中国骨伤2025，Vol.38Issue(8)：822-827,6.DOI:10.12200/j.issn.1003-0034.20240491
颈椎双向牵引治疗颈椎反弓的垂直方向牵引重量初步探讨
A preliminary study on the vertical traction weight of cervical kyphosis treated by bidirectional cervical traction
摘要
Abstract
Objective To explore the optimal vertical traction weight,clinical efficacy,and safety of bidirectional cervical traction in the treatment of cervical kyphosis.Methods A total of 130 patients with neck pain and cervical kyphosis confirmed by cervical DR who visited the hospital from April 2023 to April 2024 were enrolled.They were divided into 4 groups according to the vertical traction weight accounting for 5％,10％,15％,and 20％of their body weight,respectively.The 5％body weight traction group included 33 cases(13 males and 20 females)with an average age of(34.00±10.58)years old;the 10％body weight traction group included 35 cases(17 males and 18 females)with an average age of(32.23±8.39)years old;the 15％body weight traction group included 32 cases(14 males and 18 females)with an average age of(33.88±10.09)years old;the 20％body weight traction group included 30 cases(11 males and 19 females)with an average age of(36.20±9.13)years old.Each group received treatment for 2 weeks.The visual analogue scale(VAS)score,neck disability index(NDI),and C2-C7 Cobb angle on cervical lateral X-ray films before and after treatment were recorded to evaluate the clinical efficacy of the 4 groups.Results When the traction weight was 10％and 15％of body weight,the pain VAS and NDI were significantly im-proved,and the C2-C7 Cobb angle increased,with statistically significant differences(P＜0.05),and no adverse reactions oc-curred.However,in the 5％body weight group,the above indicators showed no significant changes,with no statistically signifi-cant differences(P＞0.05).In the 20％body weight group,some patients could not tolerate the treatment,and adverse reactions such as dizziness,nausea,and aggravated neck pain occurred.Conclusion The optimal vertical traction weight of bidirectional cervical traction for cervical kyphosis is 10％-15％of body weight,which can effectively improve neck pain and cervical func-tion,increase the C2-C7 Cobb angle of the cervical spine,with high safety,and is worthy of promotion and application.关键词
颈椎双向牵引/颈椎反弓/牵引重量Key words
Cervical bidirectional traction/Cervical kyphosis/Traction weight分类
医药卫生引用本文复制引用
陈海莲,张育铭,张文捷,黄艳婴,张勇..颈椎双向牵引治疗颈椎反弓的垂直方向牵引重量初步探讨[J].中国骨伤,2025,38(8):822-827,6.基金项目
2025年度广西中医药适宜技术开发与推广项目(编号:GZSY2025050)Guangxi Traditional Chinese Medicine Appropriate Tech-nology Development and Promotion Project in 2025(No.GZSY2025050) （编号:GZSY2025050）
