张春荣，李红印，李 杨，颉朝阳

（衡水市第四人民医院，河北 衡水 053000）

中医综合疗法治疗股骨头坏死疗效及对患者生活质量的影响

张春荣，李红印，李 杨，颉朝阳

（衡水市第四人民医院，河北 衡水 053000）

目的 探讨中医综合疗法治疗股骨头坏死疗效及对患者生活质量的影响。方法 收集2011年6月－2015年5月118例，共计184个关节股骨头坏死患者临床资料，平均分成2组，对照组59例94个关节，予汤剂辨证施治，治疗组59例90个关节，在对照组治疗的基础上予川芎秦注射液骨内注射、理疗按摩、功能锻炼等综合疗法，观察2组疗效和生活质量指标变化情况。结果 治疗组总有效率87.8 %，对照组总有效率75.5 %，2组比较差异有统计学意义（P ＜0.05）。生活质量比较，治疗3个月后治疗组生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康评分显著高于对照组 （P ＜0.05）。Harris评分比较，治疗3个月后治疗组疼痛、功能、畸形、关节活动度评分显著高于对照组（P ＜0.05）。结论 中医综合疗法能提高股骨头坏死治疗效果，改善生活质量，促进功能恢复。

中医综合疗法；股骨头坏死；疗效；生活质量

Abstract: Objective To investigate the curative effect of Chinese medicine combined therapy on femoral head necrosis and its influence on the quality of life.Methods 118 cases patients with 184 joints of femoral head necrosis from June 2011 to May 2015 were divided into control group (59 cases, 90 joints TCM) and treatment group (59 cases,94 joints TCM) , decoction of traditional Chinese medicine syndrome differentiation based on the given Ligustrazine injection in bone with massage therapy, exercise therapy.Observe different treatments and index changes of life quality.Results The total effective rat of treatment group was 87.8%, which was higher than that of the control group 75.5% (P＜0.05).The scores of physiological function, physiological function, body pain, general health, vitality, social function, emotional function and mental health for treatment group 3 months after treatment were significantly higher than that of the control group (P＜0.05).The scores of pain, function, deformity, and joint activity for treatment group were significantly higher than that of the control group (P＜0.05).Conclusion TCM combined therapy can improve the curative effect of femoral head necrosis, the quality of life and promote the recovery of function.

Keywords: Chinese medicine combined therapy; necrosis of femoral head; curative effect; life quality

股骨头坏死，中医将其归属于“骨蚀”“骨痹”范畴，认为“肾气热，则腰背不举，骨枯则髓减，发为骨痿。”研究[1-2]认为，股骨头坏死是因先天禀赋不足，肾阳亏虚，复因湿热侵淫，导致气滞血瘀，经脉闭阻。其病机不外乎创伤致瘀，气血不足，慢性劳损，筋骨受损，或寒湿凝结、气血闭阻，或热劫血瘀，骨骼失养，或肝肾亏虚、气血不足，筋骨失养。其共同病机是气滞血瘀、肝肾亏虚、筋脉阻滞、骨骼失养。……