股骨头坏死1425例治疗效果回顾性分析  

Retrospective analysis of therapeutic efficacy in 1 425 cases of femoral head necrosis

作　　者：郎凤萍[1] 黄永勋[1] 黄宏[1] 黄辉[1] 黄克勤[1] 张景辰 

机构地区：[1]北京皇城股骨头坏死专科医院,北京市102200 [2]吉林市股骨头坏死专科医院,吉林省吉林市132001

出　　处：《中国组织工程研究与临床康复》2008年第33期6500-6504,共5页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景：股骨头坏死可导致靛关节疼痛和功能障碍，其治疗是一项复杂的系统工程。目的；回顾性分析北京皇城股骨头坏死专科医院以自行研创的股骨头坏死治疗方法治疗股骨头坏死1425例的疗效。设计、时间及地点：回顾性病例分析，于1997—07／2005—12在北京皇城股骨头坏死专科医院完成。对象：选择应用股骨头坏死新疗法连续治疗4个疗程以上的股骨头坏死患者1425例。方法：采用股骨头坏死新疗法治疗：口服承载丸3次/d，每次一两丸：应用股骨头坏死治疗仪治疗．2次/d，25min／次；髋关节动态模造锻炼，2次/d，30—120min／次。主要观察指标：评估患者治疗前及治疗4个疗程后的X射线评分和临床评分，临床评分包括髋关节活动度、髋关节承载能力及髋关节疼痛评分。结果：①随访时间6个月-8年，疗效优良率为80．50％，有效率为94．33％。②左、右髋治疗前后评分差异均具有显著性意义（P均=0．00）。③各病变分期患者的优、良评分差异有显著性意义（P〈0．05）。④病因为结构不良的患者与外伤、激素、酗酒及其他原因致病患者的疗效评分差异具有显著性意义（P〈0．05）：外伤组与结构不良组差异无显著性意义（P〉0．05），与其余3组差异具有显著性意义（P〈0．05）。结论：股骨头坏死新疗法对股骨头坏死患者疗效确切，其治疗效果与病情轻重及发病原因有密切关系。BACKGROUND： Femoral head necrosis can induce the pain and functional impairment of the hip joint. The treatment is complicated. OBJECTIVE： To retrospectively analyze the curative effect in ＂New therapy for femoral head necrosis＂ in 1 425 cases at the Beijing Hospital of Femur Head Necrosis. DESIGN, TIME AND SETTING： The retrospective case analysis was performed at the Beijing Hospital of Femur Head Necrosis from July 1997 to December 2005. PARTICIPANTS： 1 425 patients with femoral head necrosis undergoing a new therapy method for femoral head necrosis more than 4 courses were enrolled in this study. METHODS： The new therapy for femoral head necrosis was applied to treat all the patients, who orally took pill, three times a day, two pills once. Therapeutic instrument for femoral head necrosis was used, twice a day, once 25 minutes. Dynamic modeling training of the hip joint was conducted, twice a day, 30 120 minutes once. MAIN OUTCOME MEASURES： We evaluated the X-ray score and clinical score before and after treatment, including mobility score, weight-beating capability score and hip joint pain score of the hip joint. RESULTS： Follow-up was performed for 6 months-8 years, resulting excellent rate of the curative effect of 80.50% and efficiency of 94.33%. There were significant differences in scores of left hip and right hip before and after treatment （P = 0.00）. There were significant differences in excellent and good scores in patients in different lesion phases （P 〈 0.05）. There were significant differences in scores of curative effects between patients with dysplasia and patients with trauma, hormone and alcohol abuse （P 〈 0.05）. No significant difference was detected between trauma group and dysplasia group （P 〉 0.05）. But significant difference was detected among other 3 groups （P 〈 0.05）. CONCLUSION： The curative effect of the new therapy for femoral head necrosis is definite. Curative effect has a close correlation with the degree and reason of disease.

关 键 词：股骨头坏死 中医药疗法 

分 类 号：R681[医药卫生—骨科学]