翻身锻炼法为主治疗腰椎压缩性骨折50例
作者：张效
单位：内蒙古四子王旗蛇皮正骨医院 011800 中国内蒙古四子王旗
关键词：腰椎压缩性骨折；翻身锻炼法；中医药疗法
广西中医药99zk25 50 Cases of Compression Fracture of Lumbar Vertebra Treated
with Rolling Therapy
Zhang Xiao
Inner Mongolia, China 011800
50 cases were treated mainly with the rolling therapy, together with the paste compress and oral administration to promoting Qi and blood circulation to stop pain. The rolling maneuver was manipulated by compressing the simple vertebral body. Holding the patients scapula with one hand and buttock with the other, the doctor rolled his body to the opposite side forcefully. A cushion of cotton was put under the patients pain spot and traction of pelvis was applied for reposition. Then an assistant stood faced to the doctor, holding the shoulder and buttock of the patient and the doctor supported the lumbar vertebra of fracture with his palms and rolled the body to the opposite side. 49 cases showed to have good fracture union by the X-ray examination after the 12-week treatment. One-year follow-up observation also proved the positive recovery for these 49 cases.
, 百拇医药
Key Words: compression fracture lumbar vertebra; rolling therapy
1997年起笔者采用翻身锻炼法为主治疗腰椎压缩性骨折50例效果满意，报道如下。
1 临床资料
本组50例中男37例，女13例；年龄最大者69岁，最小者28岁，平均48.5岁，其中50岁以上者15例，占32%.L1骨折25例，L2骨折20例，L3骨折4例，L1合并L2骨折1例。合并脑外伤5例，股骨骨折3例，科雷斯骨折5例，肋骨骨折并血气胸者3例。
2 治疗方法
单纯椎体压缩、无椎体脱位者入院后睡硬板床，腰部垫棉垫，外敷本院自制的活血消痛膏，内服行气、活血、止痛等中药，日1剂。
, 百拇医药
翻身锻炼法：术者站立在患者病床的侧方，一手扶患者肩胛部，一手扶臀部，向对侧翻动，同时嘱患者作翻身的动作以配合术者操作；翻身次数以患者自觉乏困为止。
有椎体向后滑脱者，先行腰部垫棉垫加骨盆牵引使其复位后，再行翻身锻炼法。
每日均行翻身锻炼法治疗，逐日增加翻身次数。
有颅内出血、合并血气胸者，先治疗并发症，待病情好转后，再进行上法治疗。对合并其他部位的骨折，亦作相应处理。
3 治疗结果
本组50例中，除1例因颅内出血转院治疗外，49例均可在3周后坐立，1个月后在腰围固定下开始扶双拐轻负重下地行走，7周后大多可弃拐行走，在腰围保护下自然活动。49例约在12周后复查摄片，均显示骨折已愈合。对49例随访1年，均恢复良好，可正常工作。
4 体会
腰椎压缩性骨折一般需长期卧床休息，疗程长，易并发褥疮，影响患者的康复和工作。翻身锻炼法利用生物力学的原理，在翻身中压缩面因受到各方向的应力刺激，比一般静止状态所受的应力较为完善及作用全面，加快了腰肌组织恢复，防止了肌腱钙化，促进了骨折愈合，故疗效较好。本组49例12周后复查拍片，均显示骨折已愈合。
1999-09-25收稿, 百拇医药
单位：内蒙古四子王旗蛇皮正骨医院 011800 中国内蒙古四子王旗
关键词：腰椎压缩性骨折；翻身锻炼法；中医药疗法
广西中医药99zk25 50 Cases of Compression Fracture of Lumbar Vertebra Treated
with Rolling Therapy
Zhang Xiao
Inner Mongolia, China 011800
50 cases were treated mainly with the rolling therapy, together with the paste compress and oral administration to promoting Qi and blood circulation to stop pain. The rolling maneuver was manipulated by compressing the simple vertebral body. Holding the patients scapula with one hand and buttock with the other, the doctor rolled his body to the opposite side forcefully. A cushion of cotton was put under the patients pain spot and traction of pelvis was applied for reposition. Then an assistant stood faced to the doctor, holding the shoulder and buttock of the patient and the doctor supported the lumbar vertebra of fracture with his palms and rolled the body to the opposite side. 49 cases showed to have good fracture union by the X-ray examination after the 12-week treatment. One-year follow-up observation also proved the positive recovery for these 49 cases.
, 百拇医药
Key Words: compression fracture lumbar vertebra; rolling therapy
1997年起笔者采用翻身锻炼法为主治疗腰椎压缩性骨折50例效果满意，报道如下。
1 临床资料
本组50例中男37例，女13例；年龄最大者69岁，最小者28岁，平均48.5岁，其中50岁以上者15例，占32%.L1骨折25例，L2骨折20例，L3骨折4例，L1合并L2骨折1例。合并脑外伤5例，股骨骨折3例，科雷斯骨折5例，肋骨骨折并血气胸者3例。
2 治疗方法
单纯椎体压缩、无椎体脱位者入院后睡硬板床，腰部垫棉垫，外敷本院自制的活血消痛膏，内服行气、活血、止痛等中药，日1剂。
, 百拇医药
翻身锻炼法：术者站立在患者病床的侧方，一手扶患者肩胛部，一手扶臀部，向对侧翻动，同时嘱患者作翻身的动作以配合术者操作；翻身次数以患者自觉乏困为止。
有椎体向后滑脱者，先行腰部垫棉垫加骨盆牵引使其复位后，再行翻身锻炼法。
每日均行翻身锻炼法治疗，逐日增加翻身次数。
有颅内出血、合并血气胸者，先治疗并发症，待病情好转后，再进行上法治疗。对合并其他部位的骨折，亦作相应处理。
3 治疗结果
本组50例中，除1例因颅内出血转院治疗外，49例均可在3周后坐立，1个月后在腰围固定下开始扶双拐轻负重下地行走，7周后大多可弃拐行走，在腰围保护下自然活动。49例约在12周后复查摄片，均显示骨折已愈合。对49例随访1年，均恢复良好，可正常工作。
4 体会
腰椎压缩性骨折一般需长期卧床休息，疗程长，易并发褥疮，影响患者的康复和工作。翻身锻炼法利用生物力学的原理，在翻身中压缩面因受到各方向的应力刺激，比一般静止状态所受的应力较为完善及作用全面，加快了腰肌组织恢复，防止了肌腱钙化，促进了骨折愈合，故疗效较好。本组49例12周后复查拍片，均显示骨折已愈合。
1999-09-25收稿, 百拇医药