郑韵,徐开寿,文蕴斯,等.矫形头盔对斜头畸形婴儿头颅重塑的影响[J].中华物理医学与康复杂志,2021,43(6):499-503
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| 矫形头盔对斜头畸形婴儿头颅重塑的影响 |
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| DOI：10.3760/cma.j.issn.0254-1424.2021.06.004 |
| 中文关键词: 矫形头盔 斜头畸形 头颅重塑 婴儿 姿势调整 |
| 英文关键词: Helmet orthoses Plagiocephaly Cranial remodeling Infants Position adjustment |
| 基金项目:国家自然科学基金（81672253） |
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| 中文摘要: |
| 目的 观察矫形头盔对斜头畸形婴儿头颅重塑的影响。 方法 采用回顾性研究方法，选取114例4~12月龄的斜头畸形婴儿进行临床疗效分析。入选婴儿均给予矫形头盔治疗，头盔佩戴时间从每日1 h逐渐增加至每日23 h，治疗总时长（100±5）d。治疗前、治疗约（100±5） d后应用Spectra scanner 2.0激光扫描数据采集系统对不同月龄（4～6、7～9、10～12月龄）、性别、畸形程度（Ⅲ、Ⅳ、Ⅴ级）的斜头畸形婴儿进行头颅扫描和数据采集。采用径向对称指标（RSI）、颅骨不对称性（CVA）、颅顶不对称性指数（CVAI）分析治疗前后颅形的变化情况。 结果 不同月龄、性别及畸形程度的斜头畸形婴儿经矫形头盔治疗后，RSI、CVA、CVAI值均较治疗前改善，差异均有统计学意义（P＜0.05）。4～6月龄婴儿改善程度最明显，RSI、CVA、CVAI分别较治疗前改善39.11%、44.64%、45.49%。不同月龄、性别间的RSI、CVA、CVAI差值对比均无统计学意义（P＞0.05）。斜头畸形Ⅳ级的婴儿改善程度最明显，RSI、CVA、CVAI分别较治疗前改善44.14%、47.01%、48.75%。斜头畸形III级婴儿与Ⅳ级、Ⅴ级婴儿间的RSI、CVA、CVAI差值比较，差异均有统计学意义（P＜0.05）。 结论 矫形头盔能有效对斜头畸形婴儿进行头颅重塑，改善头颅不对称性。4～6月龄开始进行矫形头盔治疗的疗效较明显，且畸形程度越轻，头颅形态越容易得到矫正。 |
| 英文摘要: |
| Objective To observe the clinical effect of helmet therapy in cranial remodeling of infants with deformational plagiocephaly. Methods A total of 114 infants with plagiocephaly received helmet therapy at the age of 4 to 12 months over the period from 2016 to 2018 and the results were analyzed retrospectively. Seventy-four were male and forty female. The average ages were (7.49±1.91) and (7.54±2.10) months, respectively. A Spectra scanner was used to quantify each head′s radial symmetry index (RSI), cranial vault asymmetry (CVA) and cranial vault asymmetry index (CVAI) before and after 100 days of treatment, and those data were related with age (4-6 months, 7-9 months and 10-12 months), gender and severity of deformity (levels III-V). Results The average RSI, CVA and CVAI improved significantly for all of the infants studied. The average RSI, CVA and CVAI improved the most for those 4-6 months old. Those with level-IV deformity showed significantly better improvement than those with level III or V deformity. Conclusions Helmet therapy is an effective way to improve deformities due to plagiocephaly among infants. The best age for treatment is 4-6 months. Patients with less malformation are more easily corrected. |
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