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1、健康大讲堂洪强医疗集团股骨头坏死 李中华Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.股骨头坏死的定义v股骨头坏死：全称股骨头无菌性坏死，或缺血性坏死，是由于多种原因导致的股骨头局部血运不良，从而 引起的骨细胞进一步缺血、坏死、骨小梁塌陷的一种病变。Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyr
2、ight 2004-2011 Aspose Pty Ltd.诊断v有相应的症状体征。v疼痛v行走破行v功能障碍v关节活动障碍Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.最主要的标准是x线光片或核磁共振发现异常配合临床症状不难诊断Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-
3、2011 Aspose Pty Ltd.v1888年世界医学界首次认识股骨头坏死v至今有少见病转变为多发病常见病v尤其是激素的问世及其广泛的应用于临床。本病的发病率逐渐上升，加之交通工具变革，生活方式的改变；v使得该病患者数量剧增。Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.据统计数据显示v全世界共有3000万人正在遭受本病的痛苦v我国共有400万人v最新的调查显示；本病无明显的性别差异，任何年龄均可发病。Eva
4、luation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.分型v1、创伤性原因造成的股骨头坏死v在部分病例中，股骨头坏死与外伤有关，v如股骨头囊内骨折、股骨颈骨折、髋关节脱位髋臼骨折、股骨头压缩性骨折等v这些外伤导致股骨头周围血管损伤，血液供应受到影响，导致股骨头内骨组织缺血而造成股骨头坏死。Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile
5、5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.2、激素原因造成股骨头坏死v随着医学的发展，激素药物在临床上的应用越来越广泛，激素原因引起的股骨头坏死，在国内外报道中越来越频繁。v继而股骨头坏死被公认为激素药物的临床并发症。Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.3、酒精原因造成股骨头坏死v酒精中毒，特别是慢性中毒，与股骨头的发病率有明显关系。v通过临床调查发现慢性酒精中
6、毒可导致股骨头坏死。Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.4、先天性髋臼发育不良v由于先天性髋臼发育不，髋关节与正常人相比较过浅造成股骨头中心应力点在髋臼的外缘上。破坏了髋关节生物力学关系，引起股骨头负重区域外移，增加股骨头的外脱力。Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright
7、 2004-2011 Aspose Pty Ltd.5、强直性脊柱炎造成股骨头坏死v强直性脊柱炎引起股骨头坏死是一种病理改变，该病侵犯了骶髋关节，髋关节的滑膜，从而引起髋关节活动受限，缺血坏死。Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.6、儿童骨骺外伤造成股骨头坏死v早起无明显疼痛表现，儿童髋关节外伤。v在玩耍是不注意引起的。v儿童常见多发病。Evaluation only.Created with Aspos
8、e.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.治疗v如何面对【第二骨癌】v目前世界三大骨科疑难顽症病之一v髋关节置换v价格昂贵v使用年限短v需要反复手术Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.洪强6+1v股骨头坏死在广大患者身上造成了极大的痛苦和造成了经济上的损失。v为此洪强人以避免更换关节维护广
9、大患者的利益为己任，潜心研究，反复实践。终于功夫不负有心人。6+1疗法诞世。Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.一个核心v一个核心是骨形态生成蛋白植入术。Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.六个辅助技术v1、髓腔减压
10、v2、死骨吸收v3、畅通血管v4、提高免疫v5、重建塑形v6、功能康复Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.核心技术解决的是v让坏死的股骨头从根本上再生复原Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.辅助技术v治疗的是减轻骨内
11、压，清除死骨毒素，恢复股骨头的球行结构和股骨头的血液循环，增加血流量，增强成骨细胞的吸收和生长能力v保持好髋臼间隙并恢复好髋关节的运动功能。Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.概述v运用多方面治疗办法综合运用、去伪存真，终于打破临床治疗中治标不治本的尴尬局面。v由一个核心技术，六个辅助技术。Evaluation only.Created with Aspose.Slides for .NET 3.5 Cl
12、ient Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.6+1的特点v1、我们在药物学、遗传学、细胞学、分子生物学、基因免疫学等基础上，通过核心技术，从根本上解决了让股骨头再生复原的的世界性难题，为本病的彻底康复奠定了基础。Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.特点二v一次治疗中运用了目前国内外多种先进的技术。避免了单一治疗的弊端。v单一治疗单一治疗v
13、疗程长v疗效不确切v适应症选择性高Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.特点三v针对性强，适应范围广，适合各个时期v不同时期有不同的治疗法则v针对于个体化治疗Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.特点四标本兼治，治愈率高
14、。该病运用该技术从外表解决患者疼痛不适，关节活动的问题，从内部解决了血液循环，新骨再生重建的问题，治愈率由原来的21%增加到92%。Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.特点五v创伤小恢复快。治疗中不做传统大手术。v运用专用设备清除坏死骨，并植入骨蛋白，杜绝了人工关节置换的痛苦，避免了恢复慢、以后反复手术反新的弊端。Evaluation only.Created with Aspose.Slides for
15、 .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.特点六v功能恢复好。v让患者不仅治愈疾病而且有效改善了关节活动，避免了其他治疗残留的功能障碍问题。Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.治疗步骤v囊减压v骨减压v骨移植v冲击波治疗v血管再通v康复治疗v中药治疗Evaluation only.Created with Asp
16、ose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.新技术解决了v股骨头坏死的病因血液供应v解决了新骨再生的问题v解决了髋臼间隙、运动功能重建难的问题Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.注意v股骨头的高发人群Evaluation only.Created with Aspose.Slides f
17、or .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.高发人群v长期应用糖皮质激素v长期大量饮酒v髋关节外伤者v其他 潜水、飞行员、肥胖者、高血压、高血脂、糖尿病、动脉硬化、类风湿性关节炎等。Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.要求v病情稳定并在医护人员监督下完成v循序渐进不可操之过急v避免大幅度活动如有不适及时就诊v不
18、可粗暴，以主动运动为主v崩解型股骨头坏死应在专业人事监督下完成Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.基本动作v髋关节外展运动v髋关节内收运动v膝胸运动v蹬车运动v髋关节旋转运动v股四头肌练习Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty
19、Ltd.v髋关节后伸运动v盘腿坐练习v坐位开合v俯卧位开合v仰卧位开合Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.v 谢谢！Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.康复治疗v原则v避免粘连v防止肌肉萎缩v改善关节活动v重塑股骨头Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.
