Volume 24 Issue 5
May  2026
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YANG Xianzhu, CHEN Lianlian, HE Mengsi, WANG Xiangyang. Risk factors of respiratory muscle dysfunction in patients with adolescent idiopathic scoliosis[J]. Chinese Journal of General Practice, 2026, 24(5): 755-758. doi: 10.16766/j.cnki.issn.1674-4152.004484
Citation: YANG Xianzhu, CHEN Lianlian, HE Mengsi, WANG Xiangyang. Risk factors of respiratory muscle dysfunction in patients with adolescent idiopathic scoliosis[J]. Chinese Journal of General Practice, 2026, 24(5): 755-758. doi: 10.16766/j.cnki.issn.1674-4152.004484
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Risk factors of respiratory muscle dysfunction in patients with adolescent idiopathic scoliosis

doi: 10.16766/j.cnki.issn.1674-4152.004484

  • Department of Spinal Surgery, Joint and Orthopedic Surgery, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 2022C03144

  • Received Date: 2025-08-19
    Available Online: 2026-10-23
    Abstract
  •   Objective  To investigate the respiratory muscle dysfunction in patients with adolescent idiopathic scoliosis, analyze the risk factors, and propose targeted intervention measures.  Methods  A total of 80 patients with adolescent idiopathic scoliosis admitted to the Second Affiliated Hospital of Wenzhou Medical University from January 2021 to December 2024 were studied. After admission, general data such as gender and age were obtained by querying electronic medical records and face-to-face inquiries. According to whether respiratory muscle dysfunction occurred, 80 patients were divided into the occurrence group and the non-occurrence group. Univariate and multivariate logistic regression analyses were used to screen the risk factors of respiratory muscle dysfunction in patients with adolescent idiopathic scoliosis. Targeted nursing strategies were provided based on high-risk factors.  Results  Among 80 patients with adolescent idiopathic scoliosis, 29 cases had respiratory muscle dysfunction and were classified as the occurrence group. The incidence rate of respiratory muscle dysfunction was 36.25% (29/80). Multivariate analysis showed that large Cobb angle, learning dance, and respiratory training non-compliance were risk factors of respiratory muscle dysfunction in patients with adolescent idiopathic scoliosis (P < 0.05).  Conclusion  For patients with adolescent idiopathic scoliosis, the occurrence risk of respiratory muscle dysfunction is still high, and the status quo is not optimistic. Large Cobb angle, learning dance, and respiratory training non-compliance are risk factors leading to respiratory muscle dysfunction in patients with adolescent idiopathic scoliosis. Targeted rehabilitation nursing strategies based on high-risk factors are expected to reduce the incidence rate of respiratory muscle dysfunction.

     

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