本文選題：學(xué)術(shù)思想 + 手法復(fù)位��； 參考：《北京中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：1.收集、整理、繼承指導(dǎo)老師包金山教授的學(xué)術(shù)思想和臨床經(jīng)驗(yàn)。2.通過(guò)挖掘整理包金山老師治療骨折手法復(fù)位術(shù)臨床經(jīng)驗(yàn)進(jìn)一步了解老師的學(xué)術(shù)思想,學(xué)習(xí)和研究傳統(tǒng)手法復(fù)位術(shù),學(xué)習(xí)研究“三診、六側(cè)、九結(jié)合”的科學(xué)性及重要性,為臨床提供理論依據(jù)。3.論包金山教授對(duì)祖?zhèn)飨聛?lái)的蒙醫(yī)整骨學(xué)術(shù)思想淵源數(shù)據(jù)和闡述,研究和提煉包金山教授多年來(lái)積累和形成的蒙醫(yī)整骨學(xué)術(shù)思想和臨床經(jīng)驗(yàn),進(jìn)一步解析該手法的科學(xué)性與優(yōu)勢(shì),提煉指導(dǎo)老師的學(xué)術(shù)思想和臨床經(jīng)驗(yàn)。4.評(píng)價(jià)蒙醫(yī)整骨特色療法“夾擠分骨手法”治療前臂雙遠(yuǎn)端骨折的優(yōu)越性與可靠性、選擇性。5.通過(guò)蒙醫(yī)整骨療法和切開(kāi)復(fù)位內(nèi)固定療法的臨床癥狀的評(píng)價(jià)對(duì)比研究,進(jìn)一步驗(yàn)證蒙醫(yī)整骨療法治療前臂雙遠(yuǎn)端骨折的療效。方法：1.搜集資料,學(xué)習(xí)經(jīng)典著作,結(jié)合跟師體會(huì)總結(jié)整理指導(dǎo)老師手法復(fù)位治療及臨床經(jīng)驗(yàn)及學(xué)術(shù)思想。2.運(yùn)用包金山老師實(shí)際臨床經(jīng)驗(yàn)及學(xué)術(shù)思想,結(jié)合自己臨床積累,通過(guò)西醫(yī)臨床路徑手術(shù)治療的前臂雙遠(yuǎn)端骨折患者和夾擠分骨手法治療前臂雙遠(yuǎn)端骨折術(shù)后治愈的對(duì)比研究,對(duì)蒙醫(yī)傳統(tǒng)手法復(fù)位術(shù)法進(jìn)行療效評(píng)價(jià)。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(duì)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(fù)位、小夾板外固定、藥酒按摩、功能鍛煉、辯證用藥、特色護(hù)理治療。對(duì)照組切開(kāi)復(fù)位內(nèi)固定治療。采用PRWE評(píng)定方法和蒙醫(yī)臨床療效評(píng)定標(biāo)準(zhǔn)對(duì)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(píng)價(jià)蒙醫(yī)整骨療法治療前臂雙遠(yuǎn)端骨折的臨床療效。治療總療程為28天。骨折由內(nèi)蒙古民族大學(xué)附屬醫(yī)院蒙醫(yī)傳統(tǒng)整骨科診斷。結(jié)果：1.導(dǎo)師包金山教授在醫(yī)療實(shí)踐中,創(chuàng)立了以“三診、六則、九結(jié)合”(即“3.6.9三元”療法)為精髓、獨(dú)一無(wú)二的蒙醫(yī)骨傷理論,為民族醫(yī)學(xué)蒙醫(yī)整骨學(xué)奠定了理論基礎(chǔ)。2.蒙醫(yī)整骨術(shù)遵照以激發(fā)與調(diào)動(dòng)人體內(nèi)在潛能為特征,能動(dòng)整復(fù)與功能愈合為理念,蒙醫(yī)藥學(xué)基礎(chǔ)理論為向?qū)?以內(nèi)因?yàn)橹笇?dǎo)、外因?yàn)闂l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(diǎn),手感功能和巧妙手法整復(fù)和物力學(xué)和幾何學(xué)原理固定為主,噴酒按摩為特點(diǎn),對(duì)癥用藥、調(diào)節(jié)飲食、功能練習(xí)、沙袋挾擠,牽引、護(hù)理為內(nèi)容,“天地人和”的自然、綠色,無(wú)創(chuàng)傷的生命自然觀,是一門(mén)奇特療效的具有強(qiáng)大生命力的學(xué)科。3.研究結(jié)果：治療前和治療后兩組PRWE評(píng)分?jǐn)?shù)據(jù)的比較：治療前兩組患者的PRWE評(píng)分分?jǐn)?shù)無(wú)明顯差異(P0.05)；治療后第一天兩組患者的PRWE評(píng)分分?jǐn)?shù)比較后有明顯差異(P0.05)；治療后第一周兩組患者的PRWE評(píng)分分?jǐn)?shù)比較后無(wú)明顯差異(P0.05)。治療后第二周兩組患者的PRWE評(píng)分分?jǐn)?shù)比較后無(wú)明顯差異(P0.05)。治療后第三周兩組患者的PRWE評(píng)分分?jǐn)?shù)比較有明顯差異(P0.05)。治療后第四周兩組患者的PRWE評(píng)分分?jǐn)?shù)比有明顯差異(P0.05)。治療后根據(jù)蒙醫(yī)骨折臨床療效評(píng)價(jià)標(biāo)準(zhǔn),治療組好轉(zhuǎn)率達(dá)到96.0%,對(duì)照組好轉(zhuǎn)率達(dá)到90.6%,有明顯差異(P0.05)。結(jié)論：1.導(dǎo)師包金山教授在醫(yī)療實(shí)踐中,創(chuàng)立了以“三診、六則、九結(jié)合”(即“3.6.9三元”療法)為精髓、獨(dú)一無(wú)二的蒙醫(yī)骨傷理論,為民族醫(yī)學(xué)蒙醫(yī)整骨學(xué)奠定了理論基礎(chǔ)。2.蒙醫(yī)整骨療法治療尺橈骨下端骨折與手術(shù)治療尺橈骨下端骨折PRWE評(píng)分對(duì)比后第一周和第二周的臨床癥狀好轉(zhuǎn)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(zhuǎn)情況比手術(shù)治療后較好。3.據(jù)蒙醫(yī)骨折臨床療效評(píng)價(jià)標(biāo)準(zhǔn),蒙醫(yī)整骨療法治療尺橈骨下端骨折臨床好轉(zhuǎn)率比手術(shù)治療尺橈骨下端骨折的臨床好轉(zhuǎn)率高,統(tǒng)計(jì)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(jiǎn)便、愈合快、經(jīng)濟(jì)負(fù)擔(dān)小等優(yōu)勢(shì)、值得推廣應(yīng)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(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R29

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