Effect and outcome of appropriate brace-wear in patients with adolescent idiopathic scoliosis
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摘要: 目的 探讨选择适当的支具佩戴对特发性脊柱侧凸青少年患者的临床效果及预后。 方法 选取温州医科大学附属黄岩医院骨科2013年1月-2016年1月期间的18例青少年特发性脊柱侧凸患者,根据治疗方法分为2组,每组9人,研究组佩戴适当的支具进行治疗,对照组使用电刺激疗法,9个月后进行随访,分析整理Risser征级别和Cobb角对矫正结果的影响,通过对比2组的治疗总有效和生活质量满意度评分,对2组患者的临床疗效和预后生活质量差异进行评价。 结果 研究组的治疗总有效率为88.89%,对照组为66.67%(P>0.05);研究组和对照组各有1例(11.11%)和3例(33.33%)并发症发生,并发症发病率差异无统计学意义(P>0.05);Risser征级越低,初诊矫正率、侧凸进展率越高,顶锥旋转矫正率并未表现出规律,不同Risser征级下初诊矫正率差异有统计学意义(P<0.05),而侧凸进展率和顶锥旋转矫正率无显著差异(P>0.05);研究组在功能/活动度、疼痛、精神健康和治疗满意度上的评分均高于对照组,差异具有统计学意义(P<0.05)。 结论 佩戴合适的支具可有效地降低青少年特发性脊柱侧凸患者侧凸进展,提高生活质量,值得在轻中度青少年特发性脊柱侧凸患者中推广使用。
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关键词:
- 支具佩戴 /
- 青少年特发性脊柱侧凸 /
- 临床疗效 /
- 生活质量 /
- 预后
Abstract: Objective To investigate the effect appropriate brace-wear in patients with adolescent idiopathic scoliosis. Methods Total 18 cases of adolescent idiopathic scoliosis in our hospital from January,2016 were divided into treatment group (n=9) and control group (n=9).The treatment group received appropriate brace-wear treatment,while the control group received electrical stimulation therapy.Nine months later,the influence of Risser sign and Cobb angle on the result of correction was analyzed The total effectiveness and life quality satisfaction were compared between the two groups. Results Total effective rate was 88.89% in the treatment group,which was better than that of control group (66.67%),P>0.05.The incidence of complications were 11.11% and 33.33% in treatment group and control group,respectively,there was no significant differences between the two groups (P>0.05).The lower the Risser grade was,the higher first diagnosis correct rate and side convex progress rate develop.The first diagnosis correct rate,but not side convex progress rate and top cone rotation correction rate,were differently between the patients with different Risser grade (P<0.05).The function/mobility,pain,mental health and satisfaction score of the treatment group were higher than those of control group (P<0.05). Conclusion Brace treatment can reduce side convex progression and improve the quality of life in patients with adolescent idiopathic scoliosis,especially the patients with mild-to-moderate AIS.-
Key words:
- Brace treatment /
- Adolescent idiopathic scoliosis /
- Clinical curative effect /
- Quality of life /
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