|
|
Clinical effect of Shenggu Decoction combined with modified core decompression and osteotomy on early treatment of femoral head necrosis |
HE Kaiyi1 YI Shenghui2 QIN Gang1 DU Mindong1 CHEN Jing1 HUANG Xiaohua1 ZENG Ping1 |
1.Third Department of Orthopedic, First Affiliated Hospital of Guangxi University of Chinese Medicine, Guangxi Zhuang Autonomous Region, Nanning 530023, China;
2.Third Department of Orthopedic, Yueyang Chinese Medicine Hospital, Hu'nan Province, Yueyang 414000, China |
|
|
Abstract Objective To explore the clinical effect of Shenggu Decoction combined with core decompression and bone grafting in the treatment of early femoral head necrosis. Methods From May 2014 to April 2016, in First Affiliated Hospital of Guangxi University of Chinese Medicine, 60 patients with early femoral head necrosis were selected, according to random number table, they were divided into two groups, with 30 cases in each group, the control group was given modified core decompression and bone graft treatment, the observation group was given Shenggu Decoction based on control group. The clinical efficacy, hip function score and imaging evaluation before and after treatment were observed. Results The total effective rate of the observation group was significantly higher than that of the control group (P < 0.05), the imaging scores of the two groups were significantly improved after treatment (P < 0.05), the hip function scores were significantly improved (P < 0.05), and improvement of the observation group was better than that of the control group (P < 0.05). Conclusion Shenggu Decoction combined with modified core decompression and bone grafting treatment of early femoral head necrosis can not only improve the patients' hip function and imaging performance, but also improve the quality of life of patients.
|
|
|
|
|
[1] 宫云昭,李可大,唐林.补肾壮骨通络汤对早期股骨头坏死患者血液指标的影响[J].中华中医药学刊,2016(6):1408-1411.
[2] 王英东,刘宇,王佳新,等.健步虎潜丸配合髓芯减压植骨术治疗早期股骨头缺血性坏死的疗效分析[J].中医药导报,2015(13):59-61.
[3] 刘知泉,李光胜,胡敏,等.中药结合髓芯减压植骨术治疗早期股骨头坏死疗效分析[J].四川中医,2015(2):91-92.
[4] 邓云平.股骨头坏死早期治疗方法研究进展[J].西部医学,2017,29(2):292-296.
[5] 周广军.骨坏死Ⅱ号方联合粗通道髓芯减压术治疗早期股骨头坏死43例临床观察[J].中医药导报,2015(15):82-84.
[6] 程宗敏.中医辨证联合髓芯减压植骨术治疗早期股骨头坏死临床研究[J].中医学报,2014(12):1751-1752.
[7] 宫云昭,李可大,唐林.补肾壮骨通络汤治疗早期股骨头坏死临床疗效探讨[J].辽宁中医药大学学报,2016(6):90-92.
[8] 史炎鑫,王爱国,白玉,等.活络骨康丸联合髓芯减压及自体骨移植术治疗早期股骨头坏死疗效观察[J].风湿病与关节炎,2015(11):29-31.
[9] 中华医学会骨科分会显微修复学组.成人股骨头坏死诊疗标准专家共识(2012年版)[J].中华骨科杂志,2012,32(6):51-56.
[10] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994.
[11] 许兴辉.补肾活血方配合髓芯减压植骨内支撑术治疗早期股骨头坏死的临床效果[J].中国医药导报,2017,14(16):98-101.
[12] 郭胜男,韦标方.中药内服联合针刀治疗早期股骨头坏死[J].光明中医,2015(3):552-553.
[13] 刘明远,晁振宇,吴亚东.中药配合手术治疗早期股骨头坏死的临床研究[J].中国矫形外科杂志,2017(3):274-277.
[14] 杨振林,刘亚民,吴宝茵.早期股骨头坏死细针钻孔减压术的临床实效性及安全性评价[J].吉林医学,2015(17):3790-3791.
[15] 苏来提,肖合热提,盛加根.探讨髓芯减压+同种异体骨打压植骨治疗早期股骨头坏死的临床疗效[J].临床医学研究与实践,2016,1(18):11-13.
[16] 张长春,李可大.中西医结合治疗股骨头缺血性坏死研究简况[J].实用中医内科杂志,2016,30(10):118-120.
[17] 包伟东,孙永强,阎亮,等.髓芯减压配合益肾消痛丸治疗早期股骨头坏死疗效观察[J].风湿病与关节炎,2016, 5(4):31-32.
[18] 张保刚,郝阳泉,刘智勇,等.通络生骨汤联合髓芯减压治疗早期股骨头坏死的临床研究[J].陕西中医,2016(3):297-299.
[19] Shah SN,Kapoor CS,Jhaveri MR,et al. Analysis of outcome of avascular necrosis of femoral head treated by core decompression and bone grafting [J]. J Clin Orthop Trauma,2015,6(3):160-166.
[20] 肖兴雷,刘尚伦,陈宏伟,等.髓芯减压联合间充质干细胞移植治疗早期股骨头坏死的效果[J].中国医药导报,2015,12(33):113-116,120.
[21] 张海龙,王绍辉,李蕊,等.髓芯减压配合加味桃红四物汤治疗早期股骨头坏死临床疗效观察[J].亚太传统医药,2017,13(3):122-123. |
|
|
|