电动牵引治疗腰椎间盘突出症时牵引重量的选择观察  

Observation on Selection of Traction Weight in the Treatment of Lumbar Disc Herniation with Electric Traction

作　　者：李善志 郭静 刘文平 史岩 王淼 LI Shanzhi;GUO Jing;LIU Wenping;SHI Yan;WANG Miao(TCM Hospital of Shapingba District in Chongqing,Chongqing 400030,China;不详)

机构地区：[1]重庆市沙坪坝区中医院,重庆400030 [2]陆军军医大学西南医院

出　　处：《中外医学研究》2024年第34期161-164,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：重庆市沙坪坝区2019年决策咨询与管理创新项目(Jcd201938)。

摘　　要：目的:探讨以患者体重作为基础选择电动牵引治疗腰椎间盘突出症时的牵引重量。方法:选取2019年6月—2020年5月重庆市沙坪坝区中医院收治的45例电动腰椎牵引治疗的腰椎间盘突出症患者作为研究对象,分别以患者体重重量、体重+10 kg重量和体重+20 kg重量进行牵引治疗,牵引过程中拍摄相同条件的X线片。比较患者牵引前、体重重量牵引、体重+10 kg重量牵引和体重+20 kg重量牵引L_(3~4)、L_(4~5)、L_(5)~S_(1)椎间隙高度、直腿抬高试验转阴情况及持续3 min以上人数。结果:三种重量牵引L_(3~4)、L_(4~5)、L_(5)~S_(1)椎间隙高度较牵引前均增大,差异有统计学意义(P<0.05);体重+10 kg重量牵引L_(3~4)、L_(4~5)、L_(5)~S_(1)椎间隙高度优于体重重量牵引,差异有统计学意义(P<0.05);体重+20 kg重量牵引L_(3~4)、L_(4~5)椎间隙高度优于体重重量牵引,差异有统计学意义(P<0.05)。体重+10 kg重量和体重+20 kg重量牵引过程中患者直腿抬高试验转阴率高于体重重量牵引,体重+20 kg重量牵引时不能耐受3 min以上持续牵引的人数多于体重+10 kg重量和体重重量牵引,差异有统计学意义(P<0.05)。结论:建议电动腰椎牵引治疗腰椎间盘突出症时,牵引重量设定在患者体重+10 kg重量左右,多数患者能耐受这个牵引重量,临床效果优于体重重量和体重+20 kg重量的牵引。Objective:To explore the traction weight of electric traction in the treatment of lumbar disc herniation based on the weight of patients.Method:A total of 45 patients with lumbar disc herniation who treated by electric lumbar traction in TCM Hospital of Shapingba District in Chongqing from June 2019 to May 2020 were selected as the research objects,the patients were treated with body weight,body weight+10 kg weight and body weight+20 kg weight respectively,X-ray films under the same conditions were taken during traction.The height of L_(3-4),L_(4-5),L_(5)-S_(1)intervertebral space before traction,weight weight traction,weight+10 kg weight traction and weight+20 kg weight traction,the negative rate of straight leg raising test and the number of patients lasting for more than 3 min were compared.Result:The height of L_(3-4),L_(4-5)and L_(5)-S_(1)intervertebral space of three kinds of weight traction were higher than those before traction,and the differences were statistically significant(P<0.05);the height of L_(3-4),L_(4-5)and L_(5)-S_(1)intervertebral space in weight+10 kg weight traction were better than those in weight weight traction,and the differences were statistically significant(P<0.05);the height of L_(3~4)and L_(4~5)intervertebral space of weight+20 kg weight traction were better than those of weight weight traction,and the differences were statistically significant(P<0.05).The negative rate of straight leg raising test in weight+10 kg weight and weight+20 kg weight traction were higher than that in weight weight traction,the number of patients who could not tolerate continuous traction for more than 3 min in weight+20 kg weight traction was more than those in weight+10 kg weight and weight weight traction,and the differences were statistically significant(P<0.05).Conclusion:It is suggested that the traction weight should be set at about the patients'weight+10 kg weight for the treatment of lumbar disc herniation by electric lumbar traction,most patients can tolerate this traction weight,and the clinica

关 键 词：牵引 腰椎间盘突出症 椎间隙 耐受 直腿抬高试验 

分 类 号：R681.53[医药卫生—骨科学]