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中西医结合治疗膝关节骨性关节炎

Traditional Chinese medicine and western medicine combined to treat  osteoarthritis (OA)of the knee

Xiu Wei

Józsefvárosi Szakorvosi Rendelőintézet, Orthopédia

骨性关节炎(Osteoarthritis,OA),俗称“骨质增生”,又称为骨关节病、退行性关节炎、增生性关节炎等。是一种关节内紊乱综合征。该病的始发部位在软骨。以局灶性关节软骨退行性变、骨丢失、关节边缘骨赘形成及关节畸形和软骨下骨质致密(硬化)为特征。WHO统计,60岁以上的人口中,50%的人群在X线上有骨关节炎表现,其中35-50%有临床表现。65岁以上的老年人中,70%有OA症状。75岁的人口中,80%以上的人可有骨关节症状。65岁以上的OA患者中,46%严重丧失关节功能及劳动能力。53%致残率,是导致成人长期残疾的第二大病因(心血管疾病为第一位)。真正病因和发病机制尚不明了,膝关节骨关节炎病人最常诉说的症状为膝关节疼痛及僵硬感,有的病人可伴有膝关节肿胀,活动范围受限。病人常诉膝关节不能伸直,下蹲困难。还可见到大腿肌肉萎缩或关节变形。X光表现:早期表现不明显,以后可发生关节退行性改变。关节间隙狭窄,软骨下骨板致密,关节边缘及髁间嵴骨刺增生等。 Read more

中西医结合治疗腰椎间盘突出症100

Traditional Chinese medicine (Acupuncture) and western medicine combined to treat 100 patients with Lumbar Intervertebral Disc Herniation and Protrusion

Dr. Xiu Wei

1089 Budapest, Vajda Peter u, 43a

摘要 Abstract

  腰椎间盘突出症是腰腿痛最常见的原因之一。亦属中医“痹症”范畴。腰椎间盘突出症中以L4-5、L5—S1 间隙发病率最高,约占90%。多个间隙同时发病者仅占5%~22%。目前治疗此症的方法主要有非手术治疗和手术治疗。笔者用传统针灸疗法加穴位注射同时配合医疗练功等治疗腰椎间盘突出症100,取得了满意的疗效,总有效率达92%。现报告如下。     Lumbar Intervertebral Disc Herniation and Protrusion is one of the most common causes of low back and lower extremities pain. L4-5, L5-S1 are the highest incidence of lumbar disc herniation and protusion,  and accounted for a more than 90%. The multiple Intervertebral gap incidence, onlyabout 20%. Currently, the treatment of this disease is mainly non-surgical treatment and surgical treatment. I use traditional Chinese acupuncture(akupunktura) and acupunctural injection with medical drugs, also let the patients to do medical gymnastics etc, to treat 100 cases of lumbar disc herniation and protrusion to achieve satisfactory effect, the total effective rate of 92%.  Report as following.   临床资料 本组100例中男性68,女性32;年龄最小者1 9,最大者80;病程最长者1 2,最短者半个月。病史长、年龄长者多伴有椎管狭窄。超过70%的患者是在经过了几个星期到几个月的传统西医治疗后无明显效果而来我处就诊。约10%的患者在别处经过传统的针灸疗法无明显效果而来我处。全部病例均有腰腿疼痛、很多患者有下肢麻木等症状,均经CT或核磁共振明确诊断。 Read more

中西医结合治疗腕关节骨折术后周围软组织粘连1例

“Traditional Chinese medicine (Acupuncture)(Akupunktura) and western medicine combined to treat a patient of around joint soft tissue adhesion after carpal fractures (case report)” Dr. Xiu Wei 1089 Budapest, Vajda Peter u, 43a

Abstract: After near the joint bone fracture, incision reduction often associated around the joint the soft tissue adhesion and even the joint activity is limited, and the closed reduction of fractures in patients with soft tissue injury or tearing, causing tissue edema?effusion also led later the soft tissue adhesionaround joints. I had one patient who suffered from right carpal fractures, open reduction operation with external cast immobilization after operation and immobilization caused by adhesions around the forearm and carpal area, her carpal activities is severely limited, treatment using cooperation of traditional Chinese medicine – that is, traditional Chinese acupuncture(akupunktura) and acupunctural drug injection and Western medicine, with medical gymnastic rehabilitation therapy, and achieved a very satisfactory effect. Read more