摘要
背景:中高频电疗是临床疾病治疗常用的物理治疗方法,广泛应用于各科,特别是骨科康复治疗。但康复治疗学通常将"局部金属植入物"作为中高频电疗的禁忌证,所以骨科金属内植物置入后通常不能进行中高频电疗。目的:综述目前国内外对骨科金属植入物置入后中高频电疗的研究现状,阐明中高频电疗对骨科金属植入物置入后对组织恢复的促进作用以及热损伤,探究中高频电疗在骨科金属植入物置入后对组织产生的影响及临床应用。方法:由第一作者应用计算机检索Pub Med数据及CNKI数据库,在标题和摘要中以"中、高频电疗,金属植入物,热损伤"或"middle and high frequency electrotherapy,metal implant,heat damage"为检索词,纳入与中高频电疗在骨科金属植入物置入后应用的相关研究文章。排除重复及较陈旧的文献。共40篇文献符合标准,中文33篇,英文7篇。结果与结论:随着钛合金等新的植入物材料的发展,越来越多的基础和临床研究发现治疗剂量的中高频电疗能够促进组织愈合,消除肿胀,并缓解疼痛。但目前还有许多疑问未完全解释清楚,比如中高频电疗对金属植入物周围造成损伤的剂量、造成热损伤的类型、组织学改变等;如果采用不同涂层的钛合金植入物,是否能减少热损伤,这些都需要进一步研究。
BACKGROUND： Medium and high frequency electrotherapy is a physical treatment method commonly used in clinical treatment of diseases, especially in the Departments of orthopedics and rehabilitation. However, the rehabilitation therapeutics usually takes ＂local metal implants＂ as a contraindication in medium and high frequency electrotherapy. Thus, in the department of orthopedics, the patients after the implantation of metal plant usually cannot be treated with medium and high frequency electrotherepy. OBJECTIVE： To review the present situation of current domestic and foreign research on medium and high frequency electrotherapy in department of orthopedics after metal implant implantation, to expound the promoting effects on recovery and thermal damage of medium and high frequency electrotherapy in department of orthopedics after metal implant implantation, and to explore the effect and clinical application of medium and high frequency electrotherapy in the department of orthopedics after with metal implant implantation. METHODS： A computer-based search of PubMed and China National Knowledge Infrastructure was performed by the first author to retrieve articles concerning medium and high frequency electrotherapy and metal implants using the keywords of ＂middle and high frequency electrotherapy, metal implant, heat damage＂ in the title and abstract. Repeated and old studies were excluded. Totally 40 literatures were in accordance with the inclusion criteria. There were 33 Chinese articles and 7 English articles. RESULTS AND CONCLUSION： With the development of titanium alloy implant materials, more and more basic and clinical research found in the moderate and high frequency electrotherapy treatment dose can promote tissue healing, eliminate swelling and relieve pain. However, many questions have not been fully explained, such as the dose of high frequency electrotherapy on injuring surrounding metal implant, type of thermal damage and histological changes. If the titanium alloy implants with different coating were used, whether they could reduce heat injury. These all need our further ＂research.
出处
《中国组织工程研究》
CAS
CSCD
2014年第53期8679-8684,共6页
Chinese Journal of Tissue Engineering Research
