新型儿童扁平足矫治鞋疗效观察[摘要]目的探讨新型儿童扁平足矫治鞋的治疗疗效。方法对75例2-5岁重度扁平足儿童分组，45例应用新型扁平足矫治鞋，30例应用足弓垫，随访2年。结果疗程6个月时，扁平足矫治鞋组患儿11.11%治愈、64.45%好转、总有效率75.56%，足弓垫组患儿0%治愈、66.67%好转、总有效率66.67%，两组患儿治愈率差异具统计学意义（P＜0.05）；疗程12个月时，扁平足矫治鞋组患儿37.78%治愈、46.66%好转、总有效率84.44%，足弓垫组患儿6.67%治愈、63.33%好转、总有效率70.00%，两组患儿治愈率差异具统计学意义（P＜0.05）；疗程18个月时，扁平足矫治鞋组患儿66.67%治愈、31.11%好转、总有效率97.78%，足弓垫组患儿23.33%治愈、50.00%好转，总有效率73.33%，两组患儿治愈率、总有效率差异具统计学意义（P＜0.05）；疗程24个月时，扁平足矫治鞋组患儿93.33%治愈、6.67%好转，总有效率100%，足弓垫组患儿40.00%治愈、26.67%好转、总有效率66.67%，两组患儿治愈率、好转率、总有效率差异均具统计学意义（P＜0.05）。结论新型儿童扁平足矫治鞋治疗儿童重度扁平足疗效确切，优于足弓垫。关键词：儿童扁平足矫治鞋EFFICACYOFNEWORTHOPAEDICSHOESONFLATFOOTINCHILDRENWANGYuxia，ZHANG激nhua，DepartmentofRehabilitation，Tian激nChildren’sHospital，Tian激n300074，China.Abstract[Objective]Toevaluatetheeffectofneworthopaedicshoesusedonflatfootinchildren.[Methods]Footprintwasusedtoobserveandclassifytheinstepsof75childrenaged2-5withflatfoot.Allthechildrenhavemaximumdegreeofflatfoot.Theyweredividedintotwogroupsasfollowing.45casesweretreatedwithneworthopaedicshoes.30casesweretreatedwithinnersole.Allsubjectsweretreatedfor6to24months.[Result]Attheendof6months，5（11.11%）patientswerecuredand17（64.45%）patientsimproved，totaleffectiveratewas75.56%inorthopaedicshoesgroup.0patientswerecuredand20（66.67%）patientsimproved，totaleffectiveratewas66.67%inarchsupportgroup.Thedeferenceofcureratebetweentwogroupsissignificant（p?0.05）.Attheendof12months，17（37.78%）patientswerecuredand21（46.66%）patientsimproved，totaleffectiveratewas84.44%inorthopaedicshoesgroup.2（6.67%）patientswerecuredand19（63.33%）patientsimproved，totaleffectiveratewas70.00%inarchsupportgroup.Thedeferenceofcureratebetweentwogroupsissignificant（p?0.05）.Attheendof18months，30（66.67%）patientswerecuredand14（31.11%）patientsimproved，totaleffectiveratewas97.78%inorthopaedicshoesgroup.7（23.33%）patientswerecuredand15（50.00%）patientsimproved，totaleffectiveratewas73.33%inarchsupportgroup.Thedeferenceofcurerateandtotaleffectiveratebetweentwogroupsissignificant（p?0.05）.Attheendof18months，30（66.67%）patientswerecuredand14（31.11%）patientsimproved，totaleffectiveratewas97.78%inorthopaedicshoesgroup.7（23.33%）patientswerecuredand15（50.00%）patientsimproved，totaleffectiveratewas73.33%inarchsupportgroup.Thedeferenceofcurerateandtotaleffectiveratebetweentwogroupsissignificant（p?0.05）.Attheendof24months，42（93.33%）patientswerecuredand3（6.67%）patientsimproved，totaleffectiveratewas100%inorthopaedicshoesgroup.12（40.00%）patientswerecuredand10（33.33%）patientsimproved，totaleffectiveratewas73.33%inarchsupportgroup.Thedeferenceofcurerate、improvedrateandtotaleffectiveratebetweentwogroupsissignificant（p?0.05）.[conclusion]Neworthopaedicshoehasahighcurerateandtotaleffectiverateforflatfootinchildren，itworksbetterthanarchsupport.本文为全文原貌未安装PDF浏览器用户请先下载安装原版全文Keywords：children；flatfoot；orthopaedicshoe：R339.31文献标识码：B：1004-7484（2010）12-0062-04儿童扁平足较常见，不仅影响美...