[1]史凡凡,吴孝琦,罗飞,等.个体化睡眠垫在重度僵硬型脊柱畸形头颅-骨盆牵引中的应用[J].中华老年骨科与康复电子杂志,2024,(05):307-314.[doi:10.3877/cma.j.issn.2096-0263.2024.05.009]
　Shi Fanfan,Wu Xiaoqi,Luo Fei,et al.Application of individualized sleep pad in halo-pelvic traction for severe rigid spinal deformity[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2024,(05):307-314.[doi:10.3877/cma.j.issn.2096-0263.2024.05.009]
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个体化睡眠垫在重度僵硬型脊柱畸形头颅-骨盆牵引中的应用()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2024年05期
页码:
307-314
栏目:
康复医学
出版日期:
2024-10-05

文章信息/Info

Title:
Application of individualized sleep pad in halo-pelvic traction for severe rigid spinal deformity
作者:
史凡凡; 吴孝琦; 罗飞; 赵玉华; 张承旻; 方青
400038 重庆，陆军军医大学第一附属医院骨科，全军矫形外科中心
Author(s):
Shi Fanfan;  Wu Xiaoqi;  Luo Fei;  Zhao Yuhua;  Zhang Chengmin;  Fang Qing
Department of orthopaedics, First Affiliated Hospital, Army Medical University, Orthopedic Surgery Center of the Army, Chongqing 400038, China
关键词:
重度僵硬型脊柱畸形;  头颅-骨盆牵引;  个体化睡眠垫
Keywords:
Severe rigid spine deformity;  Halo-pelvic traction;  individualized sleep pad
DOI:
10.3877/cma.j.issn.2096-0263.2024.05.009
文献标志码:
A
摘要:
目的 探讨自主研发设计的个体化睡眠垫在头颅-骨盆牵引治疗中的临床应用效果。方法 将2015年3月至2018年12月陆军军医大学第一附属医院骨科病区收治的24例行头颅-骨盆牵引治疗患者作为对照组，2019年1月至2022年8月的21例患者作为观察组。观察组采用个体化睡眠垫（专利号ZL 202222024730.8）进行体位管理；对照组使用传统填塞多个软枕的方法进行牵引期间的体位管理。比较两组患者睡眠质量、舒适度评分、压力性损伤发生率及牵引疗效，并进行统计学分析。结果 观察组患者21例，男9例，女12例，平均年龄18.6岁（8～50岁），；对照组患者24例，男8例，女16例，平均年龄19.5岁（10～48岁）。观察组睡眠障碍发生率71.4%，明显低于对照组睡眠障碍发生率95.8%，差异有统计学意义（P＜0.05）。观察组、对照组舒适度评分分别是（4.95±0.74），（6.13±0.80），差异有统计学意义（P＜0.05）。两组压力性损伤发生率分别为0、12.5%，差异无统计学意义（P＞0.05）。两组患者牵引结束时冠状主弯侧凸、矢状位后凸Cobb角均较牵引前明显改善，差异有统计学意义（P＜0.05）。观察组牵引结束时矢状位后凸矫正率为（43.83±11.10）%，稍高于对照组的（37.92±15.98）%（P＜0.05）。结论 自行设计的个体化睡眠垫在头颅-骨盆牵引治疗中较传统填塞方法可改善头颅-骨盆牵引患者睡眠障碍，提高患者卧位舒适度，保证牵引疗效，对重度僵硬型脊柱畸形头颅-骨盆牵引治疗有积极意义。
Abstract:
Objective To investigate the clinical effectiveness of self-designed individualized sleep pad in halo-pelvic traction. Methods Patients with severe rigid spinal deformity who were admitted to the Department of Orthopedics of the First Affiliated Hospital of Army Military Medical University from March 2015 to August 2022 with proposed cranio-pelvic traction were selected for the study. Among them, patients admitted from March 2015 to August 2022 served as the control group, and 21 patients from January 2019 to August 2022 served as the observation group. The control group were managed with body position using the traditional method of filling multiple soft pillows. The observation group were managed by using individualized sleep pad (ZL 202222024730.8). Evaluation of sleep pad effectiveness by comparing sleep quality, comfort scores, incidence of pressure injuries and traction efficacy in both groups. Results The incidence of sleep disorders in the observation and control groups was 71.4% and 95.8%, respectively, and the difference was statistically significant (P<0.05). The comfort score of the observation group was significantly lower than that of the control group (4.95±0.74 vs 6.13±0.80, P<0.05). The rates of stress injury in both groups were 0 and 12.5%, respectively, the difference was not statistically significant (P>0.05). Coronal and sagittal Cobb angles were significantly improved after traction compared with those before traction in both groups, and the difference was statistically significant (P<0.05). The correlation rate of sagittal angle in the observation group (43.83±11.10)% was slightly higher than that of the control group (37.92±15.98)%. Conclusion Compared with traditional methods, self-designed individualized sleep pad improves sleep disorders and comfort in patients with halo-pelvic traction, support the stabilization of traction, which has positive significance for the treatment of cranio-pelvic traction.

备注/Memo

备注/Memo:
基金项目：陆军军医大学优秀人才库重点扶持对象个性化培养方案（XZ-2019-505-021）
更新日期/Last Update: 2024-10-12