健骨康胶囊治疗绝经后骨质疏松症临床观察

目的：观察院内制剂健骨康胶囊对绝经后骨质疏松性骨痛症186例的临床疗效。方法：将186例符合入选条件的患者随机分为2组。治疗组94例和对照组92例，治疗组给予健骨康胶囊4粒／次，每日3次，口服；对照组钙尔奇D1粒／次，每日2次，口服。疗程6个月。结果：两组患者治疗后3～6个月BMD都较治疗前有不同程度增高。以total为显著（增幅2．95％～4．40％），P〈0．01；治疗后两组BMD比较无显著意义。治疗组中54例患者疼痛症状得到显著改善，27例患者轻度改善，总改善率86．17％；对照组显著改善21例，轻度改善29例，总改善率54．35％。两组总改善率经统计学处理有显著差异P＜0．05，进一步经ridit分析显示治疗组疗效明显优于对照组。结论：健骨康胶囊对治疗绝经后骨质疏松症有提高骨密度（BMD），缓解骨痛之效果。     

活血生骨汤配合手法治疗股骨头缺血性坏死42例

目的:观察活血补肾类中药配合手法治疗股骨头缺血性坏死的疗效。方法:采用自拟活血生骨汤(川芎、当归、牛膝、骨碎补、熟地、鹿角胶、杜仲等)配合手法治疗本病42例。结果:总有效率93%。提示:本方法具有活血通络,补肾生骨之功效。     

大成汤配合中药外敷治疗胸腰椎骨折临床研究

目的:观察活血化瘀、止痛类中药配伍治疗胸腰椎骨折的疗效。方法:将胸腰椎骨折病例82例随机分为治疗组42例,男性12例,女性30例;胸椎骨折9例,腰椎骨折28例,胸腰椎合并骨折5例。采用口服传统方剂大成汤加减配合我院自制808伤药膏外敷。对照组40例,男性10例,女性30例;胸椎骨折8例,腰椎骨折29例,胸腰椎合并骨折13例。采用三七总皂甙注射液静点配合外用云南白药气雾剂。结果:治疗组有效率为97.62%;对照组有效率为80%;治疗组疗效明显优于对照组(P<0.05)。结论:该疗法可活血通便,通络止痛,缩短疗程,疗效满意。     

微创手术治疗拇外翻134例分析

我们近年来共治疗拇外翻病人134例，合计256只足，现报告如下。     

水针按摩治疗老年肩周炎76例I

目的:采取药物穴位注射配合手法针灸治疗老年性肩周炎的疗效。方法:采用药物穴位注射配合手法、针灸、功能锻炼综合治疗本病76例。结果:优良率达到92.1%。提示:本方法对本病有松解粘连,缓解疼痛的功效。     

Correlation between osteoporosis and degeneration of intervertebral discs in aging rats

This study examined the correlation between osteoporosis and the degeneration of in-tervertebral discs. Sprague-Dawley rats were maintained up to 22 or 28 months. The femoral bone, tibial bone and lumbar vertebra were histologically studied and the expression of collagen type Ⅱ and Ⅹ in intervertebral discs was immunohistochemiscally determined. Several indices for the de-generation of intervertebral discs and osteoporosis and the correlation among them were then ana-lyzed. Close correlations were found among the indices for the degeneration of intervertebral discs, including the relative area of the vascular bud, the ratio of the uncalcified and the calcified layers, the expression of collagen type Ⅱ and Ⅹ. The correlation with collagen type Ⅹ was negative. There existed positive correlations among the indices for osteoporosis, including the thickness ratio of cor-tical bone, the relative area of bone trabecula, the density of femoral and vertebral body bones, and the maximum stress and strain on bone. Analysis on the relationship of osteoporosis and the disease on disc showed that the indices of osteoporosis were negatively correlated with the indices of the de-generation of intervertebral discs but the expression of collagen type Ⅹ was positively correlated, with the density of vertebral body bones having the strongest dependence on collagen type Ⅹ. The maximum stress and strain bore no correlation with the degeneration of intervertebral discs. These results suggest that osteoporosis was negatively correlated with the degeneration of intervertebral discs.     

中医治疗第三腰椎横突综合征40例

目的观察在病变部位周围浸润注射人胎盘组织液治疗第3横突综合征的疗效。方法使用7号注射针头在第3腰椎横突后方进行毫针和针刀操作,并且在第3横突尖端周围注射药液治疗第3腰椎横突出综合征40例。结果有效率达到97.5%。提示本方法简单易行,利用普通针头综合了多种针械的特点和优点。     

中医内外兼治治疗胸腰椎骨折68例

目的:观察活血化瘀、止痛类中药配伍治疗胸腰椎骨折的疗效。方法:68例患者采用我院808伤药膏外贴配合口服传统方剂大成汤(大黄、芒硝、枳壳等)。结果:有效率为97%。结论:该疗法可活血通便,通络止痛,缩短疗程。     

Y型钢板治疗跟骨关节内骨折15例

目的:探讨切开复位Y型钢板内固定治疗跟骨关节内骨折的治疗方法和疗效。方法:对15例累及关节面的跟骨骨折作切开复位Y形钢板内固定治疗。结果:术后患足功能按Maryland足部评分系统优12例,良2例,优良率为93.3%。结论:切开复位Y型钢板内固定是治疗跟骨关节内骨折较好的方法。     

穴法派的形成与发展

目的：论证穴法派在针灸学科中的发展及地位。方法：追渊述流,认为穴法派从 《针灸甲乙经》已形成体系,在随、唐、金、元等朝得以发展提高。强调其对我国针 灸学的继承和发展有巨大影响。