中医辨证治疗股骨头缺血性坏死240例疗效观察

Clinical Efficacy Observation on TCM Treatment of 240 Cases of Avascular Necrosis of Femoral Head According to Syndrom Differentiation

目的:回顾性研究中药辨证分型治疗股骨头坏死的临床疗效。方法:将240例患者,335髋,根据中医辨证分型标准分为气滞血瘀型、肝肾亏虚型、湿热内阻型3个证型。根据不同的分型配合自制中成药口服、中药离子导入及功能锻炼,观察临床疗效。结果:按照国家中医药管理局,中医病证诊断疗效标准进行评价,结果治愈37髋,显效132髋,好转78髋,无效88髋。保守治疗总治愈好转率达73.73%。结论:采用中医辨证分型的方法治疗早期股骨头缺血性坏死,可取得较好疗效。可缓解疼痛,增加或保持髋关节活动度。

Objective：To study clinical efficacy of retrospectively traditional Chinese medicine syndrome differential treatment of avascular necrosis of femoral head.Methods：240 patients（335 hips）,according to the classification criteria of TCM,were divided into blood stasis type,liver and kidney deficiency type,heat resistance type.Chinese patent medicines,TCM iontophoresis and functional training were given,based on different sub-type.The clinical efficacy was observed.Results： 37 hips were cured,132 hips were effective,78 hips were improved,and 88 hips were invalid,according to the standards of the State Administration of Traditional Chinese Medicine,TCM Syndrome Diagnostic efficacy evaluation.The total cure and improvement rate was 72.83% for the conservative treatment.Conclusion： It could get better effect,relieve pain,increase and maintain the activity of the hip,for traditional Chinese medicine syndrome differential treatment of avascular necrosis of femoral head.