活血通脉灵治疗非创伤性股骨头缺血坏死疗效研究.docVIP

活血通脉灵治疗非创伤性股骨头缺血坏死疗效研究 　　[摘要] 目的 对活血通脉灵治疗非创伤性股骨头缺血坏死的疗效进行研究。方法 方便选取2014年1月―2016年6月之间该院收治的FicatⅡ期非创伤性股骨头缺血坏死患者44例作为研究对象，随机抽取19例设为观察组，25例设为对照组，对照组患者予关节镜辅助下行髓芯减压+异体骨植骨术，而观察组在对照组基础上配合中药活血通脉灵治疗，观察并对比两组患者的治疗效果。 结果 44例均获得随访，随访时间8～12个月，观察组患者治疗有效率达到94.73%，高于对照组患者的88.00%，观察组患者生活质量评分高于对照组患者，并且组间对比差异有统计学意义（P0.05）。结论 对非创伤性股骨头缺血坏死患者采用关节镜辅助下进行髓芯减压+异体骨植骨术，配合中药活血通脉灵治疗，能够提高患者的治疗有效率、生活质量，具有临床推广价值。 　　[关键词] 活血通脉灵；非创伤性股骨头缺血坏死；FicatⅡ期；髓芯减压 　　[中图分类号] R687 [文献标识码] A [文章编号] 1674-0742（2017）11（c）-0183-03 　　[Abstract] Objective This paper tries to study the curative effect of Huoxuetongmailing on non-traumatic avascular necrosis of femoral head. Methods 44 patients with Ficat II non-traumatic avascular necrosis of femoral head from January 2014 to June 2016 were convenient selec in this study. 19 cases were randomly selected as the observation group， 25 cases as the control group， the control group of patients under the arthroscopic adopted core decompression and allogeneic bone grafting， and the observation group on the basis of the control group adopted traditional Chinese medicine Huoxuetongling treatment， the therapeutic effect of two groups were observed and compared. Results 44 cases were followed up for 8～12 months. The effective rate of treatment was 94.73% in the observation group， which was higher than that in the control group of 88.00%. The quality of life of the observation group was higher than that of the control group， the difference was statistically significant（P0.05）. Conclusion The patients with non-traumatic avascular necrosis of the femoral head underwent endoscopic decompression and allogeneic bone grafting can improve the treatment efficiency and quality of life， therefore it is worth promotion and application. 　　[Key words] Huoxuetongmailing； Non-traumatic avascular necrosis of the femoral head； Ficat II； Core decompression 　　非??伤性股骨头坏死属于骨科的一种疑难病症，致残率非常高，对患者的生活和工作有很大的影响，传统中医认为股骨头坏死与“骨蚀”“骨痹”的临床表现基本相同，以发病的原因为依据，提出寒湿、内损、劳损等观点，制定了多种治疗方案[1-3]。所以，该研究将2014年1月―2016年6月收治的