石膏矫形治疗幼儿特发性脊柱侧弯的临床研究

目的介绍简易石膏床方法行石膏矫形治疗幼儿特发性脊柱侧弯,并进行效果评价。方法选取2014年9月至2016年9月于河北省儿童医院住院治疗的25例幼儿特发性脊柱侧弯病例作为研究对象,平均年龄29.7个月(17~53个月),其中男童10例,女童15例,共行石膏矫形105次。应用去旋转石膏矫形方法并结合我院实际情况采用简易石膏床对患儿进行石膏矫形,测量并记录石膏矫形前后脊柱正位X线片上Cobb角改变情况,并对所有患儿按照性别及年龄是否≤2岁进行分组分析。结果 25例患儿石膏矫形治疗前脊柱侧弯Cobb角平均角度为(39.1±9.1)°,经过第1次石膏矫形后平均角度为(22.3±5.0)°,末次随访时平均角度为(20.3±4.3)°。第1次石膏矫形后Cobb角与矫形前相比差异有统计学意义(t=8.825,P<0.05)。随访终点时Cobb角与矫形前相比差异有统计学意义(t=9.653,P<0.05)。不同性别分组随访终点时Cobb角矫正度数差异无统计学意义(t=0.070,P=0.945)。不同年龄分组随访终点时Cobb角矫正度数差异无统计学意义(t=-0.733,P=0.471)。结论我们采用的简易石膏床方法结合去旋转技术进行石膏矫形可以纠正幼儿特发性脊柱侧弯患儿的Cobb角,性别和年龄因素未对矫正效果产生影响。

Clinical study of plaster orthopedic treatment for idiopathic scoliosis toddlers

Objective To explore the application of simple plaster bedding in the orthopedic treatment of idiopathic scoliosis toddlers and evaluate its efficacy.Methods From September 2014 to September 2016,a total of 25 idiopathic scoliosis toddlers with an average age of 29.7(17-53) months were recruited.There were10 boys and 15 girls.They were divided into groups according to gender and age≤2 years.Based upon practical orthopedic treatment with simple plaster bedding,derotational plaster or orthopedic treatment was applied.And spinal Cobb’s angle was recorded before and after treatment.Results A total of 105 plaster orthopedic operations were perforrmed.The average Cobb’s angle was(39.1±9.1)°pre-treatment,the average angle after initial treatment(22.3±5.0)°and the average angle at the final follow-up(20.3±4.3)°.Significant difference existed between initial treatment and before treatment(t=8.825,P <0.05).Significant difference existed between the final treatment and before treatment(t=9.653,P <0.05).No significant difference existed in the degree of Cobb angle correction of the last treatment between different gender groups(t=0.070,P=0.945).No significant difference existed in the degree of Cobb’s angle correction among different age groups(t=0.733,P=0.471).Concusion The simple plaster bedding with derotational technique can correct the Cobb’s angle of toddlers with idiopathic scoliosis.Age or gender has no effect on correction outcomes.