肩周炎作为骨科临床常见病,发病率长期居高不下,其临床治疗手段虽日渐丰富,但疗效不一。圆运动理论作为一个分析人体气机平衡运动的理论模型,近年来与多学科均有不同结合,但基于该理论探析肩周炎病因病机并指导临床诊疗的研究颇为少见。本文通过在理法方药体系中对圆运动理论的运用与发展,对肩周炎的病因病机进行理论探讨,并对肩周炎的临床诊疗做出指导,以期能够对肩周炎的临床诊疗有所帮助。As a common clinical disease in orthopedics, the incidence of frozen shoulder has remained high for a long time, and although its clinical treatment methods are becoming more and more abundant, the efficacy is different. As a theoretical model for analyzing the balance of human qi and machinery, circular motion theory has been combined with multiple disciplines in recent years, but it is quite rare to explore the etiology and pathogenesis of frozen shoulder and guide clinical diagnosis and treatment based on this theory. In this paper, through the application and development of circular motion theory in the system of rational prescriptions, the etiology and pathogenesis of frozen shoulder are discussed theoretically, and the clinical diagnosis and treatment of frozen shoulder are guided, in order to be helpful for the clinical diagnosis and treatment of frozen shoulder.
目的探讨灯盏细辛注射液对早期股骨头坏死髓心减压术后血液流变学指标及血脂水平的影响及其机制。方法将44例(49髋)早期股骨头坏死患者随机分为观察组(23例27髋)和对照组(21例22髋),2组均给予髓心减压术,术后观察组当天即给予灯盏细辛注射液静脉滴注,40 m L/d,连续2周;对照组不予灯盏细辛注射液,其余治疗2组完全相同。分别在治疗前及术后第1,6,15天观察2组血液流变学指标及血脂水平;在治疗前、治疗后3个月,采用Harris评分系统评估髋关节功能情况。结果所有患者治疗后Harris评分较治疗前显著提高(P<0.05),2组对比差异无统计学意义(P>0.05)。治疗后观察组患者全血比黏度、血浆黏度、红细胞压积、红细胞聚集指数、红细胞变形指数、三酰甘油、总胆固醇水平均明显降低(P均<0.05);对照组血液流变学指标、血脂水平与治疗前比较差异无统计学意义(P均>0.05);2组高密度脂蛋白水平均无明显变化(P均>0.05)。结论灯盏细辛注射液可以显著降低早期股骨头坏死患者血液黏稠度及血脂水平,舒张血管,改善循环,促进骨修复,减轻疼痛,改善患髋功能。
