中医“动静结合”理论与骨载荷自适应重构机制相关性探讨  

Correlation Discussion on TCM Theory of“Dynamic-static Integration”and Mechanism of Adaptive Remodeling of Bone Load

作　　者：张宏伟[1,2] 李元贞 王志鹏 赵希云 曹林忠 姚川江[1] 马涛 陈钵 郭成龙 张晓刚 ZHANG Hongwei;LI Yuanzhen;WANG Zhipeng;ZHAO Xiyun;CAO Linzhong;YAO Chuanjiang;MA Tao;CHEN Bo;GUO Chenglong;ZHANG Xiaogang(Gansu University of Chinese Medicine,Lanzhou 730000,China;Affiliated Hospital of Gansu University of Chinese Medicine,Lanzhou 730020,China)

机构地区：[1]甘肃中医药大学,甘肃兰州730000 [2]甘肃中医药大学附属医院,甘肃兰州730020

出　　处：《中国中医药信息杂志》2021年第4期17-20,共4页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：甘肃省中医药管理局科研项目(GZK-2019-37);兰州市科技发展计划(2017-4-78);甘肃中医药大学中青年科研基金(ZQN2016-14);甘肃省高等学校创新能力提升项目(2020B-149)。

摘　　要：“动静结合”是骨折治疗原则之一,其对骨折端的间歇性刺激具有促进骨折愈合的作用。然“动”“静”结合不当,易引发骨折延迟愈合甚至不愈合。骨折愈合过程中微动产生应压力载荷激发骨自适应重构,促进骨结构完整和骨生物机械功能恢复,然其机制仍不明确。本文从骨折愈合过程探寻中医“动静结合”理论与骨载荷自适应重构的相关性理论机制,科学阐释“动静结合”理论。“Dynamic-static integration”is one of the treatment principles of fracture.Its intermittent stimulation of the fracture has the role of promoting fracture healing.However,the improper integration of“dynamic”and“static”may easily lead to delay or nonunion of fractures.In the process of fracture healing,the micro-motion generated by the pressure load stimulates the adaptive remodeling of bone,and promotes the integrity of bone structure and the recovery of bone biomechanical function,but the mechanism is still unclear.This article explored the correlation between the theory of“dynamic-static integration”and the mechanism of adaptive remodeling of bone load in the process of fracture healing,and scientifically explained the theory of“dynamic-static integration”.

关 键 词：动静结合 骨载荷 骨折 自适应重构 

分 类 号：R272.968.3[医药卫生—中医儿科学]