摘要
目的:分析红外热成像技术动态监测支持下进行施罗斯脊柱体操运动训练结合脊柱侧弯矫正支具治疗青少年特发性脊柱侧弯的临床疗效。方法:选取青少年特发性脊柱侧弯患者,采用数字随机法分为观察组和对照组各39例。对照组采用定制支具配合施罗斯体操运动训练治疗,观察组采用红外热成像技术辅助监测下定制支具配合施罗斯体操治疗,均每周1次,治疗24周。比较治疗前、治疗后第1个月、第3个月、第6个月的Cobb角、视觉模拟量表(VAS)评分及生活质量评分(SRS-22量表)。结果:治疗前两组患者Cobb角、VAS评分、SRS-22量表评分比较差异均无统计学意义(P>0.05)。治疗后,Cobb角、VAS评分、SRS-22量表评分的组内比较中,观察组均有显著减少或降低,差异有统计学意义(P<0.01),对照组则有一定减少或降低,差异有统计学意义(P<0.05)。Cobb角和SRS-22量表评分差异组间比较中,观察组与对照组治疗后第3个月差异有统计学意义(P<0.05),治疗后第6个月差异有统计学意义(P<0.01);观察组与对照组治疗后第6个月VAS评分差异有统计学意义(P<0.05)。结论:红外热成像技术动态监测支持下,采用定制支具配合施罗斯体操运动训练,治疗青少年特发性脊柱侧弯可以取得更好的效果。
Objective:To analyze the clinical efficacy of infrared thermography on the treatment of adolescent idiopathic scoliosis.Methods:78 adolescent patients with idiopathic scoliosis were randomly divided into observation group and control group with 39 cases each.The control group was treated with customized brace and Schros gymnastics exercise training.The observation group was treated with customized brace and Schros gymnastics exercise under infrared thermography assisted monitoring,once a week for 24 weeks.The Cobb angle,visual analogue scale(VAS)score and quality of life score SRS-22 were compared before treatment and the 1 month,3 months and 6 months after treatment.Results:There was no significant difference in Cobb angle,VAS score and SRS-22 score between the two groups before treatment(P>0.05).After treatment,the Cobb angle,VAS score and SRS-22 score in the observation group were significantly decreased or decreased(P<0.01),while those in the control group were somewhat decreased or decreased(P<0.05).Cobb angle and SRS-22 scores were significantly different between the two groups(P<0.05)after 3 months of treatment between the observation group and the control group,and statistically significant after 6 months of treatment(P<0.01).There was statistically significant difference in VAS scores between the observation group and the control group after 6 months of treatment(P<0.05).Conclusion:With the support of dynamic monitoring of infrared thermography,the treatment of adolescent idiopathic scoliosis with customized brace combined with Schros gymnastics training can achieve better results.
作者
王伟
王晓东
石宏悦
杨志慧
顾宇涵
王湜
WANG Wei;WANG Xiaodong;SHI Hongyue;YANG Zhihui;GU Yuhan;WANG Shi(Tianjin Medical University General Hospital,Tianjin 300052,China;Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)
出处
《中国中医骨伤科杂志》
CAS
2024年第6期39-43,共5页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
天津市教委科研计划项目(2021KJ218)。
关键词
红外热成像技术
青少年特发性脊柱侧弯
动态监测
保守治疗
infrared thermography
adolescent idiopathic scoliosis
dynamic monitoring
conservative treatment
