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为了解中药对由激素或酒精引起的股骨头缺血性坏死 (ANFH)的治疗作用 ,对 1988～ 1995年间广州中医药大学第一附属医院收治的 91例ANFH患者 (其中激素引起者 5 0例 ,酒精引起者 41例 ) ,在给予内服中草药制剂生脉成骨胶囊的同时 ,选择病情较重一侧行多血管植入术治疗并进行疗效分析 ,随访 1～ 8年 ,临床评价采用ANFH疗效评价标准和百分评价法判定疗效。结果 :非手术侧治愈率为 2 8.6% ,显效率为5 4.9% ,有效率为 15 .4% ,无效率为 1.1% ,总有效率为 98.9% ;百分评价法判定优为 83.5 % ,良为12 .1% ,可为 3.3% ,差为 1.1%。手术侧治愈率为 2 5 .3% ,显效率为 60 .4% ,有效率为 13.2 % ,无效率为1.1% ,总有效率为 98.9% ;百分评价法判定优为 85 .7% ,良为 13.2 % ,差为 1.1%。表明生脉成骨胶囊对缓解ANFH是有效的 ,病情轻的可以单纯内服中药治疗 ,病情重的宜在服药基础上行多血管束植入手术。
In order to understand the therapeutic effect of traditional Chinese medicine (TCM) on avascular necrosis of the femoral head caused by hormones or alcohol (ANFH), 91 ANFH patients (including 50 cases of hormone-induced diseases) admitted to the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from 1988 to 1995 , Alcohol caused by 41 cases), given oral administration of Chinese herbal medicine Shengmai Chenggu capsules at the same time, choose the more serious side line multi-vessel implantation and curative effect analysis, followed up for 1 to 8 years, the clinical evaluation of ANFH effect Evaluation criteria and percentage evaluation method to determine the efficacy. Results: The non-operative side cure rate was 22.6%, the effective rate was 4.9%, the effective rate was 15.4%, the ineffective rate was 1.1%, the total effective rate was 98.9%; the percentage appraisal method was superior to 83.5% Good was 12.1%, which was 3.3%, and the difference was 1.1%. The cure rate of operation side was 25.3%, the effective rate was 60.4%, the effective rate was 13.2%, the inefficiency rate was 1.1%, the total effective rate was 98.9%; the percentage evaluation method was 85.7% Good was 13.2% and bad was 1.1%. That Shengmai osteogenic capsules is effective in relieving ANFH, mild condition can be treated with traditional Chinese medicine alone, the condition should be heavy on the basis of medication multi vascular bundle implantation surgery.