CAJ | 학술논문

目的：观察洗髓换骨方配合锝[99Tc]亚甲基二膦酸盐注射液治疗缺血性股骨头坏死(ANFH)的临床效果。方法将73例ANFH患者随机分为治疗组37例和对照组36例，对照组采用西医常规治疗，治疗组在对照组治疗基础上服用洗髓换骨方，观察2组患者治疗前后临床症状、髋关节功能情况，比较2组临床疗效。结果治疗组临床治愈17例，好转17例，未愈3例，有效率为91.89%；对照组临床治愈4例，好转25例，未愈7例，有效率为80.56%。2组临床疗效比较差异有统计学意义(P＜0.05)。治疗组关节疼痛、跛行、功能障碍、关节功能改善情况均优于对照组(P＜0.05)。结论洗髓换骨方能显著改善ANFH临床症状，中西医结合治疗有助于缓解ANFH疾病进展。
목적：관찰세수환골방배합득[99Tc]아갑기이련산염주사액치료결혈성고골두배사(ANFH)적림상효과。방법장73례ANFH환자수궤분위치료조37례화대조조36례，대조조채용서의상규치료，치료조재대조조치료기출상복용세수환골방，관찰2조환자치료전후림상증상、관관절공능정황，비교2조림상료효。결과치료조림상치유17례，호전17례，미유3례，유효솔위91.89%；대조조림상치유4례，호전25례，미유7례，유효솔위80.56%。2조림상료효비교차이유통계학의의(P＜0.05)。치료조관절동통、파행、공능장애、관절공능개선정황균우우대조조(P＜0.05)。결론세수환골방능현저개선ANFH림상증상，중서의결합치료유조우완해ANFH질병진전。
Objective To observe the clinical effect of Xisui Huangu Formula combined with technetium [99Tc] methylenediphosphonate injection in the treatment of avascular necrosis of femoral head (ANFH). Methods A total of 73 patients were randomly divided into treatment group (37 cases) and control group (36 cases). The control group was given conventional western medicine treatment, while the treatment group was given Xisui Huangu Formula on the basis of conventional western medicine treatment. Clinical symptoms and joint function of the two groups were observed before and after treatment, and the clinical effects were compared. Results In the treatment group, 17 cases were cured, 17 cases improved, 3 cases were unrecovered, and the effective rate was 91.89%. In the control group, 4 cases were cured, 25 cases improved, 7 cases were unrecovered, and the effective rate was 80.56%. The difference was statistically significant between the two groups (P<0.05). Improvement of joint pain, lameness, dysfunction, and joint function in the treatment group were better than those in the control group (P<0.05). Conclusion Xisui Huangu Formula can significantly improve clinical symptoms of ANFH. Integrated traditional Chinese and Western medicine therapy is helpful to alleviate ANFH disease progression.