本文選題：氣囊 + 色努矯形器��； 參考：《福建中醫(yī)藥大學(xué)》2014年碩士論文

【摘要】：目的：在色努矯形器上安裝氣囊裝置,觀察帶氣囊色努矯形器治療中度青少年特發(fā)性脊柱側(cè)彎(adolescent idiopathic scoliosis AIS)患者的療效。 方法：于2012.10.1-2013.6.1期間,根據(jù)病例納入標(biāo)準(zhǔn)和排除標(biāo)準(zhǔn),收集中度AIS患者30例,所有患者均在泉州市中醫(yī)院骨科門診收集(包括泉州市鯉城區(qū)中小學(xué)健康體檢中篩選出的病例)�；颊咭话闱闆r：性別：男5例,女25例；年齡：10歲-16歲,平均：13.3士1.5歲；Cobb角度：20°-32°,平均：26.7±3.7°;椎體旋轉(zhuǎn)(AVR)等級：1-2級；Risser征：0-2度；色努脊柱側(cè)彎分類：三彎：5例,四彎：25例。病程：1個(gè)月至1年。30例患者隨機(jī)分成治療組和對照組,每組15例。治療方法：治療組佩戴帶氣囊的色努矯形器治療；對照組佩戴不帶氣囊色努矯形器治療。治療后每3個(gè)月拍X線片復(fù)查,分析比較治療前后兩組患者脊柱側(cè)彎程度(Cobb角)、椎體旋轉(zhuǎn)(AVR)等級。 結(jié)果：27例患者(女25例,男2例)獲得6個(gè)月至1年的隨訪,平均隨訪9.5個(gè)月。其中3名患者(治療組1名,對照組2名,均為男性)因皮膚反復(fù)出現(xiàn)壓痛、水泡等不適而選擇終止矯形器治療。Cobb角、椎體旋轉(zhuǎn)等級(AVR)情況如下：①Cobb角：治療前：治療組26.3士3.9°,對照組27.4+4.0°；治療后：治療組22.7+4.7°,對照組26.2+6.1。。治療組平均改善3.6+1.3°,平均矯正率為13.7%。對照組平均改善1.1±2.6°,平均矯正率為4.0%。按照2005年SRS年會(huì)對支具治療脊柱側(cè)彎的有效性統(tǒng)一的標(biāo)準(zhǔn)[1]評定治療效果。治療組：顯效3例,有效11例,無效0例,總有效率為100%。對照組：顯效1例,有效11例,無效1例,總有效率為92.3%。說明兩組數(shù)據(jù)差異有統(tǒng)計(jì)學(xué)意義(p0.05)。②椎體旋轉(zhuǎn)度(AVR)等級：治療前：治療組1.64±0.50級,對照組1.69±0.48級；治療后：治療組1.21±0.43級,對照組1.54±0.66級,說明兩組數(shù)據(jù)差異有統(tǒng)計(jì)學(xué)意義(p0.05)。 結(jié)論：與不帶氣囊的色努矯形器相比,采用帶氣囊的色努矯形器治療中度AIS患者可能會(huì)更有效的抗脊柱側(cè)彎和抗椎體旋轉(zhuǎn)。
[Abstract]:Objective: to observe the efficacy of sac with sac in the treatment of moderate adolescent idiopathic scoliosis due to idiopathic scoliosis is. Methods: during the period from October to March, 2012.10.2013.6.1, according to the criteria of inclusion and exclusion of cases, 30 patients with AIS were collected. All the patients were collected in the outpatient department of orthopedics department of Quanzhou traditional Chinese Medicine Hospital (including the cases selected from the physical examination of primary and secondary schools in the city of Leicheng, Quanzhou). Patients' general condition: sex: 5 males, 25 females; age: 10 to 16 years old, mean: 13.3 + 1.5 years old / Cobb angle: 20 擄-32 擄, averagely: 26.7 鹵3.7 擄; vertebral rotation AVR grade: grade 1-2: Risser sign 0-2 degree; Sthenus scoliosis classification: 5 cases with three curvature: 5 cases, 25 cases with four knuckle. Course of disease: from 1 month to 1 year, 30 patients were randomly divided into treatment group and control group with 15 cases in each group. Treatment methods: the treatment group was treated with Seanu orthosis with airbag, while the control group was treated with no sac Seonu orthosis. Every 3 months after treatment, the degree of scoliosis and the grade of Cobb angle and vertebral rotation AVR were analyzed and compared between the two groups. Results 27 patients (25 females and 2 males) were followed up for 6 months to 1 year with an average follow-up of 9.5 months. Among them, 3 patients (1 in the treatment group and 2 in the control group, all male) chose to terminate the orthosis therapy. Cobb angle because of repeated tenderness, blisters and other discomfort. The status of AVR was as follows: 1 Cobb angle: before treatment: 26.3 鹵3.9 擄in treatment group, 27.4 擄in control group, 22.7 擄in treatment group and 26.2 6.1.in control group after treatment. In the treatment group, the average improvement was 3.6 1. 3 擄, and the average correction rate was 13. 7 擄. In the control group, the average improvement was 1.1 鹵2.6 擄, and the average correction rate was 4.0 擄. Evaluate the efficacy of the treatment according to the unified criteria for the efficacy of brace in the treatment of scoliosis [1]. In the treatment group, there were 3 cases of remarkable effect, 11 cases of effective and 0 cases of ineffectiveness. The total effective rate was 100%. In the control group, there were 1 case of remarkable effect, 11 cases of effective and 1 case of ineffectiveness. The total effective rate was 92.33%. The results showed that there was significant difference between the two groups in vertebral rotation and AVR: before treatment, the treatment group was 1.64 鹵0.50, the control group was 1.69 鹵0.48, after treatment, the treatment group was 1.21 鹵0.43, and the control group was 1.54 鹵0.66, indicating that the difference between the two groups was statistically significant (p 0.05). Conclusion: compared with Seanu orthosis without airbag, the treatment of moderate AIS with sac may be more effective in the treatment of scoliosis and vertebral rotation.
【學(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R682.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 黃曉川;史亞民;李利;;青少年特發(fā)性脊柱側(cè)彎的治療進(jìn)展[J];中國骨腫瘤骨病;2008年02期

2 何曉紅;何燕;;特發(fā)性脊柱側(cè)彎青少年患者支具治療期間功能鍛煉指導(dǎo)[J];護(hù)理學(xué)報(bào);2010年16期

3 周萬勇;于峰;王世芳;;矯形器配合矯形操治療青少年特發(fā)性脊柱側(cè)彎效果觀察[J];山東醫(yī)藥;2011年47期

4 萬玨,謝華;色努式脊柱矯形器治療特發(fā)性脊柱側(cè)彎22例[J];中國臨床康復(fù);2003年14期

5 張孝超,楊文兵,陳述清,梁紅英;脊柱矯形器對特發(fā)性脊柱側(cè)彎的矯正作用[J];中國臨床康復(fù);2005年30期

6 李衛(wèi)平;王志勇;宋斌;劉尚禮;沈慧勇;黃建榮;;不同時(shí)期廣州市青少年兒童脊柱側(cè)凸患病率調(diào)查[J];中國組織工程研究與臨床康復(fù);2010年46期

7 胡文清;許瓊芳;岳軍;劉增光;;矯形器用于治療青少年特發(fā)性脊柱側(cè)彎的療效觀察[J];中國康復(fù)醫(yī)學(xué)雜志;2010年02期

8 陳敢峰;梁必如;簡紹鋒;;新型可調(diào)式脊柱復(fù)位矯形氣囊外固定器治療胸腰椎壓縮性骨折[J];中國骨科臨床與基礎(chǔ)研究雜志;2010年03期

9 邱勇,朱麗華,宋知非,駱東山;脊柱側(cè)凸的臨床病因?qū)W分類研究[J];中華骨科雜志;2000年05期

10 朱澤章,邱勇,王斌,俞楊,李衛(wèi)國,朱麗華;青少年特發(fā)性脊柱側(cè)凸的支具治療[J];中華骨科雜志;2004年05期

，

本文編號：1845081