[1]杨浦鑫 陈伟 邢欣 王忠正 王宇钏 程晓东 李栋正 张英泽 张奇.新式牵引治疗床在腰椎间盘突出症患者中的疗效分析[J].中华老年骨科与康复电子杂志,2025,(06):359-364.[doi:10.3877/cma.j.issn.2096-0263.2025.06.006]
　Yang Puxin?,?,Chen Wei?,et al.Evaluation of the therapeutic effect of a novel traction device in patients with lumbar disc herniation[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2025,(06):359-364.[doi:10.3877/cma.j.issn.2096-0263.2025.06.006]
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新式牵引治疗床在腰椎间盘突出症患者中的疗效分析()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2025年06期
页码:
359-364
栏目:
脊柱专题
出版日期:
2025-12-05

文章信息/Info

Title:
Evaluation of the therapeutic effect of a novel traction device in patients with lumbar disc herniation
作者:
杨浦鑫1; 2 陈伟1; 2 邢欣2 王忠正1 王宇钏1 程晓东2 李栋正2 张英泽1; 2 张奇1; 2
050051 石家庄，河北医科大学第三医院创伤急救中心1；050051 石家庄，河北省骨科研究所2
Author(s):
Yang Puxin?; ?;  Chen Wei?; ?;  Xing Xin2;  Wang Zhongzheng?;  Wang Yuchuan?;  Cheng Xiaodong2;  Li Dongzheng2;  Zhang Yingze?; ?;  Zhang Qi?; ?.
1Trauma Emergency Center, The Third Hospital of Hebei Medical University, Shi Jiazhuang 050000, China, 2Hebei Institute of Orthopedics, Shi Jiazhuang 050000, China
关键词:
腰椎间盘突出;  牵引术;  保守治疗
Keywords:
Lumbar Disc Herniation;  Traction;  Conservative Treatment
DOI:
10.3877/cma.j.issn.2096-0263.2025.06.006
文献标志码:
A
摘要:
目的 评价新型牵引治疗床对腰椎间盘突出症患者的短期疗效。方法 采用单臂前瞻性设计，纳入于2023年5月至2024年5月于我院脊柱外科门诊就诊的腰间盘突出症患者，均接受新型牵引治疗床规范化干预。于治疗前、末次治疗后即刻及治疗后末次3个月评估Oswestry功能障碍指数（ODI）、日本骨科协会评分（JOA）和视觉模拟评分（VAS）；行腰椎MRI并依据Pfirrmann分级进行影像学评价。研究主要结局为末次治疗后3个月的ODI指数，所有计量资料用配对t检验或非正态数据用Wilcoxon符号秩检验和广义估计方程（GEE）分析。结果 本研究共计纳入30例LDH患者，其中男性14例（46.67%），女性16例（53.33%），年龄为（46.13±16.38）岁。与治疗前相比，末次治疗后即刻ODI与VAS显著下降、JOA显著升高（均P＜0.001）；3个月随访ODI与VAS改善维持，JOA趋于稳定，治疗好转率达90.00%。GEE结果显示时间因素对ODI、JOA、VAS均有显著影响（均P＜0.001），成对比较结果与上述一致。结论 新型牵引治疗床可在短期内显著减轻LDH患者疼痛、改善神经、运动功能，具有一定临床应用价值。
Abstract:
Objective To evaluate the short-term efficacy of a novel traction therapy bed for patients with lumbar disc herniation.?Methods A single-arm prospective design was used. Patients with LDH attending the spine surgery outpatient department of our hospital from May 2023 to May 2024 were enrolled and all received standardized intervention with the novel traction therapy bed. The Oswestry Disability Index (ODI), Japanese Orthopaedic Association (JOA) score, and Visual Analog Scale (VAS) score were assessed before treatment, immediately after treatment, and 3 months after treatment. Lumbar MRI was performed for imaging evaluation according to Pfirrmann grade. The primary outcome was the ODI at 3 months post-intervention. All measurement data were analyzed using paired t-tests or Wilcoxon signed-rank tests for non-normal data, and Generalized Estimating Equations (GEE).?Results A total of 30 LDH patients were included in this study, including 14 males (46,67%) and 16 females (53.33%), with an average age of 46.13±16.38 years. Compared with pre-intervention, ODI and VAS decreased significantly immediately after intervention, while JOA increased significantly (all P<0.001). At the 3-month follow-up, the improvements in ODI and VAS were maintained, and JOA tended to stabilize, the improvement rate of treatment reached 90.00%. GEE results indicated that the time factor had a significant effect on ODI, JOA, and VAS (all P<0.001), and pairwise comparison results were consistent with the above findings.?Conclusions The novel traction therapy bed can significantly alleviate pain, improve neurological and motor function in LDH patients in the short term, demonstrating certain clinical application value.

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备注/Memo

备注/Memo:
基金项目：河北省重点研发计划项目（21377731D）
更新日期/Last Update: 2026-05-18