脉冲电磁场在骨科相关疾病中的应用

Application of pulsed electromagnetic fields in the treatment of orthopedic diseases

背景:脉冲电磁场是一种无创、无辐射的治疗方法,临床利用脉冲电磁场治疗骨科疾病已经取得了一定的疗效。目的:综述脉冲电磁场参与治疗骨科疾病的临床应用现状,为骨科疾病的临床治疗提供科学的理论依据。方法:由第一作者运用计算机检索PubMed、中国生物医学文献服务系统(CBM)、Cochrane Library、中国期刊全文数据库(CNKI)以及万方数据资源系统中脉冲电磁场治疗骨科疾病的相关研究,以“脉冲电磁场,骨科,骨关节炎,骨质疏松,骨愈合,电磁导航”为中文检索词,以“pulsed electromagnetic field,orthopedics,osteoarthritis,osteoporosis,bone healing,electromagnetic navigation”为英文检索词,同内容相关文献则选择近期发表文献,从检索结果中选择了69篇文献进行综述。结果与结论:脉冲电磁场对骨折愈合疗效确切,通过抑菌、杀菌、抗炎及促进骨愈合等途径治疗骨髓炎,可抑制骨质疏松及其进展,又通过多种途径治疗早期骨关节炎、股骨头坏死及晚期关节置换术后康复。但脉冲电磁场治疗多种骨科疾病的机制仍不明确,多数研究仍处于初级阶段,今后依然需要从高质量的研究和临床试验中获得更可靠的证据,为骨科疾病的临床治疗提供更完善的依据。

BACKGROUND:Pulsed electromagnetic field is a non-invasive and non-radiative treatment method.Clinical use of pulsed electromagnetic fields in the treatment of orthopedic diseases has achieved certain results.OBJECTIVE:To review the current clinical application of the pulsed electromagnetic field in the treatment of orthopedic diseases,providing a scientific theoretical basis for the clinical treatment of orthopedic diseases.METHODS:The first author used a computer to search PubMed,CBM,Cochrane Library,CNKI,and WanFang Data for related studies on the pulsed electromagnetic field in the treatment of orthopedic diseases,using the keywords of“pulsed electromagnetic field,orthopedics,osteoarthritis,osteoporosis,bone healing,electromagnetic navigation”in English and Chinese.For the literature related to the same content,recent publications were selected.A total of 69 articles were selected from the search results for review.RESULTS AND CONCLUSION:Pulsed electromagnetic field has a definite curative effect on fracture healing.It can be used in the treatment of osteomyelitis by antibacterial,bactericidal,anti-inflammatory and promoting bone healing,and can inhibit osteoporosis and its progress.In addition,the treatment of early osteoarthritis,femoral head necrosis and postoperative rehabilitation of late joint replacement through various ways can become a treatment for orthopedic diseases.However,the therapeutic mechanism of the pulsed electromagnetic field for a variety of orthopedic diseases is still unclear,and most of the research is still in the primary stage.In the future,it is still necessary to obtain more reliable evidence from high-quality research and clinical trials to provide a more perfect basis for the clinical treatment of orthopedic diseases.