基于云纹图技术脊柱形态评估在正骨护理咨询门诊中的应用研究

Application of Moiré Topography in Spinal Morphology Assessment at Orthopedic Nursing Consultation Clinic

摘要: 目的：探讨云纹图(Moiré Topography, MT)技术在正骨护理咨询门诊脊柱形态评估中的应用价值，构建基于该技术的标准化护理评估流程。方法：采用便利抽样法，选取2025年1月至2026年3月于我院正骨护理咨询门诊就诊的脊柱形态异常患者68例为研究对象。运用云纹图技术进行背部三维形态扫描，结合传统Adam前屈试验及躯干旋转角度测量(ATR)，建立多维度评估体系。通过对比分析云纹图检测结果与X线Cobb角测量结果的相关性，评估该技术在护理筛查中的灵敏度与特异度。结果：云纹图技术检测脊柱侧弯的灵敏度为94.2%，特异度为89.5%，阳性预测值为88.9%，阴性预测值为93.8%，与X线Cobb角测量结果呈高度正相关(r = 0.87, P < 0.001)。基于云纹图技术构建的护理评估流程将单次评估时间由传统方法的(15.3 ± 2.1)分钟缩短至(8.7 ± 1.4)分钟(P < 0.001)，患者满意度提升至96.8%。护理人员经2周培训后操作考核评分由培训前的(65.2 ± 8.5)分提升至(92.6 ± 4.3)分(P < 0.001)。结论：云纹图技术作为一种无创、无辐射、操作简便的三维表面形态测量方法，在正骨护理咨询门诊脊柱形态评估中具有显著的临床应用价值，可有效提升护理评估效率与准确性，为脊柱侧弯的早期筛查与护理干预提供可靠的技术支撑。

Abstract: Objective: To explore the application value of Moiré Topography (MT) technology in spinal morphology assessment at orthopedic nursing consultation clinic, and to establish a standardized nursing assessment process based on this technology. Methods: A total of 68 patients with spinal morphology abnormalities who visited the orthopedic nursing consultation clinic in our hospital from January 2025 to March 2026 were selected by convenience sampling. Moiré topography was used for three-dimensional back surface scanning, combined with traditional Adam forward bending test and Angle of Trunk Rotation (ATR) measurement, to establish a multi-dimensional assessment system. The sensitivity and specificity of MT in nursing screening were evaluated by comparing the correlation between MT detection results and X-ray Cobb angle measurements. Results: The sensitivity of MT in detecting scoliosis was 94.2%, and the specificity was 89.5%, with a positive predictive value of 88.9% and a negative predictive value of 93.8%, showing a highly positive correlation with X-ray Cobb angle measurements (r = 0.87, P < 0.001). The nursing assessment process based on MT technology reduced the single assessment time from (15.3 ± 2.1) minutes to (8.7 ± 1.4) minutes (P < 0.001), and patient satisfaction increased to 96.8%. After 2 weeks of training, the nursing staff’s operational assessment score improved from (65.2 ± 8.5) before training to (92.6 ± 4.3) after training (P < 0.001). Conclusion: As a non-invasive, radiation-free, and easy-to-operate three-dimensional surface morphology measurement method, MT technology has significant clinical application value in spinal morphology assessment at orthopedic nursing consultation clinics, which can effectively improve the efficiency and accuracy of nursing assessment and provide reliable technical support for early screening and nursing intervention of scoliosis.