牵引对后凸畸形颈椎曲度的影响

Effect of traction on the curvature of cervical kyphosis

目的：探讨颈椎牵引对颈椎后凸畸形的影响。方法：对颈曲反张患者５２例，用枕颌带坐位牵引，牵引角度１０～２０度，重量男女分别从６ｋｇ和４ｋｇ开始，牵引１０～２０次，牵引同时照射红外线，并对急慢性病历进行对比分析。结果：显效和有效各２３例，总有效率为８８％，急性组疗效及颈椎曲度的改善均明显优于慢性组（Ｐ＜０．０１）。结论：牵引可以纠正后凸畸形的颈椎曲度，有效地改善颈椎活动度。应用量化的弓深改变结合临床表现可以作为判定疗效的标准。

Objective:In order to discuss the effects of traction for the curvature of cervical kyphosis.Methods:52 cases with cervical kyphosis including acute patieuts and chronic patients were treated with cervical traction.The angle of traction was 10～20° for 10～20 times.In the meantime the infrared rays was radiated on these patients,the effects were compared in acute cases and chronic cases.Results:In 25 cases of acute period,the excellent was 17 cases(68%),the improved 7 cases(28%) and 1 cases unchanged;The 27 cases of chronic period,the marked improvement was 6 cases(22%),the improved 16 cases(59%) and the unimproved 5 cases(18%).There was a significant difference(P<0.01).Conclusion:It is suggested that the traction therapy may correct the curvature of cervical kyphosis and improve the ROM of cervical spine.