成人股骨头坏死的中医辨证论治

Treatment based on syndrome differentiation of traditional Chinese medical science of adult femoral head necrosis

目的:探讨成人股骨头坏死的中医辨证论治效果。方法:收治气滞血瘀型患者94例,肝肾亏虚型患者114例以及湿热内阻型患者110例,分别采用桃红四物汤、补血荣筋丸以及白虎桂枝汤合宣痹汤治疗。结果:3型患者经治疗后其各自Harris评分均较治疗前获得了明显提升,治疗前后比较差异均有统计学意义(P<0.01);3型患者的临床治疗优良率均>60%,其中尤以肝肾亏虚型的治疗效果最佳,优良率达到83.3%,与其他2型比较差异均有统计学意义(P<0.01)。结论:中医辨证论治治疗成人股骨头坏死效果满意,建议推广应用。

Objective:To explore the treatment based on syndrome differentiation of traditional Chinese medical science of adult femoral head necrosis.Methods:94 patients with Qi Zhi Xue Yu type,114 patients with Gan Shen Kui Xu type and 110 patients with Shi Re Nei Zu type were selected.They were respectively treated with Tao Hong Si Wu Decoction,Bu Xue Rong Jin Pill and Bai Hu Gui Zhi Decoction combined with Xuan Bi Decoction.Results:After treatment of 3 types of patients,compared with before treatment,Harris score was improved significantly,and the difference was statistically significant(P＜0.01).The clinical treatment of the excellent and good rate of 3 types of patients reached over 60%,among them,the treatment effect of Gan Shen Kui Xu type was the best,and the excellent and good rate reached 83.3%,compared with the other 2 syndromes,the difference was statistically significant(P＜0.01).Conclusion:The effect of treatment based on syndrome differentiation of traditional Chinese medical science of adult femoral head necrosis was satisfied,and it was worth the clinical promotion.