新型侧弯矫形支具治疗青少年特发性脊柱侧弯的疗效。[方法] 2021 年10 月—2023 年1 月,初诊青少年特发性脊柱侧弯52 例患者纳入本研究,采用随机数字表法分为两组。其中,26 例采用新型支具治疗,另外26 例采用传统支具治疗。比较两组患者的临床和影像资料。[结果] 与治疗前相比,治疗12 个月时两组患者身高和SRS-22 评分均显著增加(P<0.05)。治疗后12 个月新型组的SRS-22 评分显著高于传统组[(90.3±8.8) vs (82.1±4.7), P<0.001]。影像方面,佩戴支具即刻和治疗后12 个月两组主弯Cobb 角和顶椎偏移(apical translation, AT) 均较治疗前显著减小(P<0.05)。新型组在佩戴即刻及治疗后12 个月的Cobb 角[(5.6±3.6)° vs (8.1±4.7)°, P=0.041; (10.1±8.5)° vs (13.4±6.5)°, P=0.032] 和治疗12 个月AT [(7.9±7.7) mm vs (11.3±5.8) mm, P=0.029] 均显著优于传统组。新型组的即刻矫正率[(78.1±10.2)% vs (65.0±11.2)%, P=0.035] 和最终矫正率[(64.3±15.2)% vs(44.5±14.3)%, P=0.004] 均显著优于传统组(P<0.05)。[结论] 两种支具对青少年特发性脊柱侧弯均有矫正效果,相比之下,新型支具矫正效果更佳,其生活质量方面整体也优于传统支具。

    Abstract:

    [Objective] To evaluate the clinical efficacy of a new brace for correction of adolescent idiopathic scoliosis. [Methods] FromOctober 2021 to January 2023, 52 children who were newly diagnosed of adolescent idiopathic scoliosis, were included in this study and di-vided into two groups by randomized number table method. Of them, 26 patients were treated with the new brace (the NB group), while other26 patients were treated with the traditional brace (the TB group). The clinical and imaging data of the two groups were compared. [Results]Compared with those before treatment, the body height and SRS-22 scores in both groups were significantly increased 12 months after treat-ment (P<0.05). At 12 months after treatment, the NB group proved significantly better than the TB group regarding SRS-22 scores [(90.3±8.8) vs (82.1±4.7), P<0.001]. As for imaging, Cobb angle and apical translation (AT) of main curve were significantly decreased in bothgroups immediately after wearing the brace and 12 months after treatment compared with those before treatment (P<0.05). The NB group wassignificantly superior to the TB group in terms of Cobb angle immediately after wearing brace and 12 months after treatment [(5.6±3.6)° vs(8.1±4.7)°, P=0.041; (10.1±8.5)° vs (13.4±6.5)°, P=0.032], and AT 12 months after treatment [(7.9±7.7) mm vs (11.3±5.8) mm, P=0.029]. Inaddition, the NB group was also significantly superior to the TB group in terms of immediate correction rate [(78.1±10.2)% vs (65.0±11.2)%,P=0.035) and the final correction rate [(64.3±15.2)% vs (44.5±14.3)%, P=0.004]. [Conclusion] Both kinds of braces are effective in the cor-rection of adolescent idiopathic scoliosis. By contrast, the new brace had considerably better correction efficiency, with better quality of lifeof the patients over the the traditional brace.

    参考文献
    相似文献
    引证文献
引用本文

廖昌和,朱古鑫,刘东娟,等. 新型矫形支具治疗青少年特发性脊柱侧弯(开放获取)[J]. 中国矫形外科杂志, 2024, 32 (23): 2187-2191. DOI:10.20184/j. cnki. Issn1005-8478.11046A.
LIAO Chang-he, ZHU Gu-xin, LIU Dong-juan, et al. (Open Access) A novel braces for treatment of adolescent idiopathic scoliosis[J]. Orthopedic Journal of China , 2024, 32 (23): 2187-2191. DOI:10.20184/j. cnki. Issn1005-8478.11046A.

复制
文章指标
  • 点击次数:
  • 下载次数:
  • 引用次数:
历史
  • 收稿日期:April 06,2024
  • 最后修改日期:June 24,2024
  • 录用日期:
  • 在线发布日期: December 04,2024
  • 出版日期: