本文選題：股密保 + 非創(chuàng)傷性股骨頭壞死��； 參考：《南京中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：根據(jù)回顧門診病歷的隨訪數(shù)據(jù)及病人主觀描述，觀察益腎活血中藥方股密保對早中期非創(chuàng)傷性股骨頭壞死的臨床療效。方法：按照西醫(yī)納入標(biāo)準(zhǔn)及排除標(biāo)準(zhǔn),對2011年03月至2015年12月在蘇州中醫(yī)醫(yī)院骨傷科科門診就診的23名ONFH患者的一般資料,Harris及VAS評分,影像學(xué)檢查結(jié)果等進(jìn)行詳細(xì)的記錄。最后將所得資料及數(shù)據(jù)錄入電腦,建立數(shù)據(jù)庫,進(jìn)行統(tǒng)計分析。結(jié)果：1、對30例早中期ONFH患者VAS評分研究顯示,服用股密保治療后,VAS評分較治療前有明顯改善。(p0.05)2、兩組比較治療前后壞死指數(shù)評分差值研究顯示,在緩解股骨頭壞死進(jìn)程方面,持續(xù)組療效優(yōu)于間斷組。(P=0.0140.05)3、兩組比較治療前后療效結(jié)果顯示,在緩解骨髓水腫,關(guān)節(jié)積液,改善髖關(guān)節(jié)功能及緩解疼痛方面,股密保有較好療效,但持續(xù)組療效未見明顯優(yōu)勢。(P0.05)4.假設(shè)：股密保治療效果隨著持續(xù)治療時間越長,療效越好。結(jié)論：1、股密保對患者早中期股骨頭壞死患者疼痛有確切療效。2、股密保在緩解股骨頭壞死進(jìn)程方面,持續(xù)用藥效果明顯優(yōu)于間斷用藥。3、股密保治療早中期股骨頭壞死時,持續(xù)用藥較間斷用藥在改善髖關(guān)節(jié)功能,減輕骨髓水腫,緩解疼痛方面沒有明顯治療優(yōu)勢,可能是因為早中期患者體征并不明顯,關(guān)節(jié)功能保留完整,治療效果得不到體現(xiàn)導(dǎo)致。
[Abstract]:Objective: to observe the clinical effect of Yishen Huoxue traditional Chinese medicine prescription Qiumebao on nontraumatic necrosis of femoral head in early and middle period according to the follow-up data of outpatient medical records and the subjective description of patients. Methods: according to the criteria of western medicine inclusion and exclusion, the general data of 23 ONFH patients in the Department of Orthopedics and Trauma of Suzhou traditional Chinese Medicine Hospital from March 2011 to December 2015 were recorded in detail. Finally, input the data and data into the computer, set up a database, and carry out statistical analysis. Results in the study of VAS score of 30 patients with ONFH in early and middle period, the results showed that the scores of VAS were significantly improved after treatment. The difference of necrosis index between the two groups before and after treatment showed that, in the aspect of relieving the process of femoral head necrosis, there was no significant difference between the two groups in the process of osteonecrosis of the femoral head. The curative effect of the continuous group was better than that of the discontinuous group. The results of comparison between the two groups before and after treatment showed that there was a better effect in relieving bone marrow edema, joint effusion, improving hip joint function and relieving pain, but there was no obvious advantage in the treatment group. Hypothesis: the longer the duration of treatment, the better the efficacy. Conclusion the effect of femur Mibao on the pain of patients with femoral head necrosis in the early and middle period is more effective than that of the intermittent medication .Conclusion the effect of continuous medication in relieving the process of femoral head necrosis is obviously better than that of the intermittent medication of .3.When the femoral head necrosis is treated by femoral Mibao in the early and middle period, Continuous medication has no obvious advantage in improving hip joint function, alleviating bone marrow edema, and relieving pain, which may be due to the fact that the patient's physical signs are not obvious and the joint function remains intact in the early and middle period. The effect of treatment is not reflected.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R274.9

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