功能锻炼对骨折愈合影响的红外实验与临床观察.docVIP

功能锻炼对骨折愈合影响的红外实验与临床观察 更新日期：2009-07-09 点击： 顾雅君　孟和　吕喜增　刘亨远 提要　为探讨相同负荷不同时间情况下应力对骨折愈合的影响。取同龄山羊5只，常规手术下造成桡骨横断骨折。采用测力式固定器加载固定，分别于7、14、21、28、35天处死，取出桡骨制成实验标本，做红外光谱分析。结果从骨痂的红外光谱中看到，反映有机质存在的吸收带I1的数值，与代表羟基磷灰石的吸收带I2、I3的数值比，14～15天内发生巨变，而White等对家兔胫骨不加载实验，骨痂强度跃度出现在26天左右。由此看出，断端应力对骨愈合有明显促进作用。表明中医和中西医结合骨折疗法中强调功能锻炼，确能加快愈合速度，提高愈合质量，缩短疗程。295例临床观察也支持该实验结果。 主题词　骨折愈合　红外光谱　功能锻炼　临床观察 中图分类号：R683　文献标识码：A　 文章编号：1001-6015(2000)03-0005-02 INFRA-RED EXPERIMENT AND CLINICAL OBSERVATION ON THE INFLUENCE OF FUNCTIONAL EXERCISES ON FRACTURE HEALING Gu Yajun 顾雅君， Meng He 孟　和， Lu Xizeng 吕喜增， et al Microbiology Institute, Academy of Hebei Province, Baoding 071051 In order to study the same stress exerted at different time on fracture healing, experimental radial transverse fractures were made in 5 goats of the same age by routine surgery and compressed-fixed with ergographical fixator. The animals were killed on 7th, 14th, 21st, 28th and 35th days after the fixation, respectively and the radii were harvested and made into experimental specimens, which were given infra-red spectral analysis. From the infra-red spectrum of the callus, it was found that the ratio of I1 (the absorption band of the organic materials) to I2 and 3 (the absorption bands of the hydroxyapatite) had a tremendous change on 14th-15th days, while the leap of callus strength appeared on 26th day in Whites non-compression experiment of the rabbit tibia. From this, it can be seen that the fragmental stress has a significant stimulative effect on fracture healing, improve the healing quality and shorten the course of treatment. The clinical observation of 295 cases supported the results of this experiment as well. Key Words: 　 fracture healing　infra-red spectrum　functional exercise　clinical observation 　　中医和中西医结合骨折疗法，把整复、固定和功能锻炼三个阶段密切结合在一起。在“固定与活动相结合”的原则下，固定是从肢体活动的目标出发，而活动又以不影响骨折部的固定为限度。稳定而有效的固定是肢体活动的基础，而合理的活动又是强化固定的必要条件。活动不但要保持整复后的良好位置，同时骨折端的残余成角及侧方移位还可逐渐得到矫正，并能有效加快骨折愈合速度，缩短疗程。功能活动不仅被看成骨折治疗目的，而且被看作骨折治疗的必要手段。功能锻炼是否能加快骨折愈合速度、