坐高与站高的比率和青少年特发性脊柱侧弯关系的分析

来源 :中华小儿外科杂志 | 被引量 : 0次 | 上传用户:lang_tianhua
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目的探讨青少年特发性脊柱侧弯患儿坐高与站高的比率是否和侧弯角度大小之间存在相关关系,并依据这一关系建立预测侧弯角度大小的数学方程。方法对46例轻、中度青少年特发性脊柱侧弯患儿进行观察分析,男8例,女38例;年龄10-20岁,平均13.8岁;单弯。测量记录患儿初次就诊时的实足年龄、站高、坐高以及Cobb角的大小,并根据对患儿站高、坐高测量记录的数据,分别计算每位患儿坐高与站高的比率。结果46例患儿的坐高66.00-88.80 cm(x±s,80.54 cm±5.75 cm);站高126.00-174.80 cm(x±s,153.67 cm±10.72 cm);坐高与站高的比例0.50-0.55(x±s,0.52±0.01);Cobb角10°-45°(x±s,25.70°±9.66°)。患儿的实足年龄、坐高、站高和Cobb角之间均没有相关关系(r分别为0.147,0.015,-0.106;P>0.05);而患儿的坐高与站高的比率和Cobb角之间存在明显的正相关关系(r=0.675;P<0.05);并根据这一关系建立了预测轻、中度青少年特发性脊柱侧弯侧弯角度大小的数学方程。结论青少年特发性脊柱侧弯患儿坐高与站高的比率和侧弯角度大小之间存在明显的正相关关系,可以依据坐高与站高的比率预测轻、中度青少年特发性脊柱侧弯患儿侧弯角度的大小。 Objective To investigate whether there is a correlation between sitting-height ratio and sitting-height ratio in adolescent idiopathic scoliosis and to establish the mathematical equation for predicting the lateral bending angle according to the relationship. Methods 46 children with mild to moderate idiopathic scoliosis were observed and analyzed. There were 8 males and 38 females, aged 10-20 years, with an average of 13.8 years old. Measurement records the full-time age, height, height and Cobb angle of the first visit of the children, and calculates the height-to-height ratio of each child according to the data recorded from the standing height and height measurement of the child . Results The height of the 46 children was 66.00-88.80 cm (x ± s, 80.54 cm ± 5.75 cm) and the height was 126.00-174.80 cm (x ± s, 153.67 cm ± 10.72 cm); the ratio of height to height was 0.50-0.55 (x ± s, 0.52 ± 0.01); Cobb angle was 10 ° -45 ° (x ± s, 25.70 ° ± 9.66 °). There was no correlation between actual full-height age, sitting height, standing height and Cobb angle (r = 0.147, 0.015, -0.106 respectively; P> 0.05) (R = 0.675; P <0.05); and based on this relationship, the relationship between the ratio of station height and Cobb angle was established. The mathematical equation of the angle of the bend. Conclusions There is a clear positive correlation between the height-to-height ratio and the angle of lateral bending in adolescent idiopathic scoliosis. The incidence of adolescent idiopathic scoliosis can be predicted by the ratio of sitting height to standing height Scoliosis in children the size of the angle of curvature.
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