骨蚀汤治疗成人早期股骨头缺血性坏死的临床疗效视察.pdf

提 要 目的:观察骨蚀汤方治疗成人早期股骨头缺血性坏死的治疗效果，探讨其作用机 理。方法:将诊断明确为股骨头缺血性坏死早期(Ficat 分期Ⅰ～Ⅱ期)的 50 例患者随 机分为两组。治疗组30例采用骨蚀汤方治疗，对照组 20 例采用仙灵骨葆胶囊治疗。 对照记录 Harris 评分，通过治疗前后的评分差异情况了解临床疗效改善情况。结果: 应用骨蚀汤治疗股骨头缺血性坏死早期 30 例，总优良率为 100 %；对照组20 例，总 优良率为 80.00%。临床研究显示应用骨蚀汤治疗成人早期股骨头缺血性坏死，其临 床疗效改善明显优于对照组。结论:骨蚀汤治疗早期股骨头缺血性坏死的病人能明显 改善临床症状，但能否阻断股骨头坏死的病程的发展过程，彻底治愈股骨头坏死需今 后进一步研究。 关键词 早期股骨头缺血性坏死，骨蚀汤，临床研究 Clinical research of Gu-Shi-Tang in the treatment of early avascular necrosis of femoral head in adult Speciality: Joint Orthopaedic of Traditional Chinese Medicine Tutor: Prof. Qiu Hongming Author: Zhu Jiaping Abstract Objective: To observe the therapeutic effect of Gu-Shi-Tang in treating early avascular necrosis of femoral head and explore its pathogenesis of avascular necrosis of femoral head in adult. Methods: Select 50 patients who met the diagnosis for early avascular necrosis (Ficat stage Ⅰ～Ⅱperiod), randomly divided into two groups. Treatment group, 30 patients were treated with Gu-Shi-Tang treatment; while 20 patients in the control group with Xian Ling Gubao capsule. Evaluate the improvement of clinical symptom according to the differences in scores before and after treatment by Harris score. Results: Clinical studies show that the clinical efficacy of treatment group which treated with GuShi Tang is significantly better than the control group which applied Xian Ling Gubao capsule. Total effectiveness in the treatment group was 100%, while the control group was 80.00%. Conclusion: Treatment of Gu-Shi-Tang in early avascular necrosis of patients can significantly improve the