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中药汽疗治疗踝关节骨折术后功能障碍

发表时间:2018-08-01浏览次数:

  中药汽疗治疗踝关节骨折术后功能障碍

  原载《中国骨伤》2003年第7期

网上扎金花平台   HUAIGUANJIEGUZHESHIQINGZHUANGNIANZUICHANGJIANDEGUANJIENEIGUZHEZHIYI,YUEZHANQUANSHENGUZHEDE3.92%。YOUYUHUAIGUANJIESHENGLISHANGDETESHUXING,ZHILIAOSHIYINGLIQIUJIEPOUFUWEI。MUQIANQIEKAIFUWEI,HUIFUHUAIXUEDEZHENGCHANGWEIZHI,JIANQIANGNEIGUDINGYICHENGWEIZHILIAOBUWENDINGHUAIGUANJIEGUZHEDEZHUYAOFANGFA。SUIZHEHUAIGUANJIESHOUSHUDEZENGDUO,WOMENFAXIANSHUHOUYOUXIANGDANGYIBUFENBINGRENCHUXIANHUAIGUANJIEDEHONGZHONG、HUODONGZHANGAINAIZHIGUANJIEJIANGYING。YIWANGZHILIAOJINYIHUANZHEZIWOGONGNENGDUANLIANWEIZHU,LIAOXIAOQIANJIA,ZI2000NIANYILAI,WOMENZAILINCHUANGSHANGCAIYONGZHONGYAOQILIAOJIEHEYUNDONGLIAOFAZHILIAOLE30LIZHEIYANGDEBINGREN,QUDELEMANYIDELIAOXIAO。

  1、临床资料

  30LIHUANZHEJUNYUSHUHOUCUNZAIBUTONGCHENGDUDEHUAIGUANJIEGONGNENGZHANGAI。QIZHONG,NAN16LI,NV14LI。NIANLING18~69SUI,PINGJUNNIANLING39.5SUI。ZHILIAOKAISHISHIJIANCONGSHUHOU2ZHOU~4GEYUEBUDENG,DUOSHUBINGRENWEISHUHOU1YUEZUOYOUKAISHI。ZHILIAOSHIJIAN2ZHOU~2GEYUE。SUIFANGSHIJIANWEIBANNIANDAO1NIAN。

  2、疗效评定标准

  WOMENCANKAOLELeeds、MASHI、LUSHIZHILIAOHUAIGUANJIEGUZHEDEFENSHUPINGDINGBIAOZHUN,SHEJILEFENSHUPINGDINGBIAOZHUNRUXIA:

  ①TENGTONG:RICHANGHUODONGWUTENG30FEN;RICHANGHUODONGQINGDUTENGTONG20FEN;XINGZOUKAISHIJIUTENGTONG,DANRENGNENGJIANCHI10FEN;TENGTONGBOXING,XUFUGUAI0FEN。

  ②ZHONGZHANG:WUZHONGZHANG30FEN;QINGDUZHONGZHANG,ZHOUJING>DUICE1cmYINEI20FEN;ZHONGDUZHONGZHANG,ZHOUJING>DUICE1~2cmZUOYOU10FEN;ZHONGDUZHONGZHANG,ZHOUJING>DUICE2cmYISHANG0FEN

网上扎金花平台   。③HUAIGUANJIEHUODONG,ZONGHEKAOCHABEISHEN、ZHIQUHEXUANZHUAN:HUODONGDUZHENGCHANG40FEN;BEISHENHUODONGDUSHOUXIAN0~10°30FEN;ZHIQUHUODONGDUSHOUXIAN10~20°20FEN;XUANZHUANHUODONGDUSHOUXIAN20~30°10FEN;HUODONGDUSHOUXIAN>30°0FEN。ZONGFEN:ZHILIAOQIAN,30LIBINGRENZHONG,FENSHUZUIGAOWEI70FEN,ZUIDIWEI15FEN,30FENYIXIA3REN,30~50FEN14REN,50~70FEN13REN。PINGJUNFENWEI43.3FEN。ZHILIAOHOUDA90FENYISHANGHUOFENZHISHANGSHENGDA30FENYISHANGZHEWEIYOU;FENZHIWEIDAYOU,DANZHILIAOQIANHOUFENZHISHANGSHENG20~30FENZHEWEILIANG;FENZHISHANGSHENG10~20FENZHEWEIZHONG;FENZHISHANGSHENG10FENYIXIAHUOWUGAISHANZHEWEICHA。

  3、治疗方法

  QILIAOZHONGYAOFANG:SHENGHUANGQI30g、CHUANXIONG30g、JIXUETENG30g、RENDONGTENG30g、DIBIECHONG9g、DILONG9g、SANLENG15g、

网上扎金花平台   WOSHU15g、SANGZHI30g、GUIZHI15g.

  FANGFA:CAIYONGWUXIHUAHENGSHIYEJITUANGONGSISHENGCHANDEZHONGYAOXUNZHENGQIYUYI。JIANGYAOFANGRUZHONGYAOQILIAOYIWUHUAQIZHONG,BINGJIASHILIANGSHUI,GUANBICANGGAI,QIDONGDIANYUAN,SHIYAOWUDA100℃CHANSHENGHANYAOWUHUASHICANGNEIZHILIAODADAO42℃,RANGHUANZHEJINRUZHILIAOCANGNEI,GUANBICANGMEN,KONGZHIWENDUYU40~45℃ZHIJIAN,MEITIANYICI,MEICI20~30FENZHONGLIANXUZHILIAO10CI,XIUXI2TIAN,ZAIJIXUZHILIAO。ZHILIAOGUOCHENGZHONG,ZHUHUANZHEZAICANGNEIHUODONGSHUANGHUAIGUANJIE,TONGSHISHIHUAIGUANJIEKAOJINSHUANGCECHUQIKONG,SHIHANYAOWUQIKECHONGFENXUNZHENGHUANCHU。MEICIXUNZHENGWANBI,ZAIYOUYISHIHUODONGQIHUANCEHUAIGUANJIE。ZHUYAOWEIQUSHENHUODONGHEXUANZHUANYAOHUANGYUNDONG。

  ZHUYISHIXIANG:SHOUXIANYAOMINGQUEZHILIAODESHIYINGZHENGHESHIDANGDESHIJIAN,DUIYUSHOUSHUGANGGANGJIESHUZHONGTONGHAIXIANZHUZHE,HUAIYIKENENGYOUJUBUGANRANZHE,NEIGUDINGBUGOUJIANQIANGZHE,JUNYINGTUICHIZHILIAOSHIJIAN。YUWUTESHUJINJIZHENG。ERZAISHOUFAKAISHIQIAN,SHISHUZHEYAODUIBINGRENDEBINGQING,DUIHUAIGUANJIESUNSHANGDECHENGDU,SHOUSHUDEFANGFAZUOZHOUMIDELEJIE,RENZHENJINXING"WANG、BI、MO"DEJIANCHA,ZUODAOXINZHONGYOUSHU。HUODONGGUANJIESHOUFADEYAODIANSHIYANGEZHANGWOGUANJIEHUODONGFANWEIDEDAXIAO。XIAOLEQIBUDAOSHOUFADEZUOYONG,DALEKENENGHUIDAOZHIZAICISUNSHANG,ZHONGXINCHUXUE,JIAZHONGZHANLIAN,LINCHUANGSHANGSHENZHIYOUQIANGLISHOUFAZAOCHENGZAIGUZHEDEXIANLI。YINCISHOUFADESHULIANCHENGDUYESHIYIGEGUANJIAN。

  4、治疗结果

  ZHILIAOHOU,YOU9LI,LIANG15LI,ZHONG4LI,CHA2LI。YOULIANGLVDA80%。YOUXIAOLVDA93.3%。QIZHONG,ZUIGAOFENWEI100FEN,ZUIDIFENWEI20FEN,70FENYISHANG15LI,50~70FEN11LI,30~50FEN3LI,30FENYIXIA1LI。PINGJUNFENWEI71.8FEN。ZAICHADE2LIZHONG,1LIZHILIAOKAISHISHIJIANDAYU3GEYUE,LING1LIFUWEIBULIXIANG。

  5、病例介绍

网上扎金花平台   HUANZHE,WANGX,NAN,48SUI,JIUZHENRIQI2002NIAN2YUE12RI。HUANZHE1YUEDIYINDIESHANGERZHIYOUSHUANGHUAIGUZHE。JIZHENZAIWOYUANSHOUSHUZHILIAO,WAIHUAIYONG5KONG1/3GUANXINGGANGBANLUODINGGUDING,NEIHUAIYONG2MEISONGZHIGULUODINGGUDING。SHUHOU2ZHOU,CHAIXIAN,QIEKOUYUHELIANGHAO,PIFUWENDUBUGAO,DANGUANJIEZHONGZHANGMINGXIAN,GUANJIEHUODONGYANZHONGSHOUDAOXIANZHI,ZAICIQIANLAIJIUZHEN,PINGFENWEI30FEN。YUZHONGYAOXUNZHENGZHILIAO,TONGSHIJIYUXUNZHENGHOU,HUODONGSHOUFAZHILIAO。SHICIHOU,ZHONGZHANGMINGXIANJIANQING,HUODONGYEYOUGAISHAN,JIXUZHILIAOZHI20CI,HUAIGUANJIETENGTONGZHONGZHANGJIBENXIAOSHI,GUANJIEZHOUWEIWUZHOUYATONG,GUANJIEHUODONGZIRURUCHANG,PINGFENWEI90FEN,ERGAOQUANYU。

  6、讨论

网上扎金花平台   ZAIHUAIGUANJIEGUZHESHUHOU,CHUANGSHANGDEXIUFUJIEDUANZHONG,WOMENHUIKANDAOJUBUDEXUNHUANZHANGAIHEYANZHENGDEBIAOXIAN,YIJIYINCIERCHANSHENGDETENGTONGHEFANSHEXINGZHIDONG。ZHEIJIZHONGYINSUJIANGYINQIHUAIBUJIROUFEIYONGHEHUODONGZHANGAI,CONGERZAOCHENGSUOWEIDE“GUZHEBING”(Lucas-chan-pionniere)。QIJUTILINCHUANGJINCHENGWEIMANXINGSHUIZHONG,RUANZUZHIWEISUO,JUBUGUZHISHUSONG。ERSHUIZHONGHECHUANGSHANGDEBENSHENYIJIYANZHENGYOUKEYINQIJIANGYEXIANWEISUDESHENCHU,DAOZHIJIROURUANZUZHINEIBUDEXIANWEIHUA,SHIDEJIROUYUGUGEHEJINMOZHIJIANFASHENGFEISHENGLIXINGZHANLIAN,YINERCHUXIANHUAIGUANJIEDEJIANGYING。ZHEIXIEHOUYIZHENGRUGUOJINYIBUFAZHAN,JISHIJINGZHANGQIYIBANDEWULIZHILIAOYENANYIGAISHAN。ZAILINCHUANGZHONGWOMENFAXIANZHONGYAOWAIZHI,YOUQISHIXUNZHENGLIAOFADUICIYOUYIDINGDEZUOYONG。

网上扎金花平台   ZHONGYAOQILIAOXUNZHENGZHIFAQIYOULAIYEJIU。ZAOZAI《WUSHIERBINGFANG》ZHONGJIUJIZAILEXUNXILIAOFAZHILIAOWAISHANGDEFANGFA,《HUANGDINEIJING》YEYOU“HANZHEREZHI,REZHEHANZHI……MOZHIYUZHI”ZHISHUO,ZUIZAODESHANGKEZHUANZHU《XIANSHOULISHANGXUDUANMIFANG》GENGSHIBAXUNXILIAOFAZUOWEIZHONGYAODEZHIBINGFANGFAYINGYONG。ZAILINCHUANG,XIZHOUSHIQIZHONGYAOQILIAOJIUSHENGXINGYUGONGTINGHUANGSHI,YONGLAIJIESHEN、ZHIBING、PIXIE;CONGJINTANGQI,KAISHIGUANGFANYINGYONGDAOLINCHUANGGEKE;ZHIMINGQING,JINRUDINGSHENGJIEDUAN。QIANBAINIANLI,LIDAIYIJIAHEMINJIANYINGYONGZHONGYAOQILIAOERQUDEXIANXIAODEBINGANGENGSHIDUORUFANXINGBUSHENGMEIJU。ZONGDELAISHUO,ZHONGYIZHENGXUNLIAOFASHIYIZHONGWULILIAOFA,YIZHONGYIYAOBIANZHENGLUNZHIWEIJIBENLILUNWEIZHIDAO,LIYONGZHONGYAOZHENGQIXUNZHENGHUANCHULAIZHILIAOJIBINGDEYIZHONGFANGFA,SHIZHONGYIXUEWAIZHILIAOFADEZHONGYAOZUCHENGBUFEN。QIJILISHITONGGUOSHIREDUIJUBUHUOQUANSHENPIFUDECIJI,CUJINXUEGUANKUOZHANG,XUEYEJILINBAXUNHUAN,CUJINXINCHENDAIXIE,GAISHANJUBUHUOQUANSHENDEZUZHIYINGYANG、DAIXIE,DIAOJIEJUBUHUOQUANSHENSHENJING、JIROU、QIGUANDEGONGNENG;QICI,TONGGUOJUBUHUOQUANSHENPIFUDUIYAOWUDEXISHOU,SHIYAOWUZHIJIEDUIJUBUPIFUHEQUANSHENQIGUANFAHUIZUOYONG。

  YOUYUPIFUSHIRENTIZUIDADEQIGUAN,YAOWUTONGGUOPIFUXIYOUMIANJIDA、ZUOYONGZHIJIE、YAOWUXISHOUBUSHOUTINEIQITANEIHUANJINGYINGXIANG、JIANQINGWEICHANGDAOFUZUOYONGDENGYOUDIAN,BINGKECHIXUKONGZHIJIYAOSUDU,ZHONGDUANJIYAOFANGBIAN。HUAIGUANJIEGUZHEDEZHILIAOZUIZHONGMUDESHIJIEJUEGUANJIEGONGNENGZHANGAI。WOMENYUNYONGZHONGYAOQILIAOYITONGGUOYAOWUXUNZHENG,KEYISHIYAOWUYOUXIAOCHENGFENTONGGUOKAIXIEDECOULIYIWENREZHILIZHIDABINGSUO,YEJIUSHISHIYAOWUTONGGUOBIAOPIXISHOU,JIAOZHICENGSHENTOUHEZHENPICENGZHUANYUNJINRUGUANJIEJUBUWEIXUNHUAN,CONGERCUJINLESHOUSHANGGUANJIEBUWEIZHENGCHANGXUEYUNDEXUNSUHUIFU,JINYIBUQIDAOCUJINGUANJIERUANGUJIQIZHOUWEIRUANZUZHIDEXIUFU,FANGZHIGUANJIEZHANLIANHEJIANGYING,ZENGJIAGUANJIEHUODONGDUDEGONGXIAO。TONGSHI,YOUNENGCIJIPIFUDESHENJINGMOSHAOGANSHOUQI,JUYOUSHENJINGTIYEDIAOJIEZUOYONG,CONGERZENGJIALEGUANJIERUANGUDEYINGYANGHEDAIXIE,JIASULERUANGUHERUANZUZHISUNSHANGDEXIUFU,JIAKUAILEGUZHEDEGAIZAOGUOCHENG,SUODUANKANGFUSHIJIAN。YUCITONGSHI,PEIHEJUBUSHOUFADEZUOYONG,JIAQIANGZHUDONGHEBEIDONGDEGUANJIEHUODONG,KEYIZUDUANLESUOWEIDE“TENGTONGFAMEN”,HUANJIEHUAIGUANJIESUNSHANGHUOSHUHOUYINQIDETENGTONG,ZUIZHONGJIANSHAOLEHOUYIZHENGDEFASHENG。DANGRANZHILIAODECHENGGONGYUFOUHESHOUSHUSHIHUAIGUANJIEZHENGCHANGJIEPOUWEIZHISHIFOUHUIFUYOUMIQIEDEGUANXI。ZAI24LILIAOXIAOYOULIANGDEBINGLIZHONG,YOU18LIJUNDADAOLEJIEPOUFUWEI,ERLIAOXIAOCHADE2REN,YOU1LISHIFUWEIBULIXIANGZHE。XUDUOWENXIANYEBIAOMING,HUAIGUANJIEGUZHEHOUCHUANGSHANGXINGGUANJIEYANDEFASHENGYUYUANSHISUNSHANGCHENGDU、ZHILIAOHOUFUWEIDECHENGDUYOUBIRANDELIANXI。WOMENTONGGUOSHIJIANYEZHENGSHILEZHEIDIAN。TONGSHIZHILIAODEXIAOGUOHEKAISHIQILIAODESHIJIANYEYOUGUANXI。ZAILIAOXIAOYOULIANGDEBINGLIZHONG,YOU20LISHIZAI3ZHOUZUOYOUJIUKAISHIJINXINGDE。WOMENRENWEIZHONGYAOQILIAODEKAISHISHIJIANHAIKEYITIQIAN,ZAISHUHOUSHANGKOUYUHEHOUYUEZAOJINXINGSHOUFAYUEHAO,YOULIANGLVHAIKEYITIGAO。WOMENYOU4LIBINGRENSHI3GEYUEYIHOULAIZHEN,LIAOXIAOJUNWEINENGDADAOYOULIANG,QIZHONG1LIWEICHA。YINCIKEYISHUO,ZHONGYAOQILIAODUIYUHUAIGUANJIEGUZHESHUHOUGONGNENGZHANGAISHANGWEIWANQUANDINGXINGDEGONGNENGHUIFUDEJINCHENGYOUMINGXIANDETUIDONGZUOYONG。WOMENCENGTONGSHIGUANCHALE15LISHUHOUWEIZUORENHEZHILIAODEHUANZHE,SUIFANGBANNIANYISHANG。QIZHONGYOU7LISHUHOUGONGNENGHUIFUSHANGKE(JUNWEIJIEPOUFUWEI),DANJIAOZHONGYAOQILIAODEBINGRENGONGNENGHUIFUDEJINCHENGYAOMAN。LING8LIGUANJIEGONGNENGCHA。SUOYIWOMENRENWEI,ZHONGYAOQILIAODUIHUAIGUANJIEGUZHESHUHOUGUANJIEHEZUBUDEZHONGZHANG、TENGTONG、JIJIANLUANSUO、HUODONGZHANGAI、GUANJIEZHANLIAN、JIANGYINGDENGQUEYOUMINGXIANDELIAOXIAO。TONGSHIGAIFANGFAZUOWEIZHONGYAOWAIZHIZHEIYIGULAOERYOUXINYINGDEZHILIAOFANGFAYIDINGHUIZAIGEGELINGYUDOUYOUGUANGFANDEQIANJING。

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