中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
8期
6-9
,共4页
李%刘道兵%何海军%谢斌%周宇%王均玉%陈月峰%陈卫衡
李%劉道兵%何海軍%謝斌%週宇%王均玉%陳月峰%陳衛衡
리%류도병%하해군%사빈%주우%왕균옥%진월봉%진위형
髋关节骨性关节炎%关节冲洗术%健脾通络方
髖關節骨性關節炎%關節遲洗術%健脾通絡方
관관절골성관절염%관절충세술%건비통락방
Hip joint osteoarthritis%Joint irrigation%Jianpi Tongluo recipe
目的：观察中西医结合治疗髋关节骨性关节炎的临床疗效。方法：随访2011年2月-2012年7月采用关节冲洗术同时口服健脾通络方治疗的髋骨性关节炎患者23例（25髋），K-L放射线分级法I级2髋，II级8髋，III级11髋，IV级4髋。收集治疗前后X线和临床材料，以Harris评分标准及视觉模拟评分法（VAS评分）为疗效评价标准，设治疗后三个月及一年两个随访点，分别进行统计分析。结果：治疗前Harris评分62.53±14.697，治疗后三个月及一年随访的Harris评分分别为78.50±15.490和75.83±17.527，均显著高于治疗前（P<0.001）；治疗前VAS评分5.67±1.258，治疗后三个月及一年随访的VAS评分分别为3.34±1.247和3.77±1.747，显著低于治疗前（P<0.001）。三个月随访优良率78%，有效率100%；一年随访优良率74%，有效率83%。结论：关节冲洗术配合健脾通络方治疗髋骨性关节炎疗效肯定。熟悉髋关节解剖结构、选择适当的入路是完成髋关节冲洗术操作的关键。
目的：觀察中西醫結閤治療髖關節骨性關節炎的臨床療效。方法：隨訪2011年2月-2012年7月採用關節遲洗術同時口服健脾通絡方治療的髖骨性關節炎患者23例（25髖），K-L放射線分級法I級2髖，II級8髖，III級11髖，IV級4髖。收集治療前後X線和臨床材料，以Harris評分標準及視覺模擬評分法（VAS評分）為療效評價標準，設治療後三箇月及一年兩箇隨訪點，分彆進行統計分析。結果：治療前Harris評分62.53±14.697，治療後三箇月及一年隨訪的Harris評分分彆為78.50±15.490和75.83±17.527，均顯著高于治療前（P<0.001）；治療前VAS評分5.67±1.258，治療後三箇月及一年隨訪的VAS評分分彆為3.34±1.247和3.77±1.747，顯著低于治療前（P<0.001）。三箇月隨訪優良率78%，有效率100%；一年隨訪優良率74%，有效率83%。結論：關節遲洗術配閤健脾通絡方治療髖骨性關節炎療效肯定。熟悉髖關節解剖結構、選擇適噹的入路是完成髖關節遲洗術操作的關鍵。
목적：관찰중서의결합치료관관절골성관절염적림상료효。방법：수방2011년2월-2012년7월채용관절충세술동시구복건비통락방치료적관골성관절염환자23례（25관），K-L방사선분급법I급2관，II급8관，III급11관，IV급4관。수집치료전후X선화림상재료，이Harris평분표준급시각모의평분법（VAS평분）위료효평개표준，설치료후삼개월급일년량개수방점，분별진행통계분석。결과：치료전Harris평분62.53±14.697，치료후삼개월급일년수방적Harris평분분별위78.50±15.490화75.83±17.527，균현저고우치료전（P<0.001）；치료전VAS평분5.67±1.258，치료후삼개월급일년수방적VAS평분분별위3.34±1.247화3.77±1.747，현저저우치료전（P<0.001）。삼개월수방우량솔78%，유효솔100%；일년수방우량솔74%，유효솔83%。결론：관절충세술배합건비통락방치료관골성관절염료효긍정。숙실관관절해부결구、선택괄당적입로시완성관관절충세술조작적관건。
Objective:To explore the efficacy of an integrated medicine for hip osteoarthritis. Methods:23 cases (25 hips) with hip osteoarthritis were treated in the integrative medicine,and were followed up. 2 hips were in Class I, 8 hips were in Class II, 11 hips were in Class III, 4 hips were in Class IV. Radiographic images and clinical information before and after treatment were collected and Harris Score as well as Visual Analogue Scale (VAS) were employed to assess the curative effects for 3 months and one year. Results:Harris score was 62.53±14.697 before treatment, 78.50±15.490 3 months after, 75.83±17.527 one year later. Statistically, scores after treatment were higher than its counterpart before therapy. As for VAS, scores at three time point were 5.67±1.258, 3.34±1.247 and 3.77±1.747 respectively which indicated that the latter two digit were statistically lower than the former one (P<0.001). Conclusion:The curative effect of the integrative medicine for hip osteoarthritis was substantial. Proficiency of articular anatomy as well as proper approach is two crucial factors for successful performance of hip joint irrigation.
