论文部分内容阅读
目的探讨中西医结合治疗早期激素性股骨头坏死的疗效及安全性。方法对86例159髋采用中西医结合保守治疗早期激素性股骨头缺血性坏死患者和30例56髋采用中药治疗患者的临床资料进行回顾性研究。结果治疗42个月后复查,应用国际骨循环学会(ARCO)分期、分型系统评价,中西医结合治疗组有进展者56髋,进展率为35.22%;中医治疗组有进展者42髋,进展率为75.00%;应用Harris髋关节功能评分系统评价,中西医结合治疗组有进展者20髋,进展率为12.58%;中医治疗组有进展者34髋,进展率为60.71%;两组进展率的比较有显著性差异(P<0.05)。结论中西医结合保守治疗早期激素性股骨头缺血性坏死,对股骨头坏死起到促进修复、阻止疾病进展速度的作用,疗效满意,治疗方案安全可靠。
Objective To investigate the efficacy and safety of traditional Chinese and western medicine in the treatment of early steroid-induced femoral head necrosis. Methods The clinical data of 86 patients (159 hips) treated conservatively with traditional Chinese medicine and western medicine and conservative treatment of early steroid-induced avascular necrosis of femoral head and 30 patients (56 hips) treated with traditional Chinese medicine were retrospectively studied. Results The 42-month follow-up examination was performed. According to the International Society for Osteo-Circulation (ARCO) staging and classification system evaluation, 56 hips were progressed in the Integrative Medicine group with a progress rate of 35.22%. In the TCM-treated group, 42 hips progressed Rate of 75.00%; application Harris hip function scoring system evaluation, Integrative Medicine group had progress in 20 hips, the rate of progress was 12.58%; Chinese medicine treatment group had 34 hips, the progress rate was 60.71%; two groups of progress rate There was significant difference (P <0.05). Conclusion Conservative treatment of traditional Chinese and Western medicine early hormone-induced avascular necrosis of the femoral head osteonecrosis of the femoral head to promote repair and prevent the disease progression rate, the effect is satisfactory, the treatment program is safe and reliable.