中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (26): 4913-4917.doi: 10.3969/j.issn.1673-8225.2012.26.032

• 骨与关节综述 bone and joint review • 上一篇    下一篇

有限元分析在中医正骨手法治疗腰椎疾病作用机制中的应用

秦大平1，张晓刚2，宋 敏1   

  1. 1甘肃中医学院，甘肃省兰州市 730000；
    2甘肃中医学院附属医院，甘肃省兰州市 730020
  • 收稿日期:2011-11-12 修回日期:2011-12-30 出版日期:2012-06-24 发布日期:2013-11-02
  • 通讯作者: 张晓刚，主任医师，教授，硕士生导师，甘肃中医学院附属医院，甘肃省兰州市 730020 ZXG0525@163.com
  • 作者简介:秦大平★，男，1982年生，甘肃省兰州市人，汉族，甘肃中医学院在读硕士，主要从事中医药治疗骨关节疾病的防治与研究。 qindaping888666@163.com
  • 基金资助:

    甘肃省中医药管理局2008-2009年度重点中医药科研基金资助项目(GZK-2009)

Application of finite element analysis in mechanism of lumbar disease by Chinese medicine bonesetting massage manipulation

Qin Da-ping1, Zhang Xiao-gang2, Song Min1   

  1. 1Gansu College of Traditional Chinese Medicine, Lanzhou 730000, Gansu Province, China;
    2Affiliated Hospital, Gansu College of Traditional Chinese Medicine, Lanzhou 730020, Gansu Province, China
  • Received:2011-11-12 Revised:2011-12-30 Online:2012-06-24 Published:2013-11-02
  • Contact: Zhang Xiao-gang, Chief physician, Professor, Master’s supervisor, Affiliated Hospital, Gansu College of Traditional Chinese Medicine, Lanzhou 730020, Gansu Province, China ZXG0525@163.com
  • About author:Qin Da-ping★, Studying for master’s degree, Gansu College of Traditional Chinese Medicine, Lanzhou 730000, Gansu Province, China qindaping888666@163.com

PDF

723

被引次数

16

摘要：

背景：有限元分析方法探讨中医正骨手法治疗腰椎疾病过程中腰椎生物力学变化的特点及作用机制，将其转变为数字化结果显示，研究手段具有先进性，是数字化骨科研究的有效方法。
目的：对有限元分析法研究中医正骨手法治疗腰椎疾病与损伤的作用机制进行总结。
方法：应用计算机检索2000-01/2011-10 PudMed、CNKI数据库、万方数据库、维普数据库及中华医学会数字期刊数据库及Google网络数据库中医正骨手法治疗腰椎疾病过程中腰椎生物力学变化特点及作用机制的相关文章，检索词“3-D finite element analysis mothed，lumbar disease，bonesetting massage manipulation”或“三维有限元分析法，腰椎疾病，正骨手法”。共检索到文献92篇，最终纳入符合标准的文献37篇。
结果与结论：腰椎三维有限元模型的建立，能更好地模拟各种腰部手法的临床状态，可以得到与生物力学实验基本一致的结果，并且通过计算机图形图像技术将结果定性、定量、直观的显示出来。但是国内外目前对中医正骨手法作用机制及生物力学特性、临床量化和评价标准的有限元分析的相关研究较少，仍然不够深入。文章深入研究中医正骨手法治疗腰椎疾病与损伤的作用机制并进行数字化分析，为临床应用提供力学依据、量化及优化的理论与实验依据研究的新思路。

关键词: 三维有限元分析法, 腰椎疾病, 正骨手法, 作用机制, 数字化骨科, 综述文献

Abstract:

BACKGROUND: Changes of lumbar spine biomechanics and characteristics of action mechanism during the Chinese medicine bonesetting massage manipulation for lumbar disease are transformed into the digital signal using finite element analysis method. This is an effective and advanced research method of digital orthopaedic.
OBJECTIVE: To summarize the mechanism of Chinese medicine bonesetting massage manipulation for lumbar disease by the finite element analysis method.
METHODS: A computer-based retrieval was performed by the first author to search PubMed, Medline, Vip, CNKI, Wanfang, digital journals of Chinese medical association and Google network databases for articles concerning the mechanism of Chinese medicine bonesetting massage manipulation for lumbar disease using the finite element analysis method (2000-01/2011-10) with the key words of “3-D finite element analysis method, lumbar disease, bonesetting massage manipulation” in English and Chinese. A total of 92 papers were retrieved. According to inclusion and exclusion criteria, 37 papers were included in final analysis.
RESULTS AND CONCLUSION: Establishment of three-dimensional finite element model for lumbar can better simulate clinical condition of various waist techniques and get consistent results with biological mechanics experimental. Through the computer graphics technology the result can be displayed qualitatively and quantitatively. However, there are few studies on the action mechanism, biomechanical characteristics, clinical quantitative and evaluation standard of Chinese medicine bonesetting massage manipulation by the finite element analysis. The mechanism of Chinese medicine bonesetting massage manipulation for lumbar disease by using digital analysis is further studied to provide mechanics basis for clinical application, quantified and optimized theory and new ideas for experimental study.

中图分类号: