目的：探究中医骨伤手法结合独活寄生汤加减治疗腰椎间盘突出症患者的临床疗效。方法将2012年1月～2012年12月收治的120例腰椎间盘突出症患者分为对照组和试验组，分别对两组患者采用不同治疗手法进行治疗。对照组患者行单一中医治疗骨伤手法，试验组患者行中医骨伤手法结合独活寄生汤加减治疗，比较两组患者疗效情况。结果试验组治疗总有效率高达91.7%，对照组仅为76.7%，试验组疗效明显优于对照组，差异具有统计学意义（P＜0.05）。结论中医骨伤手法结合独活寄生汤加减治疗腰椎间盘突出症疗效佳，利于患者病情康复。

目的：探究脊柱手术中出现脑脊液漏情况的不同处理方法并比较其疗效。方法回顾性分析2012年1月~2014年12月在我院接受脊柱手术时术中出现脑脊液漏的80例患者的临床资料,其中男性54例,女性26例,年龄15~68岁,平均(45.8±5.6)岁,病程2个月~3年。将患者随机分为两组,A组采用使用EC耳脑胶贴合硬脊膜裂口法进行治疗；B组采用对裂口进行直接缝合后使用明胶海绵进行覆盖的方法治疗,每组40例患者。选取同期进行手术且无损伤情况出现、脑脊液漏发生的40例患者作为对比,比较各组在干预治疗后的脑脊液引流量、引流时间等指标并观察其并发症情况。结果采用A组治疗方案的患者术后平均引流量、引流时间都显著低于采用B组治疗方案的患者,A组术后并发症情况也较B组优良(<0.05)。结论在治疗脊柱手术中出现的脑脊液漏情况时采用EZ耳脑胶结合阔筋膜术中封堵术疗效较好,可以有效治疗脊柱手术中的硬脊膜损伤和预防术后脑脊液漏的形成。

目的:探讨中医骨伤手法联合中药内服治疗椎动脉型颈椎病临床疗效分析. 方法:回顾性分析我院2014年1~12月治疗的100例椎动脉型颈椎病患者的临床资料,随机分为实验组和对照组,对照组患者仅仅进行中药内服治疗,实验组患者采用中医骨伤手法联合中药内服治疗[1]. 通过观察患者眩晕程度、视力恢复情况,进行对比实验,做出统计学分析. 结果:与对照组相比实验组总治愈率高,P<0.05,差异具有统计学意义.结论:在临床治疗椎动脉型颈椎病的过程中,与单纯采用中药内服治疗方法相比采用中医骨伤手法配合中药内服治疗方法临床效果显著,是临床安全可靠的选择.

目的 评价经皮加压钢板螺钉系统(Percutaneous compression plating,PC.C.P)治疗老年(年龄≥65岁)股骨粗隆间骨折近期疗效.方法 将100例拟进行股骨粗隆间骨折内固定手术的患者,Tronzo-Evans分型属于Ⅰ、Ⅱ型者,随机分为试验组和对照组,其中对照组50例,采用动力髋螺钉(Dynamic hip screw,DHS)治疗;试验组50例,采用PC.C.P治疗;观察指标:切口大小、手术时间、术中出血量、术中使用C型臂透视时间;患者随访2～6个月(平均3.1个月).结果 两组患者未发现内固定松动断裂、切口感染、髋内翻畸形、髋关节僵硬、深静脉血栓形成等并发症.PC.C.P组切口大小、手术时间、术中失血量均优于DHS组(P<0.05);术中使用C型臂X线机透视时间,PC.C.P组与DHS组比较差异无统计学意义(P>0.05).结论 PC.C.P与DHS比较,在治疗老年股骨粗隆间骨折方面,具有创伤小、手术时间短、出血量小等优点.

Objective:To evaluate the effects of interlocking intramedullary nail in treating distal femoral fracture.Methods:A total of 90 cases with distal femoral fracture were randomly divided into experimental group and control group by half.Cases in experimental group were treated by interlocking medullary nail while cases in control group were treated by locking compressing plate.The surgery time,volume of blood loss during surgery,healing time and incidence of post operational complication were observed and compared.Then a 6-18 month follow-up was carried out,averaged 12 months.Results:Experimental group showed longer surgery time,less bleeding volume,and shorter healing time(P0.05).The excellent and good rate was significantly higher in experiment group(91.1%vs 73.3%)(P0.05).Conclusions:With less bleeding volume and shorter healing course,interlocking intramedullary nail is more effective than locking compression plate.

Objective:To observe the preventive effect of Danhong Injection(DI) on deep vein thrombosis(DVT) in lower limbs of patients after total hip replace-ment,(THR).Methods:Ninety qualified patients who were going to take THR were equally randomized into the treatment group and the control group.The two groups were given peri-operative conventional therapy and routine nursing method,and the treatment group was given DI additionally.After THR,the occurrence of DVT,and symptoms and signs were observed.Bleeding volume during the operation,and postop-erative drainage volume from the wound were recorded.Hemoglobin content and platelet count as well as the adverse reaction of drugs were monitored 14 days after op-eration.Results:DVT occurred in 8 patients(17.8%) of the treatment group,and in 19(42.2%) of the control group,the difference being significant between the two groups(P>0.05).In the treatment group,bleeding volume during the operation was(389±72)mL,postoperative drainage volume from the wound was(248±65)mL,hemoglobin content was(103±15)g/L and platelet count was(210 ±25)×109/L.In the control group,bleeding volume during the operation was(385 ±72)mL,postop-erative drainage volume from the wound was(247±64)mL,hemoglobin content was(100±I5)g/L and platelet count was(209±25)×109/L.The differences of the above four parameters were insignificant between two groups(P> 0.05).Conclu-sion:DI is effective and safe on decreasing the incidence of DVT in lower limbs of patients after total hip replacement.

疼痛、肿胀、功能障碍是踝关节损伤主要面临的常见问题,通过分析推拿对踝关节损伤疼痛、肿胀、功能障碍的影响及临床运用,指出推拿可以用于踝关节损伤的治疗,并为进一步进行科学的临床总结和机理探讨提供思路和途径。