中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (28): 5272-5275.doi: 10.3969/j.issn.1673-8225.2010.28.034

• 组织构建学术探讨 tissue construction academic discussion • 上一篇    下一篇

颈椎机械牵引技术的作用及机制研究

刘 凯1，谢 青2，毕 霞2   

  1. 1上海市瑞金医院卢湾分院康复科，上海市  200020；2上海市瑞金医院康复科，上海市 200020
  • 出版日期:2010-07-09 发布日期:2010-07-09
  • 通讯作者: 谢 青，上海市瑞金医院康复科，上海市200020
  • 作者简介:刘 凯，男，1985年生，山东省青岛市人，汉族，2007年中山大学医学院毕业，初级治疗师，主要从事神经及骨科康复。 liukaizsu@tom.com

Role and mechanism of cervical mechanical traction technique

Liu Kai1, Xie Qing2, Bi Xia2   

  1. 1 Department of Rehabilitation, Luwan Branch of Ruijin Hospital, Shanghai  200020, China; 2 Department of Rehabilitation, Ruijin Hospital, Shanghai  200020, China
  • Online:2010-07-09 Published:2010-07-09
  • Contact: Xie Qing, Department of Rehabilitation, Ruijin Hospital, Shanghai 200020, China
  • About author:Liu Kai, Primary therapeutist, Department of Rehabilitation, Luwan Branch of Ruijin Hospital, Shanghai 200020, China liukaizsu@tom.com

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1672

被引次数

26

摘要：

背景：在临床，颈椎牵引一直被认为是颈椎病尤其针对神经根或椎动脉受压等症状者的主要治疗方法之一。
目的：综述国内关于颈椎机械牵引技术临床应用的研究概况。
方法：应用计算机检索中国期刊全文数据库及Medline数据库2000-01/2009-01期间的相关文章，检索词为“颈椎机械牵引，cervical mechanical traction”。此外还手工查阅相关专著数部。纳入牵引治疗技术作用机制、颈椎牵引的三要素、牵引装置的改良等研究。
结果与结论：颈椎机械牵引是通过机械手段给颈椎施加应力，使其发生相对伸长，从而达到分离关节面、牵伸周围软组织和改变骨结构之间角度或列线等目的的一种康复治疗技术。由于患者自身体质构成，病理变化等不同，治疗目的也有所不同，针对某一患者的牵引也应随之变化。找到某一疾病，某一患者的牵引力量、时间、体位、模式、频度等因素的最佳组合才是最理想的。欲使其更合理、有效地在临床发挥作用，则有必要在研究中更多地明确其作用机制，以脊柱解剖、生理、生物力学和相关疾病病理变化为基础，掌握其应用的适应证、禁忌证、不良反应、注意事项和使用的局限性，熟悉其操作程序。随着研究的深入和技术的进步，相信今后在颈椎机械牵引的规范化和个体化方面将有更大的发展。

关键词: 颈椎病, 机械牵引技术, 研究进展, 组织工程, 作用机制

Abstract:

BACKGROUND: In clinic, cervical mechanical traction is considered to be one of the main therapeutic methods for cervical syndrome patients, especially for that with symptoms of nerve root or vertebral artery compression.
OBJECTIVE: To summarize the research progress of cervical mechanical traction technique in China.
METHODS: Databases of CNKI and Medline was retrieved with key words of cervical mechanical traction both in Chinese and English to search literatures published between January 2000 and January 2009. In addition, related monograph was manual searched. Studies concerning action mechanism, three essential factors, as well as the modifying of cervical mechanical traction technique were included in this analysis.
RESULTS AND CONCLUSION: Cervical mechanical traction is a physical therapy technique which put stress on cervical vertebra that is made extension by means of machine, aiming to detach articular facet, extension soft tissue, and improve biomechanics. Different patients have different destination, and the traction should be altered. The best combination of weight, time, posture, mode, frequency using in some patient with his trouble is most important. Based on vertebral column anatomy, physiology, and biomechanics, to understand action mechanism, handling indication, contraindication, adverse reaction, announcements and practical limitations, being familiar with operating sequence, are all involved in the mechanical traction therapy. Along with the advancement of research and technique, there will be better development in normalization and individualization of cervical mechanical traction.

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