吕 峰,邱 勇,邱旭升,王 斌,张 兴,林小龙,伍伟飞.女性青少年特发性脊柱侧凸患者自我形象评估的相关影响因素分析[J].中国脊柱脊髓杂志,2012,(3):229-234. |
女性青少年特发性脊柱侧凸患者自我形象评估的相关影响因素分析 |
中文关键词: 青少年特发性脊柱侧凸 自我形象评估 影响因素 |
中文摘要: |
【摘要】 目的:探讨女性青少年特发性脊柱侧凸(adolescent idiopathic scoliosis,AIS)患者自我形象评估的影响因素。方法:回顾性分析2010年9月~2011年3月在我院就诊的252例女性AIS患者,年龄12~18岁,平均14.5±1.8岁。均摄取患者站立位全脊柱正侧位X线片,并独立填写一份简体中文版SRS-22问卷。在站立位全脊柱正侧位X线片上测量Cobb角、顶椎旋转度、胸椎后凸角、腰椎前凸角、脊柱冠状面力线偏移及脊柱矢状面力线偏移等参数。采用相关分析研究各临床指标与自我形象评分的相关性。结果:患者平均Cobb角35.5°±12.8°;平均顶椎旋转度2.0°±0.7°;平均胸椎后凸角16.2°±9.0°;平均腰椎前凸角51.3°±9.8°;平均脊柱冠状面力线偏移1.2±0.7cm;平均脊柱矢状面力线偏移2.4±1.5cm;平均体重指数18.3±2.2;平均自我形象评分16.7±2.8分。胸弯和胸腰弯/腰弯的自我形象评分均与主弯Cobb角有相关性(r分别为-0.171,-0.225,P均<0.05);其中大角度胸弯组呈显著相关(r=-0.484,P=0.005)。而其他参数与患者自我形象评估均无明显相关性(P均>0.05)。结论:女性AIS患者的自我形象主要受主弯Cobb角的影响,其中大角度胸弯患者的自我形象受主弯Cobb角的影响最大。 |
The relative factors of self-image in female adolescent idiopathic scoliosis |
英文关键词:Adolescent idiopathic scoliosis Self-image Relative factors |
英文摘要: |
【Abstract】 Objectives: To assess the influencing factors of self-image in adolescent idiopathic scoliosis girls.Methods: Retrospective analysis of 252 AIS girls, selected from September 2010 to March 2011, with mean age of 14.5±1.8 years(range from 12 to 18 years). All patients took the standing posteroanterior and lateral radiographs of spine and the completed simplified Chinese version of SRS-22 questionnaire. The Cobb angle apical vertebral rotation, thoracic kyphosis, lumber lordosis, C7PL, and SVA were evaluated. The relationships between these clinical index and self-image results were assessed using correlation analysis. Results: The patients was included in this sudy with mean Cobb angle 35.5° ± 12.8°; mean apical rotation 2.0±0.7°; mean thoracic kyphosis 16.2±9.0°; mean lumber Lordosis 51.3±9.8°; mean C7-CSL 1.2±0.7cm; mean SVA 2.4±1.5cm; mean BMI 18.3±2.2; mean self-image 16.7 ± 2.8. Correlation analysis showed the major Cobb angle as the significant predictor of self-image in thoracic curve and lumbar curve groups. For the subgroup of thoracic AIS patients with Cobb angle >45°, the correlation was more significant(r=-0.484,P=0.005). There was no significant correlation between other factors and self-image results. Conclusions: The self-image in female AIS, especially in thoracic female AIS, is influenced by the large Cobb angle. |
投稿时间:2011-11-07 修订日期:2012-01-13 |
DOI:10.3969/j.issn.1004-406X.2012.3.229.5 |
基金项目:基金项目:江苏省创新学者攀登项目(编号:BK2009001) |
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