中西医结合治疗髋关节骨性关节炎临床研究  

A clinical research on treating hip joint osteoarthritis in the integrative medicine

作　　者：李 刘道兵[2] 何海军[2] 谢斌[2] 周宇[2] 王均玉[2] 陈月峰[1] 陈卫衡[2] 

机构地区：[1]贵阳中医学院,贵州贵阳550002 [2]中国中医科学院望京医院,北京100102

出　　处：《中医临床研究》2014年第8期6-9,共4页Clinical Journal Of Chinese Medicine

摘　　要：目的:观察中西医结合治疗髋关节骨性关节炎的临床疗效。方法:随访2011年2月-2012年7月采用关节冲洗术同时口服健脾通络方治疗的髋骨性关节炎患者23例(25髋),K-L放射线分级法I级2髋,II级8髋,III级11髋,IV级4髋。收集治疗前后X线和临床材料,以Harris评分标准及视觉模拟评分法(VAS评分)为疗效评价标准,设治疗后三个月及一年两个随访点,分别进行统计分析。结果:治疗前Harris评分62.53±14.697,治疗后三个月及一年随访的Harris评分分别为78.50±15.490和75.83±17.527,均显著高于治疗前(P<0.001);治疗前VAS评分5.67±1.258,治疗后三个月及一年随访的VAS评分分别为3.34±1.247和3.77±1.747,显著低于治疗前(P<0.001)。三个月随访优良率78%,有效率100%;一年随访优良率74%,有效率83%。结论:关节冲洗术配合健脾通络方治疗髋骨性关节炎疗效肯定。熟悉髋关节解剖结构、选择适当的入路是完成髋关节冲洗术操作的关键。Objective：To explore the efficacy of an integrated medicine for hip osteoarthritis. Methods：23 cases （25 hips） with hip osteoarthritis were treated in the integrative medicine,and were followed up. 2 hips were in Class I, 8 hips were in Class II, 11 hips were in Class III, 4 hips were in Class IV. Radiographic images and clinical information before and after treatment were collected and Harris Score as well as Visual Analogue Scale （VAS） were employed to assess the curative effects for 3 months and one year. Results：Harris score was 62.53＆#177;14.697 before treatment, 78.50＆#177;15.490 3 months after, 75.83＆#177;17.527 one year later. Statistically, scores after treatment were higher than its counterpart before therapy. As for VAS, scores at three time point were 5.67＆#177;1.258, 3.34＆#177;1.247 and 3.77＆#177;1.747 respectively which indicated that the latter two digit were statistically lower than the former one （P＆lt;0.001）. Conclusion：The curative effect of the integrative medicine for hip osteoarthritis was substantial. Proficiency of articular anatomy as well as proper approach is two crucial factors for successful performance of hip joint irrigation.

关 键 词：髋关节骨性关节炎 关节冲洗术 健脾通络方 

分 类 号：R593.22[医药卫生—内科学]