CAJ | 학술논문

目的通过比较2组特发性脊柱侧凸患者穿戴不同压力面积舍努式矫形器后的疗效,以期为临床设计、制作舍努式矫形器提供参考资料.方法选取T6以下椎体为顶椎的特发性脊柱侧凸青少年患者30例,将其随机分为A,B两组,分别穿戴跨度为3个椎体面积和5～6个椎体面积作为压力区域的舍努式矫形器,并测量装配前、后科布氏(Cobb)角和顶椎旋转角度以及穿戴矫形器后的疼痛指数.结果 A组患者Cobb角的矫正率为17%,B组患者Cobb角的矫正率为29%,组间差异具有统计学意义(P<0.05);2组患者顶椎旋转角度组间差异无统计学意义(P>0.05);A组患者疼痛指数为5.00,B组为2.07,组间差异具有统计学意义(P<0.05).结论适当增大舍努式矫形器压力面积有利于提高脊柱侧弯患者矫正角度,并且能使患者穿戴更舒适,值得临床推广、应用.
목적 통과비교2조특발성척주측철환자천대불동압력면적사노식교형기후적료효,이기위림상설계、제작사노식교형기제공삼고자료.방법 선취T6이하추체위정추적특발성척주측철청소년환자30례,장기수궤분위A,B량조,분별천대과도위3개추체면적화5～6개추체면적작위압력구역적사노식교형기,병측량장배전、후과포씨(Cobb)각화정추선전각도이급천대교형기후적동통지수.결과 A조환자Cobb각적교정솔위17%,B조환자Cobb각적교정솔위29%,조간차이구유통계학의의(P<0.05);2조환자정추선전각도조간차이무통계학의의(P>0.05);A조환자동통지수위5.00,B조위2.07,조간차이구유통계학의의(P<0.05).결론 괄당증대사노식교형기압력면적유리우제고척주측만환자교정각도,병차능사환자천대경서괄,치득림상추엄、응용.
Objective To observe the therapeutic effects of Cheneau orthosis with different pressure areas on the patients with adolescent idiopathic scoliosis. Methods Thirty patients with adolescent idiopathic scoliosis who had apex vertebraes below T6 were included, and randomly divided into group A in which patients wore orthosis spanning across 3 vertebra, and group B in which patients wore orthosis spanning across 5-6 vertebra. All patients were assessed with regard to Cobb degree, apex vertebrae rotary degree and pain index after wearing the orthosis. Results The rectified ratio of Cobb degree were 17% and 29% in groups A and B, respectively. There was a statistical difference between the 2 groups(P<0.05). No statistical difference was found between the 2 groups in terms of apex vertebrae rotary degrees(P>0.05). Pain index was 5.00 in group A, and 2.07 in group B, which was statistically different (P<0.05). Conclusions Increasing pressure points' areas of Cheneau orthosis properly can improve more effectively the lateral curvature angle of the patients with adolescent idiopathic seoliosis.