Providence夜用型支具治疗青少年特发性脊柱侧凸的效果分析

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Providence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）°和（18．5±2．1）°，B组治疗前后Cobb角分别为（30．5±4．0）°和（20．1±2．3）°，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〈35。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。

Effective analysis of Providence night brace in the treatment of adolescent idiopathic scoliosis

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 scotiosis 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 eases were followed-up for 18 months.At every visit per six months,patients were taken the standing X radiographs of the spine without the brace. Results The average Cobb angle of group P was （29.8±4.1）° and （18.5±2.1）° before and after treatment respectively,the average Cobb angle of group B was （30.5±4.0）° and （20.1±2.3）° before 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,eomplieation,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 35° in lumbar and thoracolumbar cases,it has good compliance and the correct clinical application can effectively avoid the operation treatment.