{"id":544795,"date":"2022-04-13T04:47:27","date_gmt":"2022-04-13T04:47:27","guid":{"rendered":"https:\/\/scoliolife.com\/stage\/?p=544795"},"modified":"2022-07-20T04:51:53","modified_gmt":"2022-07-20T04:51:53","slug":"544795","status":"publish","type":"post","link":"https:\/\/scoliolife.com\/stage\/544795\/","title":{"rendered":"\u810a\u67f1\u5074\u5f4e\u524d\u690e\u9ad4\u675f\u7e1b (VBT) \u624b\u8853\u7684\u771f\u76f8"},"content":{"rendered":"<p>\u60a8\u662f\u5426\u6b63\u5728\u8003\u616e\u5c0d\u7279\u767c\u6027\u810a\u67f1\u5074\u5f4e\u9032\u884c\u524d\u690e\u9ad4\u675f\u7e1b (VBT)\uff1a\u675f\u7e1b\u7684\u652f\u6301\u6548\u679c\u5982\u4f55\uff1f<\/p>\n<p>\u901a\u904e2\u5e74\u7684\u8ddf\u9032\uff0c\u6211\u5011\u770b\u4f3c\u9032\u884c\u4e86\u66f4\u591a\u6709\u95dc\u7cfb\u7e69\u65b7\u88c2\u7684\u7814\u7a76\u3002\u3002\u3002\u3002\u3002\u3002 27%\uff01\u9019\u5c31\u662f\u70ba\u4ec0\u9ebd\u6211\u5011\u5efa\u8b70\u5148\u4f7f\u7528\u975e\u624b\u8853\u548c\u975e\u4fb5\u5165\u6027\u65b9\u6cd5\u6cbb\u7642\u810a\u67f1\u5074\u5f4e\uff01<\/p>\n<p><strong>\u6458\u8981<\/strong><br \/>\n<strong>\u76ee\u7684<\/strong><br \/>\n\u690e\u9ad4\u675f\u7e1b\uff08VBT\uff09\u5f8c\u7d50\u679c\u7684\u6301\u4e45\u6027\u53d7\u95dc\u8a3b\uff0c\u800c\u5b83\u4e5f\u53ef\u80fd\u6703\u53d7\u5230\u7cfb\u7e69\u65b7\u88c2 (TB) \u7684\u5f71\u97ff\u3002\u9019\u5728\u5927\u578b\u968a\u5217\u4e2d\u9084\u672a\u88ab\u7814\u7a76\u3002\u6211\u5011\u5728\u8fc4\u4eca\u70ba\u6b62\u6700\u5927\u7684\u55ae\u4e00\u5916\u79d1\u91ab\u751f\u7cfb\u5217\u4e2d\u63cf\u8ff0\u4e86\u7cfb\u7e69\u65b7\u88c2\u7387\u53ca\u5176\u5c0d\u81e8\u5e8a\u7d50\u679c\u7684\u5f71\u97ff\u3002<\/p>\n<p><strong>\u65b9\u6cd5<\/strong><br \/>\n\u7d0d\u5165\u6a19\u6e96\u662f\u6709AIS\u3001\u4e3b\u8981Cobb\u89d2\u2264 75\u00b0 \u548c\u81f3\u5c112\u5e74\u8ddf\u9032 (FU) \u7684 VBT \u60a3\u8005\u3002\u57281\u5e74\u548c2\u5e74\u7684FU X\u5149\u4e2d\uff0cTB\u88ab\u767c\u73fe\u3002\u55ae\u7e69\u548c\u96d9\u7e69\u7cfb\u7e69\u4e4b\u9593\u7684 TB \u7387\u901a\u904e\u4e8c\u6bd4\u4f8bz\u6aa2\u9a57\u8a55\u4f30\u51fa\u4f86\u3002\u5169\u5e74\u88cf\uff0c\u5e36\u6709\u548c\u4e0d\u5e36\u6709TB\u7684\u60a3\u8005\u4e4b\u9593\u7684\u5f4e\u66f2\u5ea6\u6821\u6b63\u7387\u548c SRS-22\u8a55\u5206\u901a\u904eMann-Whitney U\u6aa2\u9a57\u8a55\u4f30\u51fa\u4f86\u3002<\/p>\n<p><strong>\u7d50\u679c<\/strong><br \/>\n69\u540d\u60a3\u8005\u88ab\u5305\u62ec\u4e86\u3002\u5728FU\u76842\u5e74\u88cf\uff0c18\u4eba\uff0827%\uff09\u66fe\u7d93\u6b77TB\u3002TB\u4e3b\u8981\u767c\u751f\u5728\u5927\u5f4e\uff0870%\uff09\u5c0d\u6bd4\u5c0f\u5f4e\u548c\u80f8\u8170\u690e\u7cfb\u7e69\uff0875%\uff09\u5c0d\u6bd4\u80f8\u690e\u3002\u55ae\u80f8\u8170\u690e (32%) \u548c\u96d9\u7e69\u7cfb\u7e69 (30%) \u4e4b\u9593\u7684TB\u7387\u6c92\u6709\u986f\u8457\u7684\u5dee\u7570 (p = 0.88)\u3002\u5927\u5f4eTB\u60a3\u8005\uff0848\u00b0 \u5230 24\u00b0\uff0c50%\uff09\u8207\u7121\u5927\u5f4e\uff0853\u00b0\u201321\u00b0\uff0c60%\uff09\u7684\u60a3\u8005\u76f8\u6bd4\uff0c2\u5e74FU\u7684\u5e73\u5747\u5927\u5f4e\u6821\u6b63\u8f03\u4f4e\uff08p = 0.02\uff09\u30022 \u540d\u60a3\u8005 (3%) \u9700\u8981\u518d\u6b21\u7684\u624b\u8853\uff0c1 \u540d\u662f\u56e0\u70ba\u87ba\u91d8\u5c16\u982d\u4fb5\u72af\u690e\u9593\u5b54\uff0c1\u540d\u5247\u662f\u56e0\u70ba\u96a8\u8457TB\u7684\u5f4e\u66f2\u5ea6\u9032\u5c55\u3002<\/p>\n<p><strong>\u7d50\u8ad6<\/strong><br \/>\nVBT\u5f8c2\u5e74\u7684TB\u7387\u70ba27%\u3002\u5927\u5f4e\u7cfb\u7e69\u7684\u65b7\u88c2\u8207\u53ef\u80fd\u5728\u81e8\u5e8a\u65b9\u9762\u4e0d\u986f\u8457\u7684\u8f15\u5fae\u77ef\u6b63\u7f3a\u5931\u6709\u95dc\u3002\u80f8\u8170\u5f4e\u7684TB\u7387\u8f03\u9ad8\uff0c\u800c\u96d9\u7e69\u53ef\u80fd\u7121\u6cd5\u9810\u9632TB\u3002\u5c0d\u9577\u671fTB\u7387\u7684\u9032\u4e00\u6b65\u7814\u7a76\u662f\u52e2\u5728\u5fc5\u884c\u7684\u3002<\/p>\n<p><strong>\u8b49\u64da\u7d1a\u5225<\/strong><br \/>\n\u56db<br \/>\nhttps:\/\/link.springer.com\/article\/10.1007\/s43390-022-00490-z<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u60a8\u662f\u5426\u6b63\u5728\u8003\u616e\u5c0d\u7279\u767c\u6027\u810a\u67f1\u5074\u5f4e\u9032\u884c\u524d\u690e\u9ad4\u675f\u7e1b (VBT)\uff1a\u675f\u7e1b\u7684\u652f\u6301\u6548\u679c\u5982\u4f55\uff1f \u901a\u904e2\u5e74\u7684\u8ddf\u9032\uff0c\u6211\u5011\u770b\u4f3c\u9032\u884c\u4e86\u66f4\u591a\u6709\u95dc\u7cfb\u7e69\u65b7\u88c2\u7684\u7814\u7a76\u3002\u3002\u3002\u3002\u3002\u3002 27%\uff01\u9019\u5c31\u662f\u70ba\u4ec0\u9ebd\u6211\u5011\u5efa\u8b70\u5148\u4f7f\u7528\u975e\u624b\u8853\u548c\u975e\u4fb5\u5165\u6027\u65b9\u6cd5\u6cbb\u7642\u810a\u67f1\u5074\u5f4e\uff01 \u6458\u8981 \u76ee\u7684 \u690e\u9ad4\u675f\u7e1b\uff08VBT\uff09\u5f8c\u7d50\u679c\u7684\u6301\u4e45\u6027\u53d7\u95dc\u8a3b\uff0c\u800c\u5b83\u4e5f\u53ef\u80fd\u6703\u53d7\u5230\u7cfb\u7e69\u65b7\u88c2 (TB) \u7684\u5f71\u97ff\u3002\u9019\u5728\u5927\u578b\u968a\u5217\u4e2d\u9084\u672a\u88ab\u7814\u7a76\u3002\u6211\u5011\u5728\u8fc4\u4eca\u70ba\u6b62\u6700\u5927\u7684\u55ae\u4e00\u5916\u79d1\u91ab\u751f\u7cfb\u5217\u4e2d\u63cf\u8ff0\u4e86\u7cfb\u7e69\u65b7\u88c2\u7387\u53ca\u5176\u5c0d\u81e8\u5e8a\u7d50\u679c\u7684\u5f71\u97ff\u3002 \u65b9\u6cd5 \u7d0d\u5165\u6a19\u6e96\u662f\u6709AIS\u3001\u4e3b\u8981Cobb\u89d2\u2264 75\u00b0 \u548c\u81f3\u5c112\u5e74\u8ddf\u9032 (FU) \u7684 VBT \u60a3\u8005\u3002\u57281\u5e74\u548c2\u5e74\u7684FU X\u5149\u4e2d\uff0cTB\u88ab\u767c\u73fe\u3002\u55ae\u7e69\u548c\u96d9\u7e69\u7cfb\u7e69\u4e4b\u9593\u7684 TB \u7387\u901a\u904e\u4e8c\u6bd4\u4f8bz\u6aa2\u9a57\u8a55\u4f30\u51fa\u4f86\u3002\u5169\u5e74\u88cf\uff0c\u5e36\u6709\u548c\u4e0d\u5e36\u6709TB\u7684\u60a3\u8005\u4e4b\u9593\u7684\u5f4e\u66f2\u5ea6\u6821\u6b63\u7387\u548c SRS-22\u8a55\u5206\u901a\u904eMann-Whitney U\u6aa2\u9a57\u8a55\u4f30\u51fa\u4f86\u3002 \u7d50\u679c 69\u540d\u60a3\u8005\u88ab\u5305\u62ec\u4e86\u3002\u5728FU\u76842\u5e74\u88cf\uff0c18\u4eba\uff0827%\uff09\u66fe\u7d93\u6b77TB\u3002TB\u4e3b\u8981\u767c\u751f\u5728\u5927\u5f4e\uff0870%\uff09\u5c0d\u6bd4\u5c0f\u5f4e\u548c\u80f8\u8170\u690e\u7cfb\u7e69\uff0875%\uff09\u5c0d\u6bd4\u80f8\u690e\u3002\u55ae\u80f8\u8170\u690e (32%) \u548c\u96d9\u7e69\u7cfb\u7e69 (30%) \u4e4b\u9593\u7684TB\u7387\u6c92\u6709\u986f\u8457\u7684\u5dee\u7570 (p = 0.88)\u3002\u5927\u5f4eTB\u60a3\u8005\uff0848\u00b0 \u5230 24\u00b0\uff0c50%\uff09\u8207\u7121\u5927\u5f4e\uff0853\u00b0\u201321\u00b0\uff0c60%\uff09\u7684\u60a3\u8005\u76f8\u6bd4\uff0c2\u5e74FU\u7684\u5e73\u5747\u5927\u5f4e\u6821\u6b63\u8f03\u4f4e\uff08p = 0.02\uff09\u30022 \u540d\u60a3\u8005 (3%) \u9700\u8981\u518d\u6b21\u7684\u624b\u8853\uff0c1 \u540d\u662f\u56e0\u70ba\u87ba\u91d8\u5c16\u982d\u4fb5\u72af\u690e\u9593\u5b54\uff0c1\u540d\u5247\u662f\u56e0\u70ba\u96a8\u8457TB\u7684\u5f4e\u66f2\u5ea6\u9032\u5c55\u3002 \u7d50\u8ad6 VBT\u5f8c2\u5e74\u7684TB\u7387\u70ba27%\u3002\u5927\u5f4e\u7cfb\u7e69\u7684\u65b7\u88c2\u8207\u53ef\u80fd\u5728\u81e8\u5e8a\u65b9\u9762\u4e0d\u986f\u8457\u7684\u8f15\u5fae\u77ef\u6b63\u7f3a\u5931\u6709\u95dc\u3002\u80f8\u8170\u5f4e\u7684TB\u7387\u8f03\u9ad8\uff0c\u800c\u96d9\u7e69\u53ef\u80fd\u7121\u6cd5\u9810\u9632TB\u3002\u5c0d\u9577\u671fTB\u7387\u7684\u9032\u4e00\u6b65\u7814\u7a76\u662f\u52e2\u5728\u5fc5\u884c\u7684\u3002 \u8b49\u64da\u7d1a\u5225 \u56db https:\/\/link.springer.com\/article\/10.1007\/s43390-022-00490-z<\/p>\n","protected":false},"author":5,"featured_media":546698,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[],"_links":{"self":[{"href":"https:\/\/scoliolife.com\/stage\/wp-json\/wp\/v2\/posts\/544795"}],"collection":[{"href":"https:\/\/scoliolife.com\/stage\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/scoliolife.com\/stage\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/scoliolife.com\/stage\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/scoliolife.com\/stage\/wp-json\/wp\/v2\/comments?post=544795"}],"version-history":[{"count":0,"href":"https:\/\/scoliolife.com\/stage\/wp-json\/wp\/v2\/posts\/544795\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/scoliolife.com\/stage\/wp-json\/wp\/v2\/media\/546698"}],"wp:attachment":[{"href":"https:\/\/scoliolife.com\/stage\/wp-json\/wp\/v2\/media?parent=544795"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/scoliolife.com\/stage\/wp-json\/wp\/v2\/categories?post=544795"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/scoliolife.com\/stage\/wp-json\/wp\/v2\/tags?post=544795"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}