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青少儿特发性脊柱侧凸保守治疗协和分型系统

袁望舒 陈丽霞 沈建雄 石伟宏 张宇航 张厚强

袁望舒, 陈丽霞, 沈建雄, 石伟宏, 张宇航, 张厚强. 青少儿特发性脊柱侧凸保守治疗协和分型系统[J]. 协和医学杂志. doi: 10.12290/xhyxzz.2022-0092
引用本文: 袁望舒, 陈丽霞, 沈建雄, 石伟宏, 张宇航, 张厚强. 青少儿特发性脊柱侧凸保守治疗协和分型系统[J]. 协和医学杂志. doi: 10.12290/xhyxzz.2022-0092
YUAN Wangshu, CHEN Lixia, SHEN Jianxiong, SHI Weihong, ZHANG Yuhang, ZHANG Houqiang. The PUMCH Scoliosis Specific Exercise Classification System for Idiopathic Scoliosis[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2022-0092
Citation: YUAN Wangshu, CHEN Lixia, SHEN Jianxiong, SHI Weihong, ZHANG Yuhang, ZHANG Houqiang. The PUMCH Scoliosis Specific Exercise Classification System for Idiopathic Scoliosis[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2022-0092

青少儿特发性脊柱侧凸保守治疗协和分型系统

doi: 10.12290/xhyxzz.2022-0092
详细信息
    通讯作者:

    陈丽霞,E-mail:clxpumch@126.com

    沈建雄,E-mail:sjxpumch@163.com

  • 中图分类号: R682.3

The PUMCH Scoliosis Specific Exercise Classification System for Idiopathic Scoliosis

  • 摘要: 目的 建立青少儿特发性脊柱侧凸(idiopathic scoliosis,IS)特定性训练新型分型方法,并进行临床验证。 方法 本研究分为两个部分。第一部分是回顾性研究,复习测量了899例IS患者站立位全脊柱正侧位X线片、背面及前屈位大体相等临床资料,以PUMC手术分型系统为蓝本,建立一种新型评估与训练体系即青少儿IS保守治疗协和分型系统,并对观察者间的可信度和可重复性进行一致性检验。第二部分是对该新型分型系统进行临床验证。回顾性分析了应用此新型分型系统进行干预的90病例,其中51例是特定性训练组、39例是空白对照组,特定性训练组训练时间为1年。总结并分析临床效果,对该新型保守治疗体系进行临床验证。 结果 第一部分:协和保守分型系统将青少儿IS分为4大型7个亚型,共9型。观察者间可信度为88.22%(Kappa系数0.862),可重复性92.78%(Kappa系数0.908)。第二部分:特定训练组Cobb角由(16.61±2.88) °下降为( 12.16±9.97 ) ° ( P=0.002 ),对照组Cobb角由(15.74±2.75)°增加为(17.64±5.60) °(P=0.014)。特定性训练组患者满意度由3.0(3.0,3.0)提高为5.0(3.0,5.0)( P≤0.001),对照组患者满意度由3.0(3.0,3.0)降低为3.0(1.0,3.0)(P=0.004)。 结论 本研究建立了青少儿IS特定性训练的新方法——青少儿特发性脊柱侧凸保守治疗协和分型系统,该保守分型系统经验证具有良好的信效度,可对青少儿IS常见的类型进行分型、并基于此分型指导特定性训练。具有较强的临床指导意义。
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出版历程
  • 收稿日期:  2022-03-01
  • 录用日期:  2022-07-26
  • 网络出版日期:  2022-09-09

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