基于螺旋CT和数码相机的计算机3D打印个性化颈托模型在颈椎病功能康复中的作用研究

    The effects of 3D printed personalized neck support model based on spiral CT and digital camera on functional rehabilitation of cervical spondylosis

    • 摘要:
      目的: 探讨基于螺旋CT和数码相机的计算机3D打印个性化颈托模型在颈椎病功能康复中的应用效果。
      方法: 选取98例颈椎病病人,随机分为2组,各49例;其中对照组佩戴常规护颈颈托进行康复治疗,观察组采用基于螺旋CT和数码相机的计算机颈部3D打印个性化颈托进行康复治疗。观察2组临床疗效、不同时间点颈椎关节活动度、病情程度颈椎病症状20分法量表、颈椎病临床评价量表(CASCS评分)、疼痛分级指数(PRI评分),以及颈椎生理曲度、颈椎功能颈椎功能障碍指数评分量表(NDI)、颈托佩戴舒适度、佩戴依从性等。
      结果: 观察组总有效率100.0%,对照组93.9%,2组总有效率差异无统计学意义(P > 0.05)。干预1个月和3个月后2组前屈、后伸、右侧屈、左侧屈、右旋、左旋时颈椎关节活动度,CASCS、20分量表评分均高于干预前(P < 0.05 ~ P < 0.01),且观察组较对照组明显升高(P < 0.01)。干预1个月和3个月后2组PRI评分、NDI评分较干预前明显降低(P < 0.01),且观察组低于对照组(P < 0.01)。2组干预1个月、3个月后颈椎生理曲度均较干预前显著增加(P < 0.01),且干预1个月、3个月后观察组颈椎生理曲度均高于对照组(P < 0.01)。观察组颈托佩戴舒适度、佩戴依从性优于对照组(u = 3.33、3.60,P < 0.01)。
      结论: 基于螺旋CT和数码相机的计算机颈部3D打印个性化颈托模型应用于颈椎病功能康复效果显著,能有效控制病情,恢复颈椎生理形态,提高颈椎功能及活动度,且舒适度更高,能提高病人依从性。

       

      Abstract:
      Objective To investigate the application effects of personalized cervical collar models generated by 3D printing based on spiral CT and digital cameras in the functional rehabilitation of cervical spondylosis.
      Methods A total of 98 patients with cervical spondylosis were randomly divided into two groups, with 49 cases in each group. The control group received rehabilitation treatment with conventional cervical collars, while the observation group received rehabilitation therapy using 3D-printed personalized cervical collars based on spiral CT and digital cameras. The clinical efficacy, cervical joint mobility at different time points, disease severity Cervical Spondylosis Symptoms 20-Point Scale, Cervical Spondylosis Clinical Evaluation Scale (CASCS score) and Pain Rating Index (PRI score), cervical physiological curvature, cervical function Neck Disability Index (NDI) score, collar comfort and compliance iin two groups were observed.
      Results The total effective rate in the observation group was 100.0%, while that in the control group was 93.9%. There was no statistical significance in the total effective rates between two groups (P > 0.05). After 1 and 3 months of intervention, the cervical joint mobility in the flexion, extension, right lateral flexion, left lateral flexion, right rotation and left rotation, CASCS and 20-point scale scores in two groups were higher than those before intervention (P < 0.05 ~ P < 0.01), and which in the observation group was significantly higher than that in control group (P < 0.01). After 1 and 3 months of intervention, the PRI and NDI scores in two groups were lower than those before intervention (P < 0.01), and which in the observation group was lower higher than that in control group (P < 0.01). After 1 and 3 months of intervention, the cervical physiological curvature in two groups were higher than those before intervention (P < 0.01), and which in the observation group was significantly higher than that in control group (P < 0.01). The collar comfort and compliance in the observation group were better than those in control group (u = 3.33, 3.60, P < 0.01).
      Conclusions The application effect of personalized cervical collar models generated by 3D printing based on spiral CT and digital cameras in the functional rehabilitation of cervical spondylosis yields is significant, which can effectively control the condition, restore the physiological shape of the cervical vertebrae, improve the function and range of motion of the cervical vertebrae, and provide higher comfort. It can also enhance the patient's compliance.

       

    /

    返回文章
    返回