摘要
目的:探究改良Ponseti方法在先天性马蹄内翻足患儿中的疗效、不良情况发生率及对关节活动度的影响。方法:将2021年1月—2023年5月的赣州市妇幼保健院80例先天性马蹄内翻足患儿根据随机数字表法分为两组,各40例。对照组使用传统Ponseti方法治疗,观察组则使用改良Ponseti方法治疗。比较两组的先天性马蹄内翻足治疗总优良率、不良情况发生率、治疗前后的Dimeglio评分结果及关节活动度(背伸角度、跖屈角度及距跟角度)。结果:观察组的先天性马蹄内翻足治疗总优良率显著高于对照组,总不良情况发生率显著低于对照组,差异均有统计学意义(P<0.05)。治疗前,两组的Dimeglio评分结果及关节活动度比较,差异均无统计学意义(P>0.05);治疗12、24周后,两组的Dimeglio评分结果及关节活动度均显著优于治疗前,且观察组的Dimeglio评分结果及关节活动度均显著优于对照组,差异均有统计学意义(P<0.05)。结论:改良Ponseti方法在先天性马蹄内翻足患儿中的疗效较好,不良情况发生率较低,且对关节活动度的改善作用更好。
Objective:To investigate the effect and adverse situation rates of modified Ponseti method in children with congenital talipes equinovarus and influence for joint range of motion.Method:A total of 80 children with congenital talipes equinovarus in Ganzhou Women and Children's Health Care Hospital from January 2021 to May 2023 were divided into two groups by the random number table method,with 40 cases in each group.Control group was treated with traditional Ponseti method,observation group were treated with modified Ponseti method.Then the total excellent and good rates of congenital talipes equinovarus treatment,total adverse situation rate,Dimeglio scores and joint range of motion indexes(dorsiflexion angle,plantar flexion angle and talocalcaneal angle)before and after treatment of two groups were compared.Result:The total excellent and good rate of congenital talipes equinovarus treatment of observation group was significantly higher than that of control group,the total adverse situation rate was significantly lower than that of control group,the differences were statistically significant(P<0.05).Before treatment,the Dimeglio scores and joint range of motion indexes of two groups were compared,the differences were not statistically significant(P>0.05);after twelfth and twenty-fourth weeks of treatment,the Dimeglio scores and joint range of motion indexes of two groups were all significantly better than those before treatment,and the Dimeglio scores and joint range of motion indexes of observation group were all significantly better than those of control group,the differences were statistically significant(P<0.05).Conclusion:The effect of modified Ponseti method in children with congenital talipes equinovarus is better,its adverse situation rate is lower,and its improvement role for joint range of motion is better.
作者
刘全
袁淦峰
徐建兵
黄秀明
曾庆慎
LIU Quan;YUAN Ganfeng;XU Jianbing;HUANG Xiuming;ZENG Qingshen(Department of Children's Orthopedics,Ganzhou Women and Children's Health Care Hospital,Ganzhou 341000,China;不详)
出处
《中国医学创新》
CAS
2024年第28期6-10,共5页
Medical Innovation of China
基金
江西省卫生健康委科技计划项目(202312022)。
