夜用式脊柱侧凸矫形器治疗脊柱单侧弯的临床疗效观察

Effectiveness of night-time bending brace in the treatment of adolescent single-curve idiopathic scoliosis

目的：探讨分析夜用式脊柱侧凸矫形器对青少年特发性脊柱单侧弯的疗效。方法：脊柱单侧凸患者40例，分为观察组22例和对照组18例。观察组在睡觉时佩戴夜用式脊柱侧凸矫形器8-10h ，对照组佩戴传统色努式脊柱侧凸矫形器≥20h。观察2组患者治疗前后的Cobb角，顶椎偏离中线距离（AVT）、躯干位移（TS）和肺活量（VC）的改善。结果：治疗3个月后，2组患者的Cobb角度、AVT及TS距离均明显低于治疗前（P＜0．01），且观察组更低于对照组（P＜0．01）；2组治疗后VC含量均明显高于治疗前，且观察组更高于对照组（P＜0．01）。结论：夜用式脊柱侧凸矫形器适合青少年C型侧凸治疗，其矫正效果明显优于传统的脊柱侧凸矫形器，值得临床推广应用。

Objective ：To analyze the effectiveness of night-time bending brace in the treatment of adolescent single-curve idiopathic scoliosis .Method：Forty patients with single-curve scoliosis were divided into observation group （n=22） and control group （n=18） .The patients in the observation group wore night-time bending brace for 8-10 h when sleeping ,and those in the control group wore traditional scoliosis brace for more than 20 h .The Cobb＇s angle , apex vertebral trunking distance from the center line （AVT） ,trunk swing （TS） ,spinal flexibility and vital capacity （VC） were comapred between two groups .Results ：After treatment ,the cobb＇s angle ,AVT and TS in both two groups were significantly reduced as compared with those before treatment （P〈0 .01） ,and those indexes were even significantly lower in the observation group than in the control group （P〈0 .01） .After treatment ,VC in both two groups was increased as compared with that before treatment ,and the index was significantly higher in the observa-tion group than in the control group （P〈0 .01） .Conclusion ：Night-time bending brace is suitable for the treatment of adolescent single-curve idiopathic scoliosis ,and the corrective effectiveness is significantly superior to the tradi-tional scoliosis brace ,so it is worthy of clinical popularization and application .