Ilizarov技术与耗散结构理论的哲学联系

The Philosophical Connection Between Ilizarov Technology and Dissipative Structure Theory

自普利高津40多年前提出耗散结构理论,迄今为止已被广泛应用于医学、生物学、哲学、政治、经济、社会学等各个方面。与此同时,Ilizarov在长期的医学实践过程中提出了"张力-应力法则",并在中国大陆传播过程中形成了以秦泗河、夏和桃等学者为代表的"骨科自然重建"理念,其中秦泗河教授利用国产外固定器和康复训练,对下肢畸形、残缺等既往骨科认为的疑难杂症进行矫形和功能重建,救治了大量身处绝望中的患者。笔者将用普利高津提出的耗散结构理论,来论述Ilizarov技术的特点,为该技术的进一步发展及骨科自然重建理念提供医学与哲学上的思路。

The theory of dissipative structure proposed by Prigogine more than 40 years ago has been widely applied in various fields such as medicine,biology,philosophy,politics,economy and sociology.Meanwhile,in the long process of medical practice,Ilizarov put forward the theory of ＂stress and tension rule＂,and the concept of natural construction was formed by the professor Qin and Xia-based scholars in the process of dissemination in the Chinese mainland.Professor Qin made full use of domestic external-fixator and rehabilitation training to adjust and function reconstruct those who has the lower limb deformity,incomplete and other problems.A large number of patients in despair who was thought inoperable in conventional way have been treated by this technology—the Ilizarov external fixation modern technology.This paper will use the theory of dissipative structure which was put forward by Prigogine to discuss the characteristics of Ilizarov technology and provides a medicine and philosophy method for the further development of the technology and the concept of natural reconstruction.