骨内高压症的治疗  

Treatment of intraosseous hypertension

作　　者：李宏宇[1] 安洪[2] 

机构地区：[1]广西壮族自治区人民医院骨科,广西壮族自治区南宁市530021 [2]重庆医科大学附属第一医院骨科,重庆市400016

出　　处：《中国临床康复》2006年第48期148-150,共3页Chinese Journal of Clinical Rehabilitation

基　　金：广西壮族自治区科技厅科学基金资助项目(桂科青:0447016)~~

摘　　要：目的:研究证实,多骨科疾病均与骨内高压有关,寻找理想的防止骨内高压产生和发展的有效措施和办法,是骨内高压症基础与临床研究的重要内容。综述骨内高压症不同治疗方法的可行性、有效性和安全性。资料来源:应用计算机检索Medline数据库1990-01/2005-12期间的相关文章,检索词“intraosseouspressure,intraosseoushypertension,treatment”,并限定文章语言种类为English。同时计算机检索中文生物医学期刊文献数据库、万方数据库和维普科技期刊数据库1990-01/2005-12期间的相关文章,检索词“骨内压、骨内高压、治疗”,限定文章语言种类为中文。并手工检索2000-01/2005-12相关的专著。资料选择:纳入标准:①骨内压的基础和临床研究。②骨内高压症的基础和临床研究。排除标准:①陈旧的文献。②重复研究。资料提炼:共收集到164篇与骨内压和骨内高压症基础和临床研究相关的文献,其中28篇纳入引用。28篇文献中有11篇是关于采用钻孔减压或股动脉外膜交感神经网剥脱手术治疗方法的研究,4篇是关于采用手法或超短波等物理治疗方法的研究,13篇是关于采用中药治疗方法的研究。排除136篇为陈旧的文献或重复研究。资料综合:①骨内高压症是以骨内高压为病理生理改变,表现为局部骨关节顽固性疼痛的一种病症,往往出现在某些疾病的早期,具有典型的休息痛或夜间痛等特点。骨内高压症的提出为临床诊断治疗骨关节疼痛开辟了一条新途径。②髓芯减压术和钻孔减压术是治疗骨内高压的有效手术方法。最近研究发现股动脉外膜交感神经网剥脱术是治疗下肢骨内高压的新方法,认为肢体的血管舒缩主要是受交感神经支配,股动脉外膜交感神经网剥脱术可以对肢体骨髓内血液有改善通畅、减少淤滞作用。③物理方法治疗骨关节炎的疗效已被临床实践所证实,其中具有活血化淤OBJECTIVE： The study verified that most orthopaedic diseases are associated with intraosseous hypertension （IOH）. To find ideal measure and method to prevent the production and development of IOH is the key content of IOH basic and clinical research. To review the feasibility, effectiveness and safety of different therapeutic methods for IOH. DATA SOURCES： The Medline database was undertaken to identify related articles published from January 1990 to December 2005 with the key words of ＂intraosseous pressure, intraosseous hypertension, treatment＂ in English. Meanwhile, Chinese Medical Current Contents （CMCC）, Wanfang database and Vip database were undertaken to identify related articles published between January 1990 and December 2005 with the same key words in Chinese. Related literatures published from January 2000 to December 2005 were retrieved by hand. STUDY SELECTION： Inclusive criteria：①Basic and clinical research of intraosseous pressure （IOP） and ②basic and clinical research of IOH. Exclusive criteria： ①old articles and ②repetitive research. DATA EXTRACTION： Totally 164 articles of basic and clinical research of IOP and IOH were selected. Of them 28 articles were included, of which 11 articles were on drilling decompression or femoral artery tunica adventitia sympathetic nerve net denudation operation, 4 articles of physiotherapy such as maneuver or ultrashort wave, etc., and other 13 articles of traditional Chinese medicine method. The excluded 136 articles were old ones or with repetitive research. DATA SYNTHESIS, SIS： ① IOH symptom was taking IOH pathophysiologie change, which expressed local intraetraetadle pain in bone joint, frequently occurred in an early stage of some diseases, with typical rest pain or night pain feature. Its proposition developed a new pathway for pain in bone joint in clinic, ②Core decompression and drilling decompression were effective methods to treat IOH, Currently, it showed that femoral artery tuniea adventitia sympathetic nerve n

关 键 词：骨疾病 血瘀 外科手术 物理治疗技术 手法 骨科 

分 类 号：R714.257[医药卫生—妇产科学]