关于矫形头盔的最新研究

标签:
扁头矫形头盔矫正头盔偏头头盔 |
分类: 自写 |
这两篇文章究竟有没有参考意义,请自行决定。毕竟实验也有偏差,就发热到底用扑热息痛和布洛芬,网上还吵得不行呢。
@小儿外科裴医生 :为降低婴儿猝死风险,美国儿科学会推荐1岁以内的孩子仰卧,仰卧确实会导致孩子扁头,有些医生建议给孩子戴头盔矫正,但最近的研究发现头盔的效果并不比自然矫正更好,而且可能导致皮肤磨损等副作用,更何况随着孩子长大,扁头大多会自己慢慢矫正。
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No benefits to helmet therapy for positional skull deformation
By: BIANCA NOGRADY,
FROM BMJ
Key clinical point: Watchful waiting may be best for infant positional skull deformity.
Major finding: About a quarter (26%) of helmet-treated infants had a full recovery vs. 23% of untreated infants.
Data source: Single-blinded, randomized controlled trial in 84 infants aged 5-6 months with positional skull deformity.
Disclosures: The study was funded by a grant from ZonMw, the Netherlands Organization for Health Research and Development. No other conflicts of interest were declared.
Researchers have discouraged the use of helmet therapy in infants with positional skull deformation after a single-blinded, randomized controlled trial showed no advantages over allowing the generally cosmetic condition to run its natural course.
The Dutch study found no differences in the change score at 2 years of age for both plagiocephaly and brachycephaly in 84 infants randomized either to 6 months of helmet therapy or to the natural course of the condition, according to a study published May 1 in BMJ (2014;348:g2741 [doi: 10.1136/bmj.g2741]).
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Detailed measurements of each child’s head were done at age 2 years. Just more than a quarter (26%) of children who had helmet therapy experienced a full recovery at that time, compared with 23% of those who did not use a helmet. The difference was not significant.
All parents in the helmet therapy group reported one or more side effects, the most common being problems with acceptance of the helmet, skin irritation, augmented sweating, unpleasant odor of the helmet, pain associated with the helmet, and feeling hindered from cuddling their child.
However, those parents also showed slightly higher satisfaction scores and a slightly lower anxiety state when their infants were 2 years old.
The study was funded by a grant from ZonMw, the Netherlands Organization for Health Research and Development. No other conflicts of interest were declared.