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[目的]评估改良色努支具治疗青少年特发性脊柱侧凸(AIS)的疗效。[方法]30例AIS患者应用改良色努支具进行治疗,其中男5例,女25例,平均随访12个月。记录初次就诊和末次随诊时躯干倾斜角、Cobb角、VAS评分和SRS-22得分。[结果]AIS患者躯干倾斜角治疗前平均为10.0°,改良色努支具治疗后平均为7.7°,差异有统计学意义(t=2.114,P=0.040)。Cobb角治疗前平均为33.7°,治疗后平均为26.2°,差异有明显统计学意义(t=2.867,P=0.006)。SRS-22量表中自我形象维度得分治疗前平均为3.20,治疗后平均为3.61,差异有明显统计学意义(t=-2.714,P=0.009)。改良色努支具治疗前后,AIS患者在VAS评分、功能活动、疼痛、心理健康维度得分差异没有统计学意义(P>0.05)。AIS患者对治疗的满意程度维度得分平均为4.12。[结论]改良色努支具能有效地控制青少年特发性脊柱侧凸畸形的进展,改善躯干外观,对患者的生活质量没有消极影响。
[Objective] To evaluate the curative effect of improved color knobs in the treatment of adolescent idiopathic scoliosis (AIS). [Methods] Thirty patients with AIS were treated with improved color nude brace, including 5 males and 25 females, with an average follow-up of 12 months. Record the trunk tilt angle, Cobb angle, VAS score and SRS-22 score at initial visit and last follow-up. [Results] The average tilt angle of the trunk of AIS patients was 10.0 ° before treatment and 7.7 ° after treatment. The difference was statistically significant (t = 2.114, P = 0.040). Cobb angle before treatment was 33.7 ° on average, after treatment, the average was 26.2 °, the difference was statistically significant (t = 2.867, P = 0.006). The average score of self-image dimensions in SRS-22 was 3.20 before treatment and 3.61 after treatment, the difference was statistically significant (t = -2.714, P = 0.009). There was no significant difference in VAS score, functional activity, pain, mental health dimensions between patients with AIS and before and after improved color knobs (P> 0.05). The average satisfaction of AIS patients with treatment dimensions scores 4.12. [Conclusion] The improvement of the color nu-ru brace can effectively control the adolescent idiopathic scoliosis deformity and improve the appearance of the trunk, which has no negative effect on the quality of life of the patient.