中医辨证联合髓芯减压植骨术治疗早期股骨头坏死临床研究

目的：观察中医辨证联合髓芯减压植骨术治疗早期股骨头坏死的临床疗效。方法：30例早期股骨头坏死患者随机分成观察组与对照组,每组各15例。对照组给予髓芯减压植骨术;观察组在对照组基础上采用中医辨证给药,气滞血瘀证给予身痛逐瘀汤加减,肝肾不足证给予虎潜丸,风寒湿痹证给予独活寄生汤加减,气血虚弱证给予黄芪桂枝五物汤,痰湿证给予指迷茯苓丸,疗程3个月。比较两组患者的临床疗效、Harris评分。结果：观察组治疗后3个月、6个月、12个月的Harris评分均高于对照组,差异均有统计学意义（P〈0.05）;观察组有效率及影像学诊断治疗结果有效率分别为100.00%、93.33%,均分别显著高于对照组的66.67%、60.00%,差异均有统计学意义（P〈0.05）。结论：中医辨证联合髓芯减压植骨术治疗早期股骨头坏死疗效显著,并可显著改善患者的髋关节功能。

Clinical Studies of Traditional Chinese Medicine Syndrome Differentiation Combined Bone Grafting Pith Decompression Treatment of Early Femoral Head Necrosis

Objective： To explore the clinical effect of traditional Chinese medicine syndrome combined with bone grafting pith decompression treatment of early femoral head necrosis. Methods： 30 patients with early femoral head necrosis were randomly divided into the observation group and the control group,each group of 15 cases. the control group was given bone grafting pith decompression,and the observation group was treated with TCM syndrome differentiation,qi depression and blood stasis syndrome with modified shentong zhuyu decoction,liver and kidney deficiency type with hidden tiger pill,wind,cold and dampness type with modified duhuo jisheng decoction,qi and blood weak type with huangqi guizhi wuwu decoction,phlegm wet type with pathfinder poria pill. The course of treatment was 3months. Compared clinical efficacy and Harris score of patients in the two groups. Results： Harris scores of the observation group after treatment for 3 months,6 months and 12 months were higher than control group,differences had statistical significance（ P〈0. 05）; Total effectiveness and efficient imaging diagnosis and treatment results of the observation treatment group were 100. 00%,93. 33%,which were significantly higher than those of control group 66. 67%,60. 00% respectively,and the differences had statistical significance（ P〈0. 05）. Conclusion： Traditional Chinese medicine syndrome combined with bone grafting pith decompression treatment of early femoral head necrosis has good effect,and also it can significantly improve the patient＇s hip function.