康复治疗结合计算机辅助设计与制作矫形鞋垫对副舟骨炎的疗效研究  

Therapeutic effect of rehabilitation therapy combined with computer-aided design and computer-aided manufacture of orthopedic insoles on deputy scaphoid inflammation

作　　者：赖华兵 赵维维 李梅 尚阿雷 李明株 LAI Huabing;ZHAO Weiwei;LI Mei;SHANG Alei;LI Mingzhu(Rehabilitation Department,Sichuan Province Orthopedic Hospital,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川省骨科医院康复科,成都610041

出　　处：《华西医学》2023年第4期530-535,共6页West China Medical Journal

基　　金：四川省卫生健康委员会科研课题(19PJ107)。

摘　　要：目的 探讨康复治疗结合计算机辅助设计与制作(computer-aided design and computer-aided manufacture, CAD/CAM)矫形鞋垫对副舟骨炎的疗效。方法 选取2018年7月-2020年2月在四川省骨科医院就诊的副舟骨炎患者。采用抽签法随机将纳入患者分为对照组和试验组。对照组采用常规传统的康复治疗,试验组在对照组的治疗基础上配制了CAD/CAM矫形鞋垫以配合步行。于治疗后第5、12周测试临床疗效,采用视觉模拟评分法(Visual Analogue Scoring, VAS)评估足部疼痛情况、美国骨科足踝协会(American Orthopaedic Foot and Ankle Association, AOFAS)评分量表评估足部功能。结果 共纳入患者78例,发生脱落3例。两组患者的性别、年龄、体重、病程比较,差异均无统计学意义(P>0.05)。治疗前,两组患者VAS评分(t=0.329,P=0.743)、AOFAS评分(t=0.431,P=0.668)比较,差异均无统计学意义。治疗后第5、12周,试验组的VAS评分均低于对照组(t=4.517、5.299,P<0.001),AOFAS评分均高于对照组(t=6.239、5.779,P<0.001);随时间推移,两组患者VAS评分降低(P<0.05),AOFAS评分增加(P<0.05)。结论 康复治疗结合CAD/CAM矫形鞋垫对副舟骨炎较传统的康复治疗有更好的疗效。Objective To explore the therapeutic effect of rehabilitation therapy combined with computer-aided design and computer-aided manufacture(CAD/CAM)of orthopedic insoles on deputy scaphoid inflammation.Methods We selected the patients with deputy scaphoid inflammation who had treated in Sichuan Province Orthopedic Hospital between July 2018 and February 2020.The patients were randomly divided into control group and experimental group by drawing lots.The control group received rehabilitation therapy,while the experimental group received rehabilitation therapy combined with CAD/CAM orthopedic insoles.The clinical efficacy was tested at the 5th and 12th weeks after treatment,and the foot pain was assessed by Visual Analogue Scoring(VAS),and the foot function was assessed by the American Orthopaedic Foot and Ankle Association(AOFAS)scale.Results A total of 78 patients were included,and 3 patients dropped out.There was no significant difference in sex,age,weight or course of disease between the two groups(P>0.05).Before treatment,there was no statistically significant difference in VAS score(t=0.329,P=0.743)or AOFAS score(t=0.431,P=0.668)between the two groups.At the 5th and 12th weeks after treatment,the VAS score of the experimental group was lower than that of the control group(t=4.517,5.299;P<0.001),and the AOFAS score was higher than that of the control group(t=6.239,5.779;P<0.001).Over time,the VAS score of the two groups decreased(P<0.05),while the AOFAS score increased(P<0.05).Conclusion Rehabilitation therapy combined with CAD/CAM of orthopedic insoles have better curative effect than traditional rehabilitation therapy for deputy scaphoid inflammation.

关 键 词：矫形鞋垫 副舟骨炎 计算机辅助设计与制作 

分 类 号：TP391.72[自动化与计算机技术—计算机应用技术] R681.8[自动化与计算机技术—计算机科学与技术] R496[医药卫生—骨科学]