中医辨证治疗联合微创保髋术治疗股骨头坏死的应用效果  

Application effect of traditional Chinese medicine syndrome differentiation combined with minimally invasive hip-preserving therapy in the treatment of femoral head osteonecrosis

作　　者：徐法铭 张永兴[1] XU Fa-ming;ZHANG Yong-xing(Department of Orthopedics,People′s Hospital of Changqing District,Ji′nan City,Shandong Province,Ji′nan 250300,China)

机构地区：[1]山东省济南市长清区人民医院骨科,山东济南250300

出　　处：《中国当代医药》2018年第29期134-137,共4页China Modern Medicine

基　　金：山东省济南市卫生局科技计划项目(济卫科外发[2013]11号)

摘　　要：目的探讨中医辨证治疗联合微创保髋术治疗股骨头坏死的应用效果。方法选取2015年1月～2018年3月我院收治的138例股骨头坏死患者作为研究对象,将其随机分为对照组和试验组,每组各69例。对照组患者给予微创保髋术治疗,试验组患者在对照组基础加用中医辩证治疗。比较两组患者的临床疗效、住院相关指标、生活质量评分、髋关节功能(Harris)评分。结果试验组患者的临床总有效率为94.2%,高于对照组的81.5%,差异有统计学意义(P<0.05)。试验组患者的住院天数、愈合时间均短于对照组,差异有统计学意义(P<0.05)。两组患者治疗前的生活质量评分比较,差异无统计学意义(P>0.05);两组患者治疗4、8周后的生活质量评分均高于治疗前,差异有统计学意义(P<0.05);试验组患者治疗4、8周后的生活质量评分均高于对照组,差异有统计学意义(P<0.05)。两组患者治疗前的Harris评分比较,差异无统计学意义(P>0.05);两组患者治疗4、8周后的Harris评分均高于治疗前,差异有统计学意义(P<0.05);试验组患者的治疗4、8周后Harris评分均高于对照组,差异有统计学意义(P<0.05)。结论中医辨证治疗联合微创保髋术治疗股骨头坏死临床效果佳,其具有较高的临床有效率,患者恢复快,生活质量高,髋关节功能也较好,值得临床选择。Objective To investigate the application effect of traditional Chinese medicine(TCM)syndrome differentiation combined with minimally invasive hip-preserving therapy in the treatment of femoral head osteonecrosis.Methods A total of 138 patients with femoral head osteonecrosis treated in our hospital from January 2015 to March 2018 were selected as objects and they were randomly divided into the control group and the test group,with 69 cases in each group.The control group was treated with the minimally invasive hip-preserving therapy,and the test group was given syndrome differential treatment on the basis of the control group.The clinical efficacy,hospital-related indicators,life quality scores,and hip function(Harris)scores were compared between two groups.Results The total clinical effective rate in the test group was 94.2%,which was higher than that in the control group(81.5%),and the difference was statistically significant(P<0.05).The hospitalization days and healing time in the test group were shorter than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the life quality scores before treatment between two groups(P>0.05).The life quality scores after 4,8 weeks of treatment in two groups were higher than those before treatment,and the differences were statistically significant(P<0.05).The life quality scores after 4,8 weeks of treatment in the test group were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the Harris scores before treatment between two groups(P>0.05).The Harris scores after 4,8 weeks of treatment in two groups were higher than those before treatment,and the differences were statistically significant(P<0.05).The Harris scores after 4,8 weeks of treatment in the test group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The TCM syndrome differential treatment combine

关 键 词：中医辨证治疗 微创保髋术 股骨头坏死 应用效果 

分 类 号：R681.8[医药卫生—骨科学]