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AIM:To survey the therapeutic effect of nabumetone in treating orthopedic diseases.M ETHODS:Three hundred and eighty patients(M 221,F159)with various orthopedic diseases were treated with nabumetone,1-2g/d,po,10d as a course. RESULTS: The patients were followed for 6 mo. The total effective rate of osteoarthritis,sciatica and acute soft tissue injuries was 76.8%,the adverse reaction incidence rate of digestive system was 1.8%.The therapeutic effect was related to the kind of diseases,courses... AIM:To survey the therapeutic effect of nabumetone in treating orthopedic diseases.M ETHODS:Three hundred and eighty patients(M 221,F159)with various orthopedic diseases were treated with nabumetone,1-2g/d,po,10d as a course. RESULTS: The patients were followed for 6 mo. The total effective rate of osteoarthritis,sciatica and acute soft tissue injuries was 76.8%,the adverse reaction incidence rate of digestive system was 1.8%.The therapeutic effect was related to the kind of diseases,courses of treatments,withdrawal times and methods of taking medicine.CONCLUSION:Nubumeton is an analgesic and anti-inflammatory agent with stronger,and more lasting actions in comparison with similar products.The adverse effects are mild. 目的:观察非甾体消炎镇痛药萘丁美酮对骨科疾患抗炎镇痛的疗效。方法:380例骨科疾病病人(男性221例,女性159例),平均年龄49±s11a,用萘丁美酮治疗1-2g/d,po,10d为一个疗程。结果:1-6mo随访结果表明,其对骨关节炎、坐骨神经痛以及急性软组织损伤等的总有效率为76.8%,消化系统的轻度不良反应发生率为1.8%。结论:该药疗效与所治疾患、疗程、停药时间及服药方法有关,具有镇痛消炎作用强、持续时间长、服用方便和不良反应少的特点。 URPOSE To evaluate the effect of the skills of three-dimensional reformations in the treatment of the orthopedic diseasesMETHODS We compiled a software named “orthopedics image processing system” which is suitable for pre-surgery presentation, pre-surgery measurements, and surgery simulation.RESULTS Joint alignment, displacement of fragments, were key factors in deciding whether surgical reconstruction was indicated and what surgical approach to use. Examples of such information obtained on patients... URPOSE To evaluate the effect of the skills of three-dimensional reformations in the treatment of the orthopedic diseasesMETHODS We compiled a software named “orthopedics image processing system” which is suitable for pre-surgery presentation, pre-surgery measurements, and surgery simulation.RESULTS Joint alignment, displacement of fragments, were key factors in deciding whether surgical reconstruction was indicated and what surgical approach to use. Examples of such information obtained on patients with fractures were reported comparing 3-D CT reconstruction to CT scan results and to conventional roentgenograms. We could move the fragments, set the position and the direction of the K-wire on the screen, help the doctor to get an anatomic reduction.CONCLUSIONS We conclude that 3-D reconstruction is a useful technique for the diagnosis and surgical planning of the orthopedic diseases 目的研究计算机三维成像技术在骨科领域中的应用。方法应用此项技术编制一个骨科专业医用软件。结果①实现多种目标组织的三维显示及三维空间测量;②实现计算机模拟骨科手术。结论此项技术能帮助骨科医生在手术前充分了解患者的病情,进行充分的手术前规划,可以缩短手术时间使手术更加安全。还可以用于教学及科研,帮助医生提高业务水平。 Objective:To discuss the method of treating orthopedic diseases accompanied with diabetes mellitus during peri operation.Methods:48 cases of the orthopedic diseases with diabetes mellitus were analyzed retrospectively.The characteristics of the patients.the methods of treating,and the measures to reduce the complications were discussed in this paper.Results:Of the 48cases.only 20 had cases a history of definite diabetes mellitus.The... Objective:To discuss the method of treating orthopedic diseases accompanied with diabetes mellitus during peri operation.Methods:48 cases of the orthopedic diseases with diabetes mellitus were analyzed retrospectively.The characteristics of the patients.the methods of treating,and the measures to reduce the complications were discussed in this paper.Results:Of the 48cases.only 20 had cases a history of definite diabetes mellitus.The accurate diagnosis of 23 cases was confirmed before operation.Discharge diagnosis occurred in 5cases.42 cases with the incisions healed by first intention,who were followed up for 3 years and 8 months,recovered excellent.6 cases had complications after the operations,one case died of cerebral infarction and heart failure.Conclusions:The correct treatment during peri operation is the key to reduce the complications. 目的:探讨骨科疾病并存糖尿病患者围手术期处理的方法。方法:回顾分析骨科疾病并存糖尿病的48 例患者,对该类病人的特点、处理方法及减少并发症的措施进行讨论。结果:48 例中明确有糖尿病史者仅20 例,术前确诊者23 例,5 例漏诊。42 例术后伤口Ⅰ期愈合,随访3 年8 个月,恢复良好。术后出现并发症6 例,1 例死于脑梗塞及心衰。结论:正确的围手术期处理是减少并发症的关键。
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