Humanization: Pursuit which dept. of orthopedics does not change for clinical 30 years
Staff reporter cub reporter Wang XueFei and Han Lu That 30 year historical for span,as to as early as 2000 ago "in Huang Ti through "is there disciplines old that be recorded - -Dept. of orthopedics will come to say, undoubtedly very transient. However, in 30 years when reform and open up to the outside world, the revolutionary change has taken place in the clinical field of dept. of orthopedics of China. Shell the outer cover in riotous profusion open the bone with progressive scientific and technological skill, the bone head of the department academician Qiu GuiXing of scientific branch's General Board, BJ Union Hospital of bone of Chinese Medical Association has summarized its spiritual kernel with a word: The clinical field of dept. of orthopedics of our country has been rounded over the past 30 years " Human-oriented " This, treat the intersection of idea and humanization, treatment means, create, take, make a diagnosis and give treatment behavioral standardization, the intersection of discipline development and the intersection of internationalization,etc. and respect pioneer and keep forging ahead constantly a little. Patient agony reduce function, rebuild, increase Qiu revitalize and say expensively, 30 years ago, orthopedists cured the disease by all means, gain symptom and improve by sacrificing some functions of patient in a lot of treatment technologies. For example, the activity is limited that the patient walks, bends over,etc. after joint and backbone are merged, give a great discount in life quality. Nowadays, how afford to maximize, carry on humanization and treat and already become the increasingly many orthopedist's conscientious pursuit. Some scholars propose the backbone function rebuild the idea, exploring the new " stability " constantly in recent years The method of the backbone, keep the scope of activities of digital articulation of backbone vertebra as much as possible, resume the height among the patient's normal vertebra, keep small joint and ligament and soft institutional framework around. Among them, the reconstruction of the backbone movement function is a part with the fastest developing speed in recent years of surgery of backbone, for instance artificial neck, waist intervertebral disc are replaced, it is replaced that the artificial marrow is nuclear, the application in motive force stable system of lumbar vertebrae,etc., make every effort, rebuild the intersection of backbone and the intersection of movement and function, try hard neighbouring segment retreat the emergence ng prevent backbone from to be fixed. Many doctors of our country have reported the plate replace the following up a case by regular visits to the result of the skill among the artificial cervical vertebra in two more than three yearses, indicate, should replace, can keep the intersection of pathological change and activity degree of segment partly, and does not influence the neighbouring segment activity, the total fine rate of grading of clinic is relatively high too. Qiu GuiXing thinks, since 30 years of reforming and opening up to the world, every progress most important temporary lodging of dept. of orthopedics is meeting masses' requirements for high-level medical care of people constantly the masses ofly, ordinary people have received the true advantage from the technological progress. Replace the artificial joint as the example. Of our country artificial the intersection of joint and surgery begin with will it be will it be the end the seventies the 20th century, half a hip joint replace technology to launch in key cities such as Beijing, Shanghai,etc. at first. By the beginning of the eighties of the 20th century, some hospitals carried on the substitution skill of surface of the whole knee joint beginning into scale. With the deepening of reform and opening-up, by the beginning of 1990s, the domestic orthopedist was sent and went abroad to study, modern joint replace technology, popularize progressively in China, joint replace the example count and increase rapidly. At present, it counts and already exceeds 100,000 to replace total example of the joint every year, more joint disease patients have been no longer tormented by the illness. Set up rule to be difficult to become neighbourhood some the intersection of place and some the intersection of hospital and the intersection of dept. of orthopedics and ward, change artificial yellow lady of hip joint some lie constantly at the sick bed, eager to look forward to, can leave the bed first quarter earlier arrival that walk. This day, doctors told her and try to play the bed and do exercises at last. Cherishing the excited mood, yellow lady goes to the fields and tries to take several steps. Feel very good at the beginning, when joyful that she regains normal walking ability for oneself, attacked dizzily, sickly for a moment suddenly, she was very heavy to fall down on the vacant lot of the ward. Although rescue with all strength by the hospital, have no plan to make improvements. Corpse examine result show, yellow lady die pulmonary embolism that the dark intravenous thrombus caused after performing the operation. The main reason the deep intravenous thrombus takes place is that patient's lower extremities blood goes back smoothly after an operation. Abroad, having finished the operation, all patients should wear the stretch socks, should use the intravenous pump of sole, in order to accelerate the blood reflux. If who does not wear, needn't go wrong, the insurance company is not responsible for compensating. In China, thought patient's morbidity low in the past, it is unnecessary to waste resources. At the beginning of 2000, the medical workers of dept. of orthopedics of Beijing, Shanghai, Guangzhou united the investigation, checked and finds by the intravenous radiography, the deep intravenous thrombus morbidity is not lower than foreigners after the operation of Chinese's dept. of orthopedics, up to about 30%. A lot of people finish the operation leg swollenly, it is real to be the manifestation of the thrombus, only minor. For this reason, reach common understanding progressively, put emphasis on running the major operation of dept. of orthopedics and preventing the thrombus in scientific circles of bone of our country. Relevant experts have written " the deep intravenous thrombus prevent the guide after the major operation of dept. of orthopedics ", require the national orthopedist according to the guide, means of adopting physics preventing from, medicine to prevent etc., take strict precautions against the emergence of the postoperative deep intravenous thrombus, ensure the patient's life security. Qiu GuiXing says, though go clinically " the main roads lead to Rome " --Offer the patient a safe and effective treatment, allow beneficial exploration and practise, however, if has deviated from " Rome " This ultimate goal, can only come into the blind alley. Today with rapid change of scientific and technological skill of bone, some operations are " transient " on earth ," tomorrow Chaoyang " ,Still remain to practise repeatedly and follow up a case by regular visits to and observe analysing and judging for a long time. Dept. of orthopedics make a diagnosis and give treatment, must follow certain norm and standard while being clinical, want along prove, follow the card route, move ahead solidly countless scientific experiment. It is reported, up until now, the branch of Chinese Medical Association dept. of orthopedics has already finished " guide of making a diagnosis and giving treatment to bone arthritis ", " entry system that the artificial joint is replaced ", " the postoperative deep intravenous thrombus of major operation of dept. of orthopedics prevents the guide ", " osteoporosis fracture is treated, treated experts, proposed ",etc., making " norm that the artificial joint is being replaced ", " disease diagnosis of dept. of orthopedics and treat the guide ",etc., try hard to make the orthopedist have in the course of making a diagnosis and giving treatment " The chapter " Can follow, there are " laws " Can depend on. Fight for will it be November this year such as right such as words at international arena, Chinese Medical Association the intersection of dept. of orthopedics and the intersection of branch and alternate General Board, the intersection of PLA and the intersection of general hospital and Wang Yan Professor, head of the department of bone, invite to go to U.S.A., successively called on the famous general hospitals of University of California, Harvard University and Masschusetts, and make the lecture. He complicated deformity rescue and the intersection of joint and the intersection of person who replace and rebuild and newest score that make show to the foreign counterpart in backbone the intersection of Chinese and dept. of orthopedics vividly, cause manily to highly praise. Wang Yan says, since 30 years of reforming and opening up to the world, with the development of economics and society, bone science subject must follow to advance too, the large hospital of our country, especially dept. of orthopedics of the large hospital of Beijing, Shanghai, can well already catch up with the advanced international standards, can even be in order to exceed. At the beginning of reform and opening-up, Chinese orthopedist wishes eagerly to communicate with the stranger, wish eagerly to learn from stranger. Qiu GuiXing recalls, that year, we publishes the ticket, wrapped up and ate wrapping up to offer all favorable conditions, hold and invite the expert of international dept. of orthopedics to come to China, but very difficult. Nowadays, have come already The a lot more of international counterpart provides funds, come to China to participate in scientific skill of the bone and exchange voluntarily. Will it be October this year, and alternate 3 president find Professor Qiu GuiXing together in Hong Kong, international the intersection of backbone and the intersection of side and curved predecessor of association, at present, propose them paying the bill, will hold the curved association's academic conference of side of international backbone in China next year. This is this association's the second time to hold the international academic conference outside the native country of U.S.A.. This has reflected from the side that there is certain words right on the international arena in Chinese dept. of orthopedics too. Annual meeting of international Chinese dept. of orthopedics (COA) on the third held in Suzhou not long ago At the academic conference, the authorities of dept. of orthopedics of countries such as U.S.A., Japan, Germany,etc. appear together, the foreign scholar registers reaching several hundred people participating in the conference, it is all previous most ones, are praised as " the Olympic Games of dept. of orthopedics " by the international counterpart . No matter organize the scale, or academic level, COA has not been inferior to any international conference of dept. of orthopedics yet.
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