[1]李正言 李兵 张帅 冯敏山 熊轶哲 高宁阳 张明才 王翔 詹红生△.高年资医生与低年资医生颈部定点定向扳法力学参数特征研究[J].中国中医骨伤科杂志,2019,27(12):18-21.
　LI Zhengyan LI Bing ZHANG Shuai FENG Minshan XIONG Yizhe GAO Ningyang ZHANG Mingcai WANG Xiang ZHAN Hongsheng.Study on the Characteristics of the Mechanical Parameters of the Neck by High-grade Doctors and Low-grade Doctors[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(12):18-21.
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高年资医生与低年资医生颈部定点定向扳法力学参数特征研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年12期
页码:
18-21
栏目:
临床研究
出版日期:
2019-12-04

文章信息/Info

Title:
Study on the Characteristics of the Mechanical Parameters of the Neck by High-grade Doctors and Low-grade Doctors
文章编号:
1005-0205(2019)12-0018-04
作者:
李正言1 李兵1 张帅1 冯敏山2 熊轶哲3 高宁阳3 张明才3 王翔3 詹红生3△
1上海市浦东新区中医院(上海,201200) 2北京中医药大学附属望京医院力学实验室 3上海中医药大学附属曙光医院
Author(s):
LI Zhengyan1 LI Bing1 ZHANG Shuai1 FENG Minshan2 XIONG Yizhe3 GAO Ningyang3 ZHANG Mingcai3 WANG Xiang3 ZHAN Hongsheng3△
1Shanghai Pudong New Area Chinese Medicine Hospital,Shanghai 201200,China; 2Mechanics Laboratory,Wangjing Hospital,Beijing University of Traditional Chinese Medicine,Beijing 100102,China; 3Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China.
关键词:
颈部定点定向扳法;  力学参数;  在体测量
Keywords:
neck-pointing method;  mechanical parameters;  in-vivo measurement
分类号:
R381.01
文献标志码:
A
摘要:
目的:探讨高、低年资医生在行颈部定点定向扳法过程中的力学参数特征差异及临床意义。方法:运用力学测量仪测量对4位高年资和4位低年资医生对40名筋出槽骨错缝患者行颈部定点定向扳法过程中力学参数特征进行在体测量。结果:40名患者全部完成实验,未发生不良反应或不良事件。两组颈部定点定向扳法力学参数(A组(高年资组)/B组(低年资组)):预加载力,A组(54.86±4.59)N,变异系数8.37%,B组(29.22±9.94)N,变异系数34.01%,t=4.776,P=0.035; 峰值力,A组(77.75±9.64)N,B组(41.20±11.69)N,t=0.555,P=0.461; 扳动力,A组(50.67±3.36)N,变异系数6.63%,B组(27.23±9.09)N,变异系数33.38%,t=10.142,P=0.003; 扳动时间,A组(123.75±14.35)ms,变异系数11.60%,B组(234.30±101.62)ms,变异系数43.38%,t=0.555,P=0.461.结论:高年资与低年资医生行颈部定点定向扳法治疗过程中,高年资医生力学参数预加载力、扳动力相对较大,而扳动时间相对较短,同时高年资医生力学参数变异率低,相对较稳定。
Abstract:
Objective:To study the difference and clinical significance of the mechanical characteristics of high-grade and low-grade doctors in the neck-pointing method.Methods:The mechanical measurement method was used to measure the mechanical parameters of the four high-grade and four low-grade doctors in the process of neck-pointing and aligning in 40 patients with staggered sutures.Results:All 20 patients completed the experiment without adverse reactions or adverse events.The mechanical parameters of the two groups of neck-pointed directional pull-up method were(group A(senior group)/group B(low-grade group)):pre-loading force of group A was(54.86±4.59)N,coefficient of variation was 8.37%,pre-loading force of group B was(29.22± 9.94)N,coefficient of variation was 34.01%,t=4.776,P=0.035; peak force of group A was(77.75±9.64)N,group B was(41.20±11.69)N,t=0.555,P=0.461; pulling force of group A was(50.67± 3.36)N,coefficient of variation was 6.63%,pulling force of group B was(27.23±9.09)N,coefficient of variation was 33.38%,t=10.142,P=0.003; pulling time of group A was(123.75±14.35)ms,coefficient of variation was 11.60%,pulling time of group B was(234.30±101.62)ms,coefficient of variation was 43.38%,t=0.555,P=0.461.Conclusion:During the treatment of high-grade and low-grade doctors in the neck-pointing method,the pre-loading force and pulling force of the mechanical parameters of the high-grade doctors were relatively large,while the pulling time was relatively short,and the mechanical parameters variation of the high-grade doctors was low and relatively stable.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:上海市浦东新区卫生和计划生育委员会优秀青年 医学人才培养计划项目 上海市海派中医流派(石氏伤科)浦东基地建设 国家自然科学基金项目(81473702,81503596) 上海市科学技术委员会科研计划医学重点项目 (16401970102)△上海市卫生和计划生育委员会中医药科技创新项目(ZYKC201602006)上海市重中之重临床重点学科建设项目(2017ZZ02024) 上海市中西医临床协作试点项目(ZXYXZ-201703) 通信作者 E-mail:shgsyjs@139.com(收稿日期:2019-06-13)
更新日期/Last Update: 2019-12-04