CAJ | 학술논문

[目的]探讨腰椎牵引的力学机制与相关问题.[方法]根据本院治疗资料,结合文献进行回顾性分析.[结果]牵引重量为:40 kg+体重15%～20%,治疗1 606例.按病程分析:3年及其以下者优良率90.1%,3年以上者优良率68.2%.[结论]在重力牵引下,腰骶神经根松弛、移位,偏离了突出髓核的高峰,建立了新的、和谐的"根-盘"关系,压迫或牵引减轻或消失,腰腿痛缓解或痊愈.适宜的牵引重量和正确的体位是提高疗效的关键.
[목적]탐토요추견인적역학궤제여상관문제.[방법]근거본원치료자료,결합문헌진행회고성분석.[결과]견인중량위:40 kg+체중15%～20%,치료1 606례.안병정분석:3년급기이하자우량솔90.1%,3년이상자우량솔68.2%.[결론]재중력견인하,요저신경근송이、이위,편리료돌출수핵적고봉,건립료신적、화해적"근-반"관계,압박혹견인감경혹소실,요퇴통완해혹전유.괄의적견인중량화정학적체위시제고료효적관건.
[Objective] To discuss the mechanism and relative problems of lumbar traction. [Method] Relevant articles and retrospect clinical data in the author's hospital were reviewed. Review relevant articles and retrospect clinical data of our hospital. [ Result ] Traction force : 40 kg + 15% ～ 20% of body weight, fineness rate reached 83.5% in 1606 patients being treated. According to course of disease, fineness rate was 90. 1% in the group of less than 3 years, 68.2% in the group of more than 3 years. [ Conclusion] Lumbosacral nerve root leave the peak of the protruding nucleus and establish a new harmonious "root-disc" relationship after traction. The pressure and tension to the nerve root reduces or disappears, meanwhile, the pain of low back and leg is alleviated or eradicated. Appropriate traction weight and correct traction body posture are key factors of good therapeutic effect.