不同枕头高度对颈胸段脊柱矢状位曲度参数的影响  

Effect of different pillow heights on sagittal parameters of curvature of cervicothoracic spine

作　　者：熊毅[1] 柯晋[2] XIONG Yi KE Jin(A nti-aging Center, Guangzhou Nursing Home of PLA, Guangzhou, Guangdong 510515, China)

机构地区：[1]解放军广州疗养院抗衰老中心,广东广州510515 [2]广州军区广州总医院骨科

出　　处：《中国骨与关节损伤杂志》2016年第9期905-907,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的评估不同枕头高度对颈胸段脊柱矢状位曲度参数的影响。方法于2015-12招募30名健康志愿者,男、女各15名,年龄（26.35±3.64）岁。志愿者采用标准仰卧位平躺于检查床上,头部分别枕于0、10、20 cm高度枕头上,并摄标准颈椎侧位X线片（包括颈胸段）。测量X线片中颈胸段脊柱矢状位曲度参数：T_1斜率、颈倾角、胸廓入口角和颈椎Cobb角。结果 T_1斜率、颈椎Cobb角随着枕头高度的增加而增加,不同枕头高度组间比较差异有统计学意义（F=81.22,P〈0.001）,进一步两两比较显示各组间差异均有统计学意义（P〈0.001）。颈倾角随着枕头高度的增加而减小,不同枕头高度组间比较差异有统计学意义（F=39.83,P〈0.001）,进一步两两比较显示各组间差异均有统计学意义（P〈0.001）。胸廓入口角有随着枕头高度增加而增加的趋势,不同枕头高度组间比较差异有统计学意义（F=11.97,P〈0.001）;进一步两两比较显示,枕头高度0 cm与20 cm、10 cm与20 cm时胸廓入口角差异有统计学意义（P〈0.001）,枕头高度0 cm与10 cm时的胸廓入口角差异无统计学意义（P=0.529）。结论不同高度的枕头可以影响颈胸段脊柱矢状位曲度参数,且枕头高度在10 cm时的T_1斜率与13°~25°的参考范围最相符,推荐人们使用高度为10 cm左右的枕头。Objective To evaluate the effect of different pillow heights on sagittal parameters of the curvature of cervicothoracic spine. Methods Thirty healthy volunteers （15 male and 15 female, age of 26.35＋3.64） were recruited from a certain community in December 2015. Participants lied down on the radiography examination bed in a standard supine position with three different heights of pillow： 0 cm, 10 cm and 20 cm. Cervical sagittal parameters were measured with radiography, included T, slope（TlS）, neck tilt（NT）, thoracic inlet angle0＂IA） and Cobb＇s angle. Results With increase of the height of pillow, the T1S and Cobb＇s angle increased, and the differences among the three height groups were significant （F = 81.22, P 〈0.001）. The further comparison showed that the difference between any two groups was statistically significant （P 〈 0.001）. The NT values tended to decrease with the increase of the height of pillow, and the difference among the three height groups was significant （F =39.83, P 〈0.001）. The further compm＇ison showed that the difference between any two groups was statistically significant （P 〈0.001）. The TIA tended to rise with the increase of the height of pillow, and the difference among the three height groups was significant （F =11.97, P 〈0.001）. The further comparison showed that the TIA with 0 cm and 10 cm height of pillow was significantly different with that of 20 cm respectively（P 〈0.001）, while the difference of TIA between 0 cm group and 10 cm group was not significant（P =0.529）. Conclusion The height of pillow could affect the sagittal parameters of the curvature of cervicothoracic spine. From the data obtained in this study, we recommend that the most suitable pillow height is 10 cm.

关 键 词：枕头高度 颈椎曲度 T1斜率 颈倾角 胸廓入口角 颈椎Cobb角 

分 类 号：R682.3[医药卫生—骨科学]