轻度特发性脊柱侧凸患者应用脊柱侧凸特定运动疗法的可行性  

Feasibility of Specific Exercise Therapy for Scoliosis in Patients with Mild Idiopathic Scoliosis

作　　者：叶勇智[1] YE Yongzhi

机构地区：[1]厦门大学附属第一医院,福建厦门361011

出　　处：《中外医学研究》2018年第28期19-21,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨轻度特发性脊柱侧凸患者应用脊柱侧凸特定运动疗法的临床应用效果。方法:选取笔者所在医院于2016年1月-2017年12月收治的110例轻度特发性脊柱侧凸患者,按照随机数字法分为两组,对照组55例予以常规健康宣教,研究组55例予以脊柱侧凸特定运动疗法。比较两组患者干预前后最大Cobb角、躯干旋转角、椎体旋转角及肺功能相关指标变化情况。结果:对照组干预前后躯干旋转角、椎体旋转角度、FVC、FEV1、FEV1/FVC%比较差异无统计学意义(P>0.05),干预前后最大Cobb角比较差异有统计学意义(P<0.05),且与研究组比较差异也有统计学意义(P<0.05)。研究组干预前后最大Cobb角、躯干旋转角、椎体旋转角度、FEV1/FVC%比较差异无统计学意义(P>0.05),干预前后FVC、FEV1比较差异有统计学意义,且与对照组比较差异也有统计学意义(P<0.05)。结论:脊柱侧凸特定运动疗法在轻度特发性脊柱侧凸患者中应用可显著阻止患者侧凸的Cobb角增加,改善肺功能。Objective：To investigate the clinical application of specific exercise therapy for scoliosis in patients with mild idiopathic scoliosis. Method： The 110 patients with mild idiopathic scoliosis treated in our hospital from January 2016 to December 2017 were randomly divided into 2 groups according to the random number method.55 cases were given routine health education in the control group and 55 cases in the study group were given scoliosis-specific exercise therapy.The maximum Cobb angle,trunk rotation angle,vertebral rotation angle,and lung function-related index changes before and after intervention were compared between the two groups.Result：There were no significant differences in the trunk rotation angle,the rotation angle of the vertebral body,FVC,FEV1 and FEV1/FVC% before and after the intervention in control group（P〉0.05）.The maximum Cobb angle before and after the intervention were significantly different（P〈0.05）,and there were significant differences from the study group（P〈0.05）.There were no significant differences in Cobb angle,trunk rotation angle,vertebral rotation angle and FEV1/FVC% before and after intervention in study group（P〉0.05）. There were significant differences in FVC and FEV1 before and after intervention,and there were significant differences compared with those of control group（P〈0.05）.Conclusion：The use of scoliosis-specific exercise therapy in patients with mild idiopathic scoliosis can significantly prevent the increase of scoliosis in the patient and improve lung function.

关 键 词：特发性脊柱侧凸 脊柱侧凸特定运动疗法 肺功能 COBB角 

分 类 号：R726.8[医药卫生—儿科]