中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
17期
26-28
,共3页
赵自平%兰海峰%冯建忠%王治国%吴冬冬
趙自平%蘭海峰%馮建忠%王治國%吳鼕鼕
조자평%란해봉%풍건충%왕치국%오동동
Providence夜用型支具%支具治疗%青少年特发性脊柱侧凸
Providence夜用型支具%支具治療%青少年特髮性脊柱側凸
Providence야용형지구%지구치료%청소년특발성척주측철
Providence night brace%Brace treatment%Adolescent idiopathic scoliosis
目的:评价Providence夜用型支具治疗青少年特发性脊柱侧凸(AIS)的临床效果。方法选取采用Provi-dence夜用型支具治疗的19例AIS女性患者为P组,采用Boston全天佩戴型支具治疗19例的AIS患者为B组,随访18个月,每6个月复查1次,去除支具摄站立位全脊柱正侧位X线片。结果 P组治疗前后Cobb角分别为(29.8±4.1)o和(18.5±2.1)o,B组治疗前后Cobb角分别为(30.5±4.0)o和(20.1±2.3)o,两组治疗前后的Cobb角比较差异有统计学意义(P<0.05)。P组与B组的矫正率分别为37.9%和34.1%,两组比较差异无统计学意义(P>0.05)。P组的依从性、合并症、心理状况和社会适应情况均优于B组。结论 Providence夜用型支具治疗Cobb角<35o的腰段、胸腰段的AIS可取得满意效果,依从性好,正确的临床应用能有效避免手术治疗。
目的:評價Providence夜用型支具治療青少年特髮性脊柱側凸(AIS)的臨床效果。方法選取採用Provi-dence夜用型支具治療的19例AIS女性患者為P組,採用Boston全天珮戴型支具治療19例的AIS患者為B組,隨訪18箇月,每6箇月複查1次,去除支具攝站立位全脊柱正側位X線片。結果 P組治療前後Cobb角分彆為(29.8±4.1)o和(18.5±2.1)o,B組治療前後Cobb角分彆為(30.5±4.0)o和(20.1±2.3)o,兩組治療前後的Cobb角比較差異有統計學意義(P<0.05)。P組與B組的矯正率分彆為37.9%和34.1%,兩組比較差異無統計學意義(P>0.05)。P組的依從性、閤併癥、心理狀況和社會適應情況均優于B組。結論 Providence夜用型支具治療Cobb角<35o的腰段、胸腰段的AIS可取得滿意效果,依從性好,正確的臨床應用能有效避免手術治療。
목적:평개Providence야용형지구치료청소년특발성척주측철(AIS)적림상효과。방법선취채용Provi-dence야용형지구치료적19례AIS녀성환자위P조,채용Boston전천패대형지구치료19례적AIS환자위B조,수방18개월,매6개월복사1차,거제지구섭참립위전척주정측위X선편。결과 P조치료전후Cobb각분별위(29.8±4.1)o화(18.5±2.1)o,B조치료전후Cobb각분별위(30.5±4.0)o화(20.1±2.3)o,량조치료전후적Cobb각비교차이유통계학의의(P<0.05)。P조여B조적교정솔분별위37.9%화34.1%,량조비교차이무통계학의의(P>0.05)。P조적의종성、합병증、심리상황화사회괄응정황균우우B조。결론 Providence야용형지구치료Cobb각<35o적요단、흉요단적AIS가취득만의효과,의종성호,정학적림상응용능유효피면수술치료。
Objective To evaluate clinical effect of Providence night brace in the treatement of adolescent idiopathic scoliosis. Methods 19 cases of female patients with adolescent idiopathic scoliosis treated with Providence nighttime brace were selected as group P,19 cases of matched patients treated with the Boston full-time brace were selected as group B.All cases were followed-up for 18 months.At every visit per six months,patients were taken the standing X ra-diographs of the spine without the brace. Results The average Cobb angle of group P was (29.8±4.1)o and (18.5±2.1)obefore and after treatment respectively,the average Cobb angle of group B was(30.5±4.0)oand(20.1±2.3)obefore and after treatment respectively.Cobb angle in two groups before and after treatment was compared,with statistical difference (P<0.05).The corrective rate of group P and group B was 37.9% and 34.1% respectively,with no statistical difference (P>0.05).Compliance,complication,mental health and social adaptation in group P was better than that in group B. Conclusion Providence night brace in the treatment of adolescent idiopathic scoliosis with curves less than 35oin lum-bar and thoracolumbar cases,it has good compliance and the correct clinical application can effectively avoid the opera-tion treatment.