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題 名 | 中西醫治療骨折的動物實驗差異性評估(2)--以家兔脛骨骨折後之固定方式研究=Experimental Study of Fracture Fixation with Traditional Chinese Medicine(2) |
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作 者 | 謝銘勳; | 書刊名 | 中醫藥年報 |
卷 期 | 15:1 1997.05[民86.05] |
頁 次 | 頁334-354 |
分類號 | 413.422 |
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; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究目 的為"人為骨折"於脛排骨上三分之一處,再行中西醫骨折之固定方式探 討。 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。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) 骨癒合租度及影響因素 (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 及手術復位併骨板骨釘固定作為目標; 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,另一組用骨板骨釘固定。 脛骨粗隆往下 2cm 虎作鋸斷之骨折 (橫切之 人為骨折 ),且於脛骨平台下 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, 作動物犧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 Bl、骨板骨釘組→實驗組 B2、夾板組→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。 我們的發現是 , 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 1Oth 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 below 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 Orthopedic methods, including the amount of callus formed and the intervals in which bone union required. |
本系統中英文摘要資訊取自各篇刊載內容。