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Appraised the clinical effect of the flavone of rhizome drynania on Senile Osteoporosis, according to the dynamic observation on integrative scores of lumbodorsal pain and lumbodynia,"VAS section grading method" on lumbodynia,"Barthel index rating method" on ADL, detected BMD on anterior-posterior position lumbar2~4 vertebra body and proximate of femur including neck/ward/troch, and determined the index of bone transition including BGP/PINP/ICTP through the radioimmunity method before and after treated half a year, then contrast intragroup and selfgroup. Depending on the standard of curative effect, contrast the difference of curative effect between two groups.

采用随机对照的方法,分为治疗组36例,对照组34例,依据对腰背痛及腰痛综合评分进行动态观察;依据"疼痛VAS线段分级法"对腰背痛(静止痛、翻身痛、久坐痛、起身痛、弯腰痛、步行痛、睡眠痛、叩击痛、压痛)进行量化动态观察;依据"Barthel指数评定法"对老年性骨质疏松症日常生活活动能力进行观察;采用双能X线骨密度仪对腰椎(L2-L4)、股骨近端各部位:股骨颈、股骨三角区、股骨粗隆进行骨密度定量检测;应用放射免疫法对骨转换指标进行测定,骨形成指标:骨钙素、Ⅰ型前胶原氨基端前肽;骨吸收指标:Ⅰ型胶原交联羧基末端肽等,评价骨碎补总黄酮治疗老年性骨质疏松症的临床效果。

Of all imaging studies conventional roentgenogram is the most important and the most fundamen- tal.

结论常规X线摄片是最基础且重要的常规检查方法,脊髓造影、CT、CTM、MRI对下腰痛的诊断各有其特点,不能相互替代,而是起相互补充的作用。

Cli nical examination and radiography were analysed. Results The avera ge follow up was 13 months. 23 patients with anterior approach obtained good red uction of the height of vertebral bodies and were free from back pain.

结果 平均随诊 13个月,前路手术 2 3例,术后腰痛消失,神经功能按Frankel分级,均有 1~ 3级的改善,椎体高度恢复,无丢失,脊柱融合好;后路手术 37例中,9例骨折复位不满意,残留腰痛和神经功能不全。

At the same time, adopting traction and manipulation way which is based on tutor's theory of cataplasis on spinal column to treat 32 patients who have this syndrome, discuss the mechanism and treatment by observing and analyzing all clinical datas.

同时,根据导师传授的脊柱退变所致腰腿痛治疗观念,采用牵引配合手法治疗32例腰椎间盘突出症术后后期腰腿痛,通过对临床资料的观察及分析,探讨了腰椎间突出症术后后期腰腿痛的发生机制及治疗方法。

There are more than two dozen reported cases of lumbar facet dislocation after rapid deceleration injuries (e.g., traffic accidents), most involving L5 S1.61,112 115 The mechanism of injury in these cases is purported to be a combination of hyperflexion, distraction, and rotation.61,112,116 In a posthumous study conducted in 31 lumbar spines of subjects who died of traumatic injuries,Twomey et al.117 found occult bony fractures in the superior articular process or subchondral bone plate in 35% of victims, and z-joint capsular and/or articular cartilage damage in 77% of cases.

多项研究报道了急性减速伤后发生腰椎小关节分离,多数发生于L5-S1,其机制可能为过度屈曲,分离和旋转。在一项对死亡病例的研究中,Twomey 等发现,31例因交通事故死亡的人中有35%的腰椎上关节突或软骨下骨性终板存在隐匿骨折,77%存在小关节囊和/或关节软骨损伤。作者总结创伤后隐匿性股和软组织损伤也许是腰痛的来源。

Appraised the clinical effect of the flavone of rhizome drynania on Senile Osteoporosis, according to the dynamic observation on integrative scores of lumbodorsal pain and lumbodynia,"VAS section grading method" on lumbodynia,"Barthel index rating method" on ADL, detected BMD on anterior-posterior position lumbar2~4 vertebra body and proximate of femur including neck/ward/troch, and determined the index of bone transition including BGP/PINP/ICTP through the radioimmunity method before and after treated half a year, then contrast intragroup and selfgroup. Depending on the standard of curative effect, contrast the difference of curative effect between two groups.

采用随机对照的方法,分为治疗组36例,对照组34例,依据对腰背痛及腰痛综合评分进行动态观察;依据&疼痛VAS线段分级法&对腰背痛(静止痛、翻身痛、久坐痛、起身痛、弯腰痛、步行痛、睡眠痛、叩击痛、压痛)进行量化动态观察;依据&Barthel指数评定法&对老年性骨质疏松症日常生活活动能力进行观察;采用双能X线骨密度仪对腰椎(L2-L4)、股骨近端各部位:股骨颈、股骨三角区、股骨粗隆进行骨密度定量检测;应用放射免疫法对骨转换指标进行测定,骨形成指标:骨钙素、Ⅰ型前胶原氨基端前肽;骨吸收指标:Ⅰ型胶原交联羧基末端肽等,评价骨碎补总黄酮治疗老年性骨质疏松症的临床效果。

This may have made her more vulnerable to pars fracture and subsequent spondylolisthesis.

这个年轻患者的脊椎前移合并退行性椎间盘疾病可能是腰痛的原因。

We performed this study to reassess the value and limitation of the plain KUB film in comparison with the unenhanced spiral CT in 101 patients with acute flank pain.

本研究主要是针对101名发生急性腰痛的患者以无对比增强螺旋CT作比较,重新评估KUB X光素片的价值和限制。

This is a well-alidated measure and has been used in a number of LBP studies.12,13

这个调查问卷被认为是有效的评价方案,并已经多次应用于下腰痛的研究。

Michael Haake, Ph.D., M.D., of the University of Regensburg, Bad Abbach, Germany, and colleagues conducted a randomized clinical trial involving 1,162 patients (average age 50) who had experienced chronic low back pain for an average of eight years.

迈克尔型haake ,哲学博士,医学博士,对大学教育的雷根斯堡,坏abbach ,德国,和他的同事进行了一项随机对照临床试验涉及1162例(平均年龄50 )经历过慢性腰痛的时间平均为8年。

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