查詢結果分析
來源資料
頁籤選單縮合
題名 | 中西醫治療骨折的動物實驗差異性評估(3)--家兔「天津模式」固定之骨癒合評估及臨床運用=Study of Fracture-Fixation with Traditional Chinese Medicine and Clinical Application(3) |
---|---|
作者 | 謝銘勳; |
期刊 | 中醫藥年報 |
出版日期 | 19980500 |
卷期 | 16:1 1998.05[民87.05] |
頁次 | 頁17-36 |
分類號 | 413.422 |
語文 | chi |
關鍵詞 | 中西醫治療骨折之差異性; 骨折之癒合性與固定; 傳統中醫治療骨折之科學化; Chinese traditional medicine; Fixation; Union; Chinese maneuvers; |
中文摘要 | 文獻上很少人作中醫療法之骨癒合程度探討(Stage of Bone Healing) 本計畫可作一深入探討,並比較西醫療法之異同,不管臨床上或組織學上, 本計畫要使中醫療法由經驗之學進入科學化及理論化之深入研究探討。 本研究目的為"人為骨折"於脛腓骨上三分之一處,再行中西醫骨折之 固定方式探討。預期完成科學化、系統化、理論化之中醫治療骨折之分析, 包括: (a)中西醫醫療骨折處理方式上之異同分析(方式) (b)中西醫醫療骨折之效果分析,包括骨癒合時間長短快慢 (c)骨癒合程度及影響因素 (d)軟組織的變化(皮膚、肌肉、肌腱...等) (e)臨近關節之活動度及將來之僵硬程度 (f)復健時間及肌肉萎縮程度 (g)整體療效(包括醫生及病人之主客關評估,及傳統關念) 實驗方法:我們初步研究,Semi Rigid Fixation 狀況,先期包括中醫之"天 津模式"以骨折徒手復位後之夾板,緩衝棉紙、橡皮圈固定,(不超過上 下關節),以骨折部位之肌肉均衡力及外在之Semi Rigid Fixation,西 醫方式則以傳統之骨折部位之一關節上及關節下之石膏術復位固定方式及 手術復位併骨髓內釘復位固定作為目標;每隻兔子之右腳用中醫"天津模 式"夾板固定、左腳用西醫石膏固定,另一組用骨髓內釘固定。脛骨粗隆 往下2cm處作鋸斷之骨折(橫切之人為骨折),且於脛骨平臺下2cm處之腓 骨也作前述相同之"人為骨折"。 以NWZ家兔分成6組,(n=60)每組各10隻,一組為為控制組(未骨折), 餘五組"人為骨折"後分別於第2、4、6、8、10、星期,作動物�E牲並行上 述之中西醫保守治療方式作對照實驗(石膏組→實驗組B�窗B骨髓內釘組→ 實驗組B�陛鬻赤O組→對照組A)並作上述之三種研究方式:a)組織切片形態 學觀察b)X--光片檢查,c)臨床理學檢查之評估。 實驗發現:使用"天津模式"之中醫方式也能得到很好的骨癒合之成 效,(包括骨癒合的量及骨癒合時間相接近),但是必須在intensive Care 下,才會有上述結果,因為以此種方式可能更易造成骨折端軸心彎曲 (Anguletion, Rotation)或縮短(Shortening)之情形,但是關節上下活動 好,不會僵硬;且肌肉萎縮較少。中西醫方式不同,但有各自之特點。 |
英文摘要 | In orthopaedics, we use plasters or surgery with metallic plates and screws as fixation methods. There have already been many references aimed at stages of bone healing treated with west medicine method. But treatment of fracture with Chinese medicine includes manually close reduction and fixation with board, cloth, cotton...etc. There are only few or even no references about fracture treatment with Chinese medicine method. This arouse us to design such an experiment. Before the experiment, the rabbits were carefully anesthetized. After shaving and scrubbing, an incision along the tibial crest was made. The tibia and fibula were artificially fractured with saws 2 cm below tibial tuberosity. The skin and surrounding soft tissues were then sutured back. We arbitrarily treated the right legs with the traditional Chinese maneuvers, and the left legs with the modern Orthopedic methods. In the Chinese maneuvers, the fractures were reduced manually, and then stabilized with tongue depressors and elastic rubbers with the fixation not extending above the knee and below the ankle joint. In the Orthopedic methods, after close reduction the fractures were stabilized with plaster casts and the knee and anke joints were also involved in the fixation. The experimented rabbits were divided into six groups, with each group having ten rabbits. The first group was the placebo (not fractured), and the rabbits of the other five groups were sacrificed in the 2nd, 4th, 6th, 8th and 10th week, By observing the (a) histological sections (b)x-ray and (c)clinical physical examination, we made comparison between the Chinese maneuvers and the orthopedic methods. In the Chinese maneuvers, angulation, rotation or shortening were apt to occur, so the similar results can be only obtained under intensive care (frequently adjusting the positions of the tongue depressors). The joint motions above and be low the fracture were well preserved, and muscle atrophies were fewly observed in the Chinese maneuvers. We found that the results of Chinese maneuvers are similar to those treated with Orthopodic methods, including the amount of callus formed and the intervals in which bone union required. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。