首页|电动牵引治疗腰椎间盘突出症时牵引重量的选择观察

电动牵引治疗腰椎间盘突出症时牵引重量的选择观察

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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L3~4、L4~5、L5~S1 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L3~4、L4~5、L5~S1 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L3~4、L4~5、L5~S1 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L3~4、L4~5 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.
Observation on Selection of Traction Weight in the Treatment of Lumbar Disc Herniation with Electric Traction
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 L3-4,L4-5,L5-S1 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 L3-4,L4-5 and L5-S1 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 L3-4,L4-5 and L5-S1 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 L3~4 and L4~5 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 clinical effect is better than the body weight and body weight+20 kg weight traction.

TractionLumbar disc herniationIntervertebral spaceTolerateStraight leg raising test

李善志、郭静、刘文平、史岩、王淼

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重庆市沙坪坝区中医院 重庆 400030

陆军军医大学西南医院

牵引 腰椎间盘突出症 椎间隙 耐受 直腿抬高试验

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(34)