中医辨证分型治疗股骨头坏死  

Traditional Chinese Medicine Syndrome Differentiation Treatment for Osteonecrosis of the Femoral Head

作　　者：陈星[1] 

机构地区：[1]河南中医学院第一附属医院,郑州450000

出　　处：《中国实验方剂学杂志》2013年第13期340-342,共3页Chinese Journal of Experimental Traditional Medical Formulae

摘　　要：目的:讨论中医辨证分型在治疗股骨头坏死中的临床应用。方法:选取股骨头坏死气滞血瘀型,肝肾亏虚型以及湿热内阻型患者各30例,按辨证分型治疗3个月为1个疗程,3个疗程后比较疗效和Harris髋关节评分。结果:肝肾亏虚型股骨头坏死患者的总有效率(83.33%)明显高于气滞血瘀型(60.00%)和湿热内阻型(56.67%)(P<0.05);治疗后3组Harris髋关节评分与治疗前对比,均P<0.01;治疗后,肝肾亏虚型Harris髋关节评分与肝肾亏虚型、湿热内阻型比较,P<0.05,肝肾亏虚型优于其他两型。结论:以辨证、辨病相结合的原则按中医辨证分型治疗股骨头坏死可提高治疗效果。Objective： To investigate the treatment based on differentiation of symtoms and sigins of traditional Chinese medicine（TCM） in the treatment of osteonecrosis of the femoral head.Method： Patients with necrosis of the femoral head in Qi stagnation and blood stasis,deficiency of liver and kidney and heat resistance were enrolled（30 cases each）.According to symptom differentiation treatment of 3 months was 1 courses.After 3 courses,Harris hip score was compared.Result： The deficiency of liver and kidney in patients with femoral head necrosis rate（83.33%） was significantly higher than that of qi stagnation and blood stasis（60%） and heat resistance（56.67%）（P〈0.05）.After the treatment of Harris hip score in 3 groups showed difference cmpared with that before treatment（P〈0.01）.After the treatment,Harris hip score liver and kidney deficiency type and liver and kidney deficiency type,heat resistance type showed difference（P〈0.05）.That in liver and kidney deficiency type was better than those of other two types.Conclusion： According to syndrome differentiation and disease differentiation,the principle of TCM syndrome differentiation treatment for osteonecrosis of the femoral head can improve the treatment effect.

关 键 词：股骨头坏死 中医辨证分型 辨证施治 

分 类 号：R287[医药卫生—中药学]