摘要
目的评价肥胖患者颈椎前路手术后佩带3D打印颈托的效果。方法 60例行颈椎前路手术治疗的肥胖患者随机分为观察组与对照组。对照组30患者术后佩戴传统颈托,观察组30患者术后佩戴3D打印颈托,从佩带依从性、舒适度、颈椎融合率和患者满意度等方面比较2种颈托的差异。结果术后第3天和术后第7天,观察组患者依从性优于对照组(P<0.05)。术后第1、3、7天和术后1个月时,观察组患者颈托佩戴舒适性评分均高于对照组(P<0.01)。术后3月复查颈椎CT三维重建,观察组颈椎融合率90.00%(27/30),高于对照组的86.67%(26/30),但差异无统计学意义(P>0.05)。佩戴颈托3个月后,观察组总体满意度100.00%(30/30),高于对照组的76.67%(23/30),差异有统计学意义(P<0.05)。结论与传统颈托相比,3D打印颈托可提高肥胖患者行颈椎手术术后佩戴依从性和舒适度。
Objective To evaluate the 3 D printing neck brace in obese patients undergoing anterior cervical surgery. Methods Totally 60 obese patients undergoing anterior cervical surgery were assigned to the observation group（ n = 30） and the control group（ n = 30）. Patients in the control group wore normal neck brace after surgery,and those in the observation group wore 3 D printing neck brace. The compliance and comfort level of wearing neck brace,rate of cervical vertebra fusion and satisfactory degree of patients were observed and compared between two groups. Results The compliance of wearing neck brace was better in the observation group than that of controls at 3 and 7 days after surgery（ P〈0. 05）. Patients in the observation group achieved higher scores of comfort scale compared with those in the control group at 1,3,7 days and1 month after surgery（P〈0. 01）. There was no significant difference in fusion rate of cervical vertebra between two groups at 3 months after surgery（90. 00% vs. 86. 67%,P〉0. 05）. The satisfactory degree of patients was higher in the observation group than that of controls（100. 00% vs.76. 67%,P〈0. 05）. Conclusion The 3 D printing neck brace is more effective to improve the compliance and comfort level of wearing in obese patients undergoing anterior cervical surgery.
作者
祝艳红
张薇
崔玉洁
李敏
ZHU Yanhong;ZHANG Wei;CUI Yujie;LI Min(Department of Bone and Joints,The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221004)
出处
《中西医结合护理（中英文）》
2018年第6期89-92,共4页
Journal of Clinical Nursing in Practice
关键词
3D打印
肥胖
颈椎
颈前路手术
颈椎病
3D printing
obesity
cervical vertebra
anterior cervical surgery
cervical spondylosis
