模塑式颈椎矫形器对颈部烧伤患者屈曲畸形的预防作用

背景颈椎矫形器是矫正颈部畸形的非手术治疗方法之一,引入因颈部烧伤而导致屈曲畸形的治疗中,可以让患者的颈部功能得以最大限度的恢复.目的分析模塑式颈椎矫形器(moulded cervical orthosis,MCO)在颈部烧伤临床上的应用形式及其影响.设计以患者为研究对象,前后对照,验证性研究.单位一所省级假肢中心假肢矫形部.对象2003-01/09福建省假肢中心门诊接收19例头、颈、胸严重烧伤植皮术后患者,男13例,女6例.方法通过对19例颈部烧伤患者进行配戴矫形器的治疗与随访,分析MCO的治疗效果.主要观察指标疗效评估结果.结果19例因烧伤而引发颈部屈曲症的患者,通过配戴MCO,均能达到纠正颈部屈曲、恢复颈部功能的效果.7例颈部功能完全恢复正常;8例颈部功能基本恢复;4例畸形程度有所减轻.结论MCO能够对因颈部烧伤而引起的颈部屈曲畸形症,具有良好的矫治及康复作用.

Preventive effects of moulded cervical orthosis on the flexion deformity in burn pateints

BACKGROUND: Cervical orthosis is one of the non-surgical therapeutic methods for the remedy of cervical deformities. The introduction of cervical orthosis into the clinical remedy of cervical deformities resulted by burn can maximally restore the cervical function of the patients.OBJECTIVE: To analyse the clinical applicative mode and the effects of moulded cervical orthosis (MCO) on cervical burn.DESIGN: A before-and-after verification study by employing pateitns as subjects.SETTING: Prosthetics and orthotic department in a provincial artificial limb center.PARTICIPANTS: Totally 19 cases including 13 males and 6 females after skin-transplantation due to serious burn in head, neck and chest admitted by the outpatient department of prosthetics center between January and September 2003.METHODS: Nineteen patients with cervical burn wore MCO. Return visits were made afterwards for the evaluation of the treatment effects of MCO.MAIN OUTCOME MEASURES: Resutls of therapeutic effectiveness evaluation.RESULTS: All nineteen patients with cervical deformities due to burn reached the effects of correcting cervical flexion and restoring cervical functions through wearing orthosis. The cervical functions restored entirely in seven cases, almost restored in eight cases and improved in four cases.CONCLUSION: MCO can be clinically used on cervical deformities resulted by burn and provide good effects on remedy and rehabilitation.