中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2015年
17期
8-9
,共2页
健脾活骨方%非创伤性股骨头坏死%前瞻性%临床研究
健脾活骨方%非創傷性股骨頭壞死%前瞻性%臨床研究
건비활골방%비창상성고골두배사%전첨성%림상연구
Jianpi Huogu Recipe%Nontraumatic osteonecrosis of femoral head%Prospective%Clinical research
目的：探讨健脾活骨方治疗早中期非创伤性股骨头坏死(NONFH)的临床效果。方法：选取2011年5月-2013年6月笔者所在医院骨科收治的200例NONFH患者作为研究对象，将经健脾活骨方治疗者作为观察组，经髓芯减压病灶清除植骨手术治疗者作为对照组。比较两组患者的Harris评分及SF-36评分结果。结果：观察组的Harris总分、关节畸形、关节活动范围、关节功能、疼痛程度评分均明显优于对照组，差异均有统计学意义(P<0.05)。观察组患者的生理职能、生理功能、社会功能、情感职能、躯体疼痛、总体健康、活力评分均明显高于对照组，差异均有统计学意义(P<0.05)。两组患者精神健康评分比较差异无统计学意义(P>0.05)。结论：健脾活骨方治疗早中期非创伤性股骨头坏死效果明显，且在改善患者髋关节功能和提高患者生活质量方面优于手术，值得临床推广应用。
目的：探討健脾活骨方治療早中期非創傷性股骨頭壞死(NONFH)的臨床效果。方法：選取2011年5月-2013年6月筆者所在醫院骨科收治的200例NONFH患者作為研究對象，將經健脾活骨方治療者作為觀察組，經髓芯減壓病竈清除植骨手術治療者作為對照組。比較兩組患者的Harris評分及SF-36評分結果。結果：觀察組的Harris總分、關節畸形、關節活動範圍、關節功能、疼痛程度評分均明顯優于對照組，差異均有統計學意義(P<0.05)。觀察組患者的生理職能、生理功能、社會功能、情感職能、軀體疼痛、總體健康、活力評分均明顯高于對照組，差異均有統計學意義(P<0.05)。兩組患者精神健康評分比較差異無統計學意義(P>0.05)。結論：健脾活骨方治療早中期非創傷性股骨頭壞死效果明顯，且在改善患者髖關節功能和提高患者生活質量方麵優于手術，值得臨床推廣應用。
목적：탐토건비활골방치료조중기비창상성고골두배사(NONFH)적림상효과。방법：선취2011년5월-2013년6월필자소재의원골과수치적200례NONFH환자작위연구대상，장경건비활골방치료자작위관찰조，경수심감압병조청제식골수술치료자작위대조조。비교량조환자적Harris평분급SF-36평분결과。결과：관찰조적Harris총분、관절기형、관절활동범위、관절공능、동통정도평분균명현우우대조조，차이균유통계학의의(P<0.05)。관찰조환자적생리직능、생리공능、사회공능、정감직능、구체동통、총체건강、활력평분균명현고우대조조，차이균유통계학의의(P<0.05)。량조환자정신건강평분비교차이무통계학의의(P>0.05)。결론：건비활골방치료조중기비창상성고골두배사효과명현，차재개선환자관관절공능화제고환자생활질량방면우우수술，치득림상추엄응용。
Objective:To investigate the clinical effect of Jianpi Huogu Recipe in the treatment of early-to-middle stage nontraumatic osteonecrosis of femoral head(NONFH) patients.Method:200 NONFH patients in department of orthopedics of our hospital from May 2011 to June 2013 were selected as research objects.100 patients treated by Jianpi Huogu Recipe were regarded as the observation group,while the other 100 patients accepted surgery of core decompression,focus debridement and bone graft were regarded as the control group.The Harris score and SF-36 score were compared between the two groups. Result:In the observation group,the total score of Harris,joint deformity,joint range of motion,joint function,the scores of pain were significantly better than those of the control group,the differences were statistically significant(P<0.05).Also,the physiological function,physiological functions,social function, emotional function,body pain,general health,vigour scores in the observation group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The clinical effect of Jianpi Huogu Recipe in the treatment of early-to-middle stage nontraumatic osteonecrosis of femoral head patients is obvious,and it is better than operation treatment in improving the function of hip joint and the quality of life of patients,is worthy of clinical application.
