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ID:34044345
大小:3.34 MB
页数:41页
时间:2019-03-03
《桃红四物汤联合髓芯减压植骨术治疗非创伤性股骨头坏死的研究》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、福建中医药大学硕士学位论文桃红四物汤联合髓芯减压植骨术治疗非创伤性股骨头坏死的研究姓名:张敏申请学位级别:硕士专业:中医骨伤科学指导教师:王万明201206桃红四物汤联合髓芯减压植骨术治疗非创伤性股骨头坏死的研究中文摘要目的应用桃红四物汤联合髓芯减压植骨术治疗早期股骨头坏死疗效,并对其结果进行临床床疗效评价。方法我们选择自2007年3月至2010年1月间我院收治的非创伤性股骨头缺血性坏死病人43例,按宾夕法尼亚大学分期法分期将I、II期股骨头缺血性坏死定为早期,随机分为对照组和实验组,其中对照组21例,实验组22
2、例。对照组单纯采用髓芯减压植骨术;实验组22例,先采用髓芯减压植骨术再予活血化瘀方剂桃红四物汤口服,每天1剂分两次服用,连服6个月。所有患者每3个月检查x线一次,分别于治疗后半年、1年、2年随访复查进行临床疗效评价。本次临床实验末次随访结果均采用治疗后2年的随访结果。结果在临床症状改善方面实验组明显优于对照组,据统计学分析具有显著差异性(P3、可以同时改善早期缺血性坏死的股骨头内的血液循环和降低骨内压,并且通过打压植骨在股骨头内提供一定的支撑可以防止或延缓软骨塌陷,从I晦床疗效来看使用桃红四物汤联合髓芯减压植骨术较之单纯使且髓芯减压植骨术前者疗效更为确切。关键词股骨头坏死疗效评价桃红四物汤髓芯减压术植骨术福建中医药人学硕士学位论文objectiveAbstractUsingCoreDecompressionCombiningwimBoneGraftandTaoHongSiWuTangtoimprovetheClinicalObservationonth4、eearlynecrosisofthefemoralhead,atthesanletimewehopetoperfectthesystemoftheefficacyofEvaluation.Sothesystemwillbemorecomprehensive.MethodsWechose43casesofSteroid_inducedavascularnecrosisofthefemoralhead(SANFH阳atientsSinceMarch2007toJanuary2010,accordingtotheUn5、iversityofPennsylvaniaSystemofClassificationandStaging,IandlItypeWasearlynecrosisofthefemoralhead,allpatientswererandomlydividedintocontrolgroupof21patientsandthetreatmentgroupof22patients.111econtrolgroupof21patientswereusedintheClinicalObservationontheCoreD6、ecompressionCombiningwithBoneGraft,thetreatmentgrouphaveadoptedmyeloidcoredecompressionCombiningwiⅡlBoneGraftofthefemoralhead,andthenundertheChinesedialecticaltype,useTaoHongSiWuTang,twotimesperday,continuedforsixmonths.AllpatientswouldbechectedX—_raveverythr7、eemonths,sixmonthsafter仃eatment,1,2一yearf-0110w—upwouldbereviewedofthedinicalevaluation.Wechosethe铆伊—.yearf0110w—-uDresultstobethisclinicaltrialresults.ResultsIndinicalsymptoms,signsandX1ayperformanceimprovements,thetreatmentgroupwassignificantlybetterthanthe8、controlgroup(P
3、可以同时改善早期缺血性坏死的股骨头内的血液循环和降低骨内压,并且通过打压植骨在股骨头内提供一定的支撑可以防止或延缓软骨塌陷,从I晦床疗效来看使用桃红四物汤联合髓芯减压植骨术较之单纯使且髓芯减压植骨术前者疗效更为确切。关键词股骨头坏死疗效评价桃红四物汤髓芯减压术植骨术福建中医药人学硕士学位论文objectiveAbstractUsingCoreDecompressionCombiningwimBoneGraftandTaoHongSiWuTangtoimprovetheClinicalObservationonth
4、eearlynecrosisofthefemoralhead,atthesanletimewehopetoperfectthesystemoftheefficacyofEvaluation.Sothesystemwillbemorecomprehensive.MethodsWechose43casesofSteroid_inducedavascularnecrosisofthefemoralhead(SANFH阳atientsSinceMarch2007toJanuary2010,accordingtotheUn
5、iversityofPennsylvaniaSystemofClassificationandStaging,IandlItypeWasearlynecrosisofthefemoralhead,allpatientswererandomlydividedintocontrolgroupof21patientsandthetreatmentgroupof22patients.111econtrolgroupof21patientswereusedintheClinicalObservationontheCoreD
6、ecompressionCombiningwithBoneGraft,thetreatmentgrouphaveadoptedmyeloidcoredecompressionCombiningwiⅡlBoneGraftofthefemoralhead,andthenundertheChinesedialecticaltype,useTaoHongSiWuTang,twotimesperday,continuedforsixmonths.AllpatientswouldbechectedX—_raveverythr
7、eemonths,sixmonthsafter仃eatment,1,2一yearf-0110w—upwouldbereviewedofthedinicalevaluation.Wechosethe铆伊—.yearf0110w—-uDresultstobethisclinicaltrialresults.ResultsIndinicalsymptoms,signsandX1ayperformanceimprovements,thetreatmentgroupwassignificantlybetterthanthe
8、controlgroup(P
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