健康讲座股骨头坏死.pptx

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,#,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,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.,Copyright 2004-2011 Aspose Pty Ltd.,诊断,有相应的症状体征。,疼痛,行走破行,功能障碍,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 2004-2011 Aspose Pty Ltd.,1888,年世界医学界首次认识股骨头坏死,至今有少见病转变为多发病常见病,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；,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,全世界共有,3000,万人正在遭受本病的痛苦,我国共有,400,万人,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。,Evaluation only.,Created with Aspose.Slides for.NET 3.5 Client Profile 5.2.0.0.,Copyright 2004-2011 Aspose Pty Ltd.,分型,1,、创伤性原因造成的股骨头坏死,在部分病例中，股骨头坏死与外伤有关，,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,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 5.2.0.0.,Copyright 2004-2011 Aspose Pty Ltd.,2,、激素原因造成股骨头坏死,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。,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,酒精中毒，特别是慢性中毒，与股骨头的发病率有明显关系。,通过临床调查发现慢性酒精中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,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 2004-2011 Aspose Pty Ltd.,5,、强直性脊柱炎造成股骨头坏死,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,早起无明显疼痛表现，儿童髋关节外伤。,在玩耍是不注意引起的。,儿童常见多发病。,Evaluation only.,Created with Aspose.Slides for.NET 3.5 Client Profile 5.2.0.0.,Copyright 2004-2011 Aspose Pty Ltd.,治疗,如何面对,【,第二骨癌,】,目前世界三大骨科疑难顽症病之一,髋关节置换,价格昂贵,使用年限短,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+1,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。,为此洪强人以避免更换关节维护广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,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,1,、髓腔减压,2,、死骨吸收,3,、畅通血管,4,、提高免疫,5,、重建塑形,6,、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,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,治疗的是减轻骨内压，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,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,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。,由一个核心技术，六个辅助技术。,Evaluation only.,Created with Aspose.Slides for.NET 3.5 Client Profile 5.2.0.0.,Copyright 2004-2011 Aspose Pty Ltd.,6+1,的特点,1,、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.,特点二,一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。,单一治疗,疗程长,疗效不确切,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,针对性强，适应范围广，适合各个时期,不同时期有不同的治疗法则,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。,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,创伤小恢复快。治疗中不做传统大手术。,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.NET 3.5 Client Profile 5.2.0.0.,Copyright 2004-2011 Aspose Pty Ltd.,特点六,功能恢复好。,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,囊减压,骨减压,骨移植,冲击波治疗,血管再通,康复治疗,中药治疗,Evaluation only.,Created with Aspose.Slides for.NET 3.5 Client Profile 5.2.0.0.,Copyright 2004-2011 Aspose Pty Ltd.,新技术解决了,股骨头坏死的病因血液供应,解决了新骨再生的问题,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,股骨头的高发人群,Evaluation only.,Created with Aspose.Slides for.NET 3.5 Client Profile 5.2.0.0.,Copyright 2004-2011 Aspose Pty Ltd.,高发人群,长期应用糖皮质激素,长期大量饮酒,髋关节外伤者,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,病情稳定并在医护人员监督下完成,循序渐进不可操之过急,避免大幅度活动如有不适及时就诊,不可粗暴，以主动运动为主,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,髋关节外展运动,髋关节内收运动,膝胸运动,蹬车运动,髋关节旋转运动,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 Ltd.,髋关节后伸运动,盘腿坐练习,坐位开合,俯卧位开合,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.,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,原则,避免粘连,防止肌肉萎缩,改善关节活动,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.,