健骨通络汤治疗股骨头缺血性坏死的临床疗效观察-外科学专业论文.docxVIP

新疆医科大学硕士学位论文 新疆医科大学硕士学位论文 健骨通络汤治疗股骨头缺血性坏死的临床 疗效观察 研究生英克尔加甫·巴德玛 导师孟庆才 主任医师 摘 要 目的：评价健骨通络汤在治疗股骨头缺血性坏死患者的临床疗效；方法：收集 50 例股骨头缺血性坏死并已行单侧髓芯减压植骨术患者随机分为治疗组（25 例）和 对照组（25 例）两组患者均予抗骨质疏松治疗（抗骨质疏松药阿仑磷酸钠口服每天 一次一次 10mg）治疗组术后给与健骨通络汤日一剂分两次口服。日一剂分两次口服 一个月为一疗程治疗半年后观察疗效。结果：半年后治疗组总有效率 80.00%较对照 组的 40.00%为高差异具有显著性(P 0.05)。治疗前后症状体征、X 线评分、四项六 级评分等都有明显改善(P0.05)治疗后两组间差异有统计学意义(P 0.05)。治疗前后 两组均无明显不良反应。结论：以通络之痛补肾健骨为法的中西医综合治疗疗法治 疗 FicatⅡ-Ⅲ股骨头无菌性坏死不仅能改善临床症状同时改善功能阻止或延缓病情 的进展提高股骨头的生存率治疗组疗效优于对照组。 关键词：健骨通络汤；股骨头无菌性；髓芯减压；临床疗效； １ The clinical effect research of Femoral Head of Traditional With Jian Gu Tong Luo Herbal Postgraduate: Ying Ke Er Jia Fu Supervisor: Meng Qing Cai Abstract Objective:To evaluate the clinical efficiency of using the Jian Gu Tong Luo Herbal helping rehabilitation therapy in Aseptic Necrosis Of Femoral Head (ANFH). Method: 50 Patients of ANFH randomly divided into treatment group (n=25)and control group(n=25).Control group were given resistance to osteoporosis drug alendronate sodium oral, once a dayonce 10mgwhile treatment group were added the Jian Gu Tong Luo Herbal with regular treatmentthree month was a period of treatment and four period of treatments were observed the effect. Results: After a 12-month treatment. Total effective rate in the treatment group was 80.00%.In the control group was 40.00%.(P0.05)；two groups were different significantly (P0.05). Scoring of Symptoms and Signs The scores in terms of X rayFour band score are all improved obviously. After the treatmentthe difference between two groups is significan(P0.05).Conclusions: the Jian Gu Tong Luo Herbal can improve the relation symptomcan improve the quality of life and the actual living ability of ANFH patients. Key words: Jian Gu Tong Luo Herbal herbal；Aseptic Necrosis Of Femoral Head；Core decompression；Intervention research ２ 论文独创性说明 本人申明所呈交的学位论文是在我个人在导师的指导下进行的研 究工作及取得的研究成果。尽我所知，除了文中特别加以标注和致谢的 地方外，论文中不包含其他人已经发表或撰写过的研究成果。与我一同 工作的同志对本研究所做的任何贡献均已在论文中作了明确的说明并 表示了谢意。 学位论文作者签名： 签字日期： 导师签名：