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1、MarkovTherapyandearlyinterventionafterSARSClinicalavascularnecrosisMarkovTherapyandearlyinterventionafterSARSClinicalavascularnecrosisMarkovTherapyandearlyinterventionafterSAKSClinicalavascularnecrosisOf:ZhuShuYn,1.iXiang,YangKang,MasuYing,WangChenggang,1.iuDongpingl1.iuHaiyang1TRADITIONA1.,ZhaoYue,
2、theHousingMaster,1.iZheng,XUEJian-guoKeywords:femoralheadnecrosis,drug-induced,hormone,SAKS,MatherapyAvascularnecrosis(ANFH)iscausedbydifferentcausesdamagetothefemoralheadbloodsupplycauseddegenerationofboneorbonecellsaredynamiccomponents(bonecells,bonemarrowhematopoieticcellsandfatcells)causedbythep
3、athologicalprocessofdeath,thecauseofcomplexThemostcommonreasonforhormones,alcohol,trauma.2003springandsummer,theoutbreakofSARSinChinahasbeenextinguished,butthecrowdinthegradualemergenceofcuredpatientsNBH,theyhavehadshort-term,high-dosehormonetherapyexperience,asbeingverygoodattentionandcare,mostofth
4、esepatientsisearlydetectionANHlandgiventheappropriatetreatment.IinheritedthecountrynameoftheoldChineseMaHillChiefPhysicianintheclinicalexperience,theuseofMarkovtherapyplusinterventionaltreatmentofearlyANFH30SARScases,achievedgoodeffect,arereportedbelow.1Clinicaldata1.1GeneralInformationNovember2003-
5、2007selectedinDecemberbetweenSchoolofMedicine,CapitalMedicalUniversityAffi1iatedDrumTowerHospitaiofChineseMedicineandGeneralHospitalofcoalout-patientandhospitalizationANFH60patientswererandomizedto30patientsrandomlydividedintotreatmentgroup,controlgroupof30patients,thetreatmentgroup14malesand16femal
6、es,meanage(41.12+-7.64)years,meandiseaseduration(10.26+-5.04)months,5casesofstageI(IAlcase,1Bof2cases,1C2cases),IIof25patients(IIin2cases,IIB13cases,IICof10cases),beforetreatmentofhipjointfunctionscore(HARRIS)1is(49.39+-9.39)points,controlgroup:15malesand15females,meanage(40.43+-7.35)years,meandisea
7、seduration(10.11+-4.94)months,7patientsstageI(Iin2cases,IBin2cases,ICof3cases),IIof23patients(IIAin2cases,IIB13cases,IICof8),HARRISscorebeforetreatment(50.23+-8.52)sub.2groupsex,age,diseaseduration,stage,severity,HARRISscorebeforetreatmentwasnosignificantdifferentbetween(Pgt;0.05),therecomparabi1ity
8、.1.2DiagnosticcriteriaDiagnosisNHreference1t;1t;TCMSyndromeDiagnosticefficacyoftheStandardgt;gt;2.TCMSyndrometypeofkidneyStagnation:hip,kneepain,faintpain,ortinglingorpain,weight-bearingaftertheincrease,jointactivitiesdetrimentaltowithweakwaist,muscleatrophy,1imping,darktongue,thinveinsofwhitefurors
9、tringShibuya,stagedifferentiationofbonecirculationwithreferencetointernationalstandardsorganizationsARCOstaging3.1.3InclusioncriteriaMeetthediagnosticcriteriaofthedisease,theageof18to60yearsofage,medicalhistoryandtakinghormoneshistoryofSARS,theTCMkidneystasistype,stageasstage1,II.Allpatientstoinclud
10、eonlyunilateralhip.IfthepatientisBilateralnecrosis,orthesideofstageIIl,111ontheothersidewereobservedonthesideofthestageIand11,bothsidesofthestageIandIIweretoobservetherighthip.1.4ExclusioncriteriaTheageof18yearsofageor60yearsofage,ahistoryofnon-SARS,pregnantorlactatingwomen,allergyorallergytothedrug
11、,withaclearhistoryofhiptrauma,excessivealcoholconsumptionhistory,transientsynovitis,bonetuberculosis,etc.patients,combinedheart,brainandbloodvessels,liver,kidneyandhematopoieticsystemofprimaryandotherseriousdiseases,mentalillness,doesnotmeettheinclusioncriteria,accordingtothespecifiedtreatment,orisi
12、ncompleteandsoaffecttheefficacyorsafetyofthejudges.2treatmentMarkovtherapycombinedtreatmentgroupreceivedintervention,controlgroupintervention.2.1Markovtherapy2.1.1torepairabonechipBytheDrynaria,1.ujiaojiao1Blood,Dipsacus,1.oranthaceae,frankincense,myrrh,Chuanxiong,earthworm,GallusgalIusdomesticus,ea
13、chthesameamountofHerbs,bycrushingprocess,madeofsugar-coatedtablet,specificationsforEachO.3g,pharmaceuticalprocessingbyBeijingPekingUniversity,approvalnumber:(99)JingWeipharmacistsaddtheword046TheF-1603number.Directions:Each123timesaday,aftermeals1hwarmwater,atotalofsixmonths.2.1.2herbbathChargebythe
14、impatient,hematoxylin,triangular,Speranskiagrass,1.ycopodiumclavatum,ChuanWu1Aconitum,Pittosporumskin,wind,freshwhiteskin,matrine,eachthesameamountofHerbs,choppedsystemmedicinebag,fromtheCapitaiMedicalUniversitySchoolofMedicine,AffiliatedDrumTowerHospitalofChineseMedicineChinesemedicinepreparationro
15、omprovided,touse:Chargeintothestoragebottlesofmedicineinamedicinebagwith11.ofwater,boiled1iquid,injectedintothetub,watertemperature40,waterdepthsuitabletositonachest,eachbubble40min,2timesaweek,atotalofsixmonths.Note:Ihcbathroomtoaircirculation,watertemperatureappropriateshelterafterthecoldbath.2.1.
16、3Rehabilitationmedicinesupine:straightlegliftacertainheightforadduction,abductionof10to20times,legsstraightandshoulderwidthapart,withfeettodowithinsideandoutsidetheaxisofrotation10to20times,thehipflexorkneesat45C,withbothfeetastheaxis,soadductioninternalrotationandabductionexternalrotationof10to20times,kneeflexionandextension,hip10to20times.side:legsstraightoutreachfrom10to20times,90kneesC1020timesofoutreach.proneposition:legsstraightextension10to20times,liftle
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