76例坐骨股骨撞击综合征的中医辨证分析  

Analysis of Ischiofemoral Impingement Syndrome of TCM Syndrome Differentiation:a Report of 76 Cases

作　　者：张欲翔 张泽坤 宋彦芳 张晓艳[2] 左广 焦永伟[3] 康丽洁[4] ZHANG Yuxiang;ZHANG Zekun;SONG Yanfang;ZHANG Xiaoyan;ZUO Guang;JIAO Yongwei;KANG Lijie(Department of Radiology,Hebei Province Hospital of Traditional Chinese Medicine,Shijiazhuang 050011,China;Third Department of Spleen and Stomach,Hebei Province Hospital of Traditional Chinese Medicine,Shijiazhuang 050011,China;Third Department of Orthopedic,Hebei Province Hospital of Traditional Chinese Medicine,Shijiazhuang 050011,China;Second Department of Orthopedic,Hebei Province Hospital of Traditional Chinese Medicine,Shijiazhuang 050011,China)

机构地区：[1]河北省中医院放射科,河北省脾肾病证中医治疗技术创新中心,石家庄050011 [2]河北省中医院脾胃三科 [3]河北省中医院骨伤三科 [4]河北省中医院骨伤二科

出　　处：《中国中医骨伤科杂志》2021年第11期38-41,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:探究坐骨股骨撞击综合征的中医辨证分型及其分布规律。方法:回顾分析2018年8月至2020年5月确诊的76例坐骨股骨撞击综合征患者病例资料,收集患者的临床症状、体征等资料,以症状为主、辅以舌脉象分析,运用聚类分析确立证型。结果:本研究中坐骨股骨撞击综合征患者证型呈现虚实夹杂的特征,具体分布为气滞血瘀证(34.21%)、湿热瘀阻证(17.11%)、寒湿阻滞证(14.47%)、肝肾亏虚证(10.53%)、气血两虚证(9.21%)、脾肾阳虚证(14.47%)6个基本证型。结论:坐骨股骨撞击综合征的中医证型分为6类,其分布有一定规律性,以气滞血瘀证为主,可为坐骨股骨撞击综合征的中医防治提供一定的理论基础。Objective:To explore the distribution characteristics of TCM syndromes of ischiofemoral impingement syndrome.Methods:76 patients with ischiofemoral impingement syndrome from August 2018 to May 2020 were retrospectively studied.The clinical symptoms and signs of the patients were collected,and the syndrome type was established by cluster analysis.Results:The syndrome types of patients with ischiofemoral impingement presented the characteristics of deficiency and excess,and the specific distribution was Qi stagnation and Blood stasis syndrome(34.21%),syndrome of stagnant dampness-heat(17.11%),cold dampness block syndrome(14.47%),liver constraint and deficiency of kidney-type(10.53%),Qi and blood deficiency syndrome(9.21%),spleen and kidney yang deficiency syndrome(14.47%).Conclusion:The TCM syndrome types of ischial femoral impingement syndrome is divided into six categories,and their distribution has certain regularity,with qi stagnation and blood stasis as the main syndrome,which provides a certain theoretical basis for TCM prevention and treatment of ischial femoral impingement syndrome.

关 键 词：坐骨股骨撞击综合征 辨证分型 磁共振 中医证型 聚类分析 

分 类 号：R274.39[医药卫生—中医骨伤科学]