中医辨证分型治疗股骨头坏死

目的:讨论中医辨证分型在治疗股骨头坏死中的临床应用.方法:选取股骨头坏死气滞血瘀型,肝肾亏虚型以及湿热内阻型患者各30例,按辨证分型治疗3个月为1个疗程,3个疗程后比较疗效和Harris髋关节评分.结果:肝肾亏虚型股骨头坏死患者的总有效率(83.33％)明显高于气滞血瘀型(60.00％)和湿热内阻型(56.67％)(P＜0.05)；治疗后3组Harris髋关节评分与治疗前对比,均P＜0.01；治疗后,肝肾亏虚型Harris髋关节评分与肝肾亏虚型、湿热内阻型比较,P＜0.05,肝肾亏虚型优于其他两型.结论:以辨证、辨病相结合的原则按中医辨证分型治疗股骨头坏死可提高治疗效果.

Traditional Chinese Medicine Syndrome Differentiation Treatment for Osteonecrosis of the Femoral Head

Objective:To investigate the treatment based on differentiation of symtoms and sigins of traditional Chinese medicine(TCM) in the treatment of osteonecrosis of the femoral head. Method: Patients with necrosis of the femoral head in Qi stagnation and blood stasis,deficiency of liver and kidney and heat resistance were enrolled(30 cases each). According to symptom differentiation treatment of 3 months was 1 courses. After 3 courses , Harris hip score was compared. Result: The deficiency of liver and kidney in patients with femoral head necrosis rate(83.33%)was significantly higher than that of qi stagnation and blood stasis (60%) and heat resistance (56.67%)(P<0.05).After the treatment of Harris hip score in 3 groups showed difference cmpared with that before treatment(P<0.01). After the treatment,Harris hip score liver and kidney deficiency type and liver and kidney deficiency type, heat resistance type showed difference(P<0.05). That in liver and kidney deficiency type was better than those of other two types. Conclusion: According to syndrome differentiation and disease differentiation, the principle of TCM syndrome differentiation treatment for osteonecrosis of the femoral head can improve the treatment effect.