电动牵引治疗腰椎压缩性骨折的疗效观察

Observation of Curative Effects of Electric Traction for Lumbar Compression Fracture

目的:观察用电动牵引治疗腰椎压缩性骨折的疗效.方法:108例腰椎压缩性骨折患者,经摄X片确诊后,除外病理性骨折,经1周支持治疗、对症处理及辅助检查,除外其它并发损伤,患者全身情况好,即行电动腰椎牵引;牵引力由小逐渐加大,牵引时间由短逐渐延长,每天牵引1次,牵引后继续平卧硬板床,坚持行腰背部功能锻炼.结果:对照以往腰椎压缩性骨折病例,用电动牵引治疗的患者,平均住院天数缩短10天～21天;未行牵引,单纯平卧硬板床,在床上行腰背部功能锻炼,2周后复查X片,压缩性骨折椎体复原者占10.2％;经行腰椎电动牵引治疗,2周后复查X片,压缩性骨折椎体复原者占94.5％.结论:电动牵引治疗腰椎压缩性骨折,方法简便,疗效确切,缩短患者住院天数,为患者减少经济开支,早日康复提供了有效的治疗方法,并且此种治疗方法操作简单,易被医务人员所掌握,可以在一些基层医院广泛开展。

Objective: To observe the curative effects of the electric traction for lumbar compression fracture. Methods: Ruling out pathological fractures and other complicated injuries, all the 108 cases of lumbar compression fracture with satisfactory general body conditions were under the electric traction immediately after being diagnosed by x-rays as well as a work's sustaining, symptomatic treatment and supplementary checking. Each of the cases was tracted once a day. After traction, they proceeded to lie levelly in wooden beds and practise lumbodorsal functional exercises. During the period the force and tine of traction was increased step by step. Results: Compared to the past, the average hospitalization of the cases under the electric traction was ten to twenty-one days shorter. All the patients were examined with x-rays two weeks later. The corpus uertebrate rate reduction of these patients who were not under the electric traction and merely lied levelly in wooden beds and practiced lumbo-dorsal functional exercises was only 10.2%; while the rate of those under the traction was 94.5%. Conclusion: To treat lumbar compression fracture, the electric traction has the advantages of simple methods, definite curative effects and shortening of hospitalization. Therefore, it might be an effective method for cutting down expense of patients and early rehabilitation. In addition, it could be operated simply and mastered easily by medical workers. Thus, it could be widely carried out in some basic hospitals.