本文選題：學術思想 + 手法復位　； 參考：《北京中醫(yī)藥大學》2016年碩士論文

【摘要】：目的：1.收集、整理、繼承指導老師包金山教授的學術思想和臨床經驗。2.通過挖掘整理包金山老師治療骨折手法復位術臨床經驗進一步了解老師的學術思想,學習和研究傳統(tǒng)手法復位術,學習研究“三診、六側、九結合”的科學性及重要性,為臨床提供理論依據。3.論包金山教授對祖?zhèn)飨聛淼拿舍t(yī)整骨學術思想淵源數據和闡述,研究和提煉包金山教授多年來積累和形成的蒙醫(yī)整骨學術思想和臨床經驗,進一步解析該手法的科學性與優(yōu)勢,提煉指導老師的學術思想和臨床經驗。4.評價蒙醫(yī)整骨特色療法“夾擠分骨手法”治療前臂雙遠端骨折的優(yōu)越性與可靠性、選擇性。5.通過蒙醫(yī)整骨療法和切開復位內固定療法的臨床癥狀的評價對比研究,進一步驗證蒙醫(yī)整骨療法治療前臂雙遠端骨折的療效。方法：1.搜集資料,學習經典著作,結合跟師體會總結整理指導老師手法復位治療及臨床經驗及學術思想。2.運用包金山老師實際臨床經驗及學術思想,結合自己臨床積累,通過西醫(yī)臨床路徑手術治療的前臂雙遠端骨折患者和夾擠分骨手法治療前臂雙遠端骨折術后治愈的對比研究,對蒙醫(yī)傳統(tǒng)手法復位術法進行療效評價。手法治療組共30例,男16例,女14例;年齡30-65歲,平均55.5歲;對照組30例,男17例,女13例;年齡25-65歲,平均58.5歲。手法治療組用蒙醫(yī)整骨療法復位、小夾板外固定、藥酒按摩、功能鍛煉、辯證用藥、特色護理治療。對照組切開復位內固定治療。采用PRWE評定方法和蒙醫(yī)臨床療效評定標準對比兩種治療方法治療前、治療后第一天、治療后第一周、治療后第二周、治療后第三周、治療后第四周的臨床癥狀,評價蒙醫(yī)整骨療法治療前臂雙遠端骨折的臨床療效。治療總療程為28天。骨折由內蒙古民族大學附屬醫(yī)院蒙醫(yī)傳統(tǒng)整骨科診斷。結果：1.導師包金山教授在醫(yī)療實踐中,創(chuàng)立了以“三診、六則、九結合”(即“3.6.9三元”療法)為精髓、獨一無二的蒙醫(yī)骨傷理論,為民族醫(yī)學蒙醫(yī)整骨學奠定了理論基礎。2.蒙醫(yī)整骨術遵照以激發(fā)與調動人體內在潛能為特征,能動整復與功能愈合為理念,蒙醫(yī)藥學基礎理論為向導,以內因為指導、外因為條件,“精、氣、神”(精、氣、神是人體三寶。氣生于精,神生于氣,精多氣多,氣多神就足,只有神足才能發(fā)揮功力,才能有神奇療效。)為重點,手感功能和巧妙手法整復和物力學和幾何學原理固定為主,噴酒按摩為特點,對癥用藥、調節(jié)飲食、功能練習、沙袋挾擠,牽引、護理為內容,“天地人和”的自然、綠色,無創(chuàng)傷的生命自然觀,是一門奇特療效的具有強大生命力的學科。3.研究結果：治療前和治療后兩組PRWE評分數據的比較：治療前兩組患者的PRWE評分分數無明顯差異(P0.05)；治療后第一天兩組患者的PRWE評分分數比較后有明顯差異(P0.05)；治療后第一周兩組患者的PRWE評分分數比較后無明顯差異(P0.05)。治療后第二周兩組患者的PRWE評分分數比較后無明顯差異(P0.05)。治療后第三周兩組患者的PRWE評分分數比較有明顯差異(P0.05)。治療后第四周兩組患者的PRWE評分分數比有明顯差異(P0.05)。治療后根據蒙醫(yī)骨折臨床療效評價標準,治療組好轉率達到96.0%,對照組好轉率達到90.6%,有明顯差異(P0.05)。結論：1.導師包金山教授在醫(yī)療實踐中,創(chuàng)立了以“三診、六則、九結合”(即“3.6.9三元”療法)為精髓、獨一無二的蒙醫(yī)骨傷理論,為民族醫(yī)學蒙醫(yī)整骨學奠定了理論基礎。2.蒙醫(yī)整骨療法治療尺橈骨下端骨折與手術治療尺橈骨下端骨折PRWE評分對比后第一周和第二周的臨床癥狀好轉情況基本一樣。蒙醫(yī)整骨療法治療尺橈骨下端骨折后第三周和第四周臨床癥狀好轉情況比手術治療后較好。3.據蒙醫(yī)骨折臨床療效評價標準,蒙醫(yī)整骨療法治療尺橈骨下端骨折臨床好轉率比手術治療尺橈骨下端骨折的臨床好轉率高,統(tǒng)計比較后有顯著性差異。4.蒙醫(yī)整骨療法臨床療效可靠、操作簡便、愈合快、經濟負擔小等優(yōu)勢、值得推廣應用。
[Abstract]:Objective: 1. collection, collation, inheriting the academic thought and clinical experience of.2. guidance of Professor Bao Jinshan by excavation of Professor Bao Jinshan in the treatment of fracture clinical experience manual replacement further understand the teacher's academic thoughts, study and research of traditional manual replacement, study and research "of three cases, six sides, nine combination" science and significance and provide a theoretical basis for the theory of Professor.3. package Jinshan ancestral Mongolian traditional osteopathy academic ideological origins and elaborates the data for clinical research and refinement package Jinshan professor for many years accumulation and the formation of Mongolian traditional osteopathy academic thoughts and clinical experience, further analysis of science and the superiority of the technique, therapy "academic thought and clinical experience of.4. evaluation the characteristics of Mongolian traditional osteopathy teacher pinch points extraction technique" in the treatment of double forearm bone fracture of the distal superior reliability and selectivity of.5. by Mongolian whole bone healing Study on the evaluation and comparison of open reduction and internal fixation therapy clinical symptoms, further verify the efficacy treatment of Mongolian traditional osteopathy forearm distal fracture. Methods: 1. to collect information, learning classics, combined with teacher experience summarized the instructor manual reduction for the treatment of and clinical experience and academic thoughts of.2. teachers' actual clinical experience using packet Jinshan according to their clinical and academic thoughts, accumulation, through the western medicine clinical pathway for surgical treatment of forearm fractures of the distal comparative study of patients and squeeze the bone manipulation in the treatment of forearm fracture of the distal end of the cure after surgery, to evaluate the curative effect of Mongolian traditional manual reduction method. Treatment group were 30 cases, male 16 cases, female 14 cases; age 30-65 years, average 55.5 years old; 30 cases in the control group, 17 cases were male, 13 were female; the average age is 25-65 years old, 58.5 years old. Methods the treatment group with Mongolian osteopathy reduction, small splint external fixation, medicine Wine massage, functional exercise, dialectical medication, characteristics of nursing treatment. The control group treated with open reduction and internal fixation. The two kinds of treatment methods PRWE evaluation method and evaluation standard of Mongolian medicine clinical curative effect contrast before treatment, treatment after the first day, the first week after treatment, second weeks after treatment, third weeks after treatment, the clinical symptoms of four after treatment, evaluation of clinical efficacy of Mongolian traditional osteopathy treatment of forearm double fractures of the distal. The total period of treatment was 28 days. Fractures by Mongolian Medicine Affiliated Hospital of Inner Mongolia University for the Nationalities traditional department of orthopedics diagnosis. Results: 1. professor Bao Jinshan in the medical practice, the creation of a "three cases, six, nine (the" 3.6.9 "combination three yuan" therapy) as the essence of the theory of Mongolian medicine and the one and only for national medical science, Mongolian traditional osteopathy lays the theoretical foundation of.2. Mongolian osteopathy according to stimulate and mobilize the body potential as the characteristic, dynamic reduction With the function of healing for the concept of Mongolian medicine basic theory as a guide, because within the guide, because the outside conditions, "fine, gas, God" (fine, gas, God is human Sambo. Gas was born in essence, God was born in gas, refined gas, gas is only God, God enough to play skill in order to have a magical effect.) as the focus, hand function and ingenious manipulation and material mechanics and geometry principle fixed, spraying massage characteristics, symptomatic medication, diet, functional exercise, with sandbags crowded, traction, care for the content, "heaven and earth" natural, green, no trauma life natural view that is a strange effect and strong vitality, the results of.3.: comparison of PRWE scores of the two groups of data before and after the treatment: two groups of patients PRWE scores had no significant difference before treatment (P0.05); after treatment compared to the first day of the two groups of patients with PRWE score after Significant differences (P0.05); the first week after treatment between two groups of patients with PRWE score had no obvious difference after treatment (P0.05). After second weeks of the two groups of patients PRWE score after no significant difference (P0.05). After third weeks of treatment in two groups of patients with PRWE score were significantly different (P0.05) the fourth week after treatment. The two groups of patients with PRWE score than had significant difference (P0.05). After treatment, according to the Mongolian fracture clinical efficacy evaluation criteria, treatment group improvement rate reached 96%, the control group improved rate reached 90.6%, there was significant difference (P0.05). Conclusion: 1. professor Bao Jinshan in medical practice, created in six, three cases, nine combination "(the" 3.6.9 three "therapy) as the essence of the theory of Mongolian medicine and the one and only for national medical science, Mongolian traditional osteopathy lays the theoretical foundation of.2. Mongolian traditional osteopathy therapy in the treatment of ulnar fracture of distal end of radius and surgical treatment The clinical symptoms of treatment of ulnar and radial fracture of lower PRWE score compared after the first week and the second week of the situation is basically the same. Mongolian osteopathy treatment of ulnar fracture of distal end of radius third and 4th weeks after clinical symptoms improved after surgical treatment of.3. is better than according to the evaluation standard of clinical efficacy of Mongolian Mongolian osteopathy fracture, treatment of ulna and radius at the lower end of the clinical improvement the rate of clinical improvement than the surgical treatment of ulnar and radial fracture of the lower end of the high rate of fracture, the statistical comparison has significant difference.4. Mongolian osteopathic clinical curative effect is reliable, simple operation, fast healing, economic burden and other advantages, it is worthy of popularization and application.

【學位授予單位】：北京中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R29

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