补肾活血中药配合外展固定治疗小儿股骨头坏死的临床观察
发布时间：2018-08-18 19:24
【摘要】：目的： 目前针对小儿股骨头坏死,关于其治疗方法的选择仍旧存在相关争议,本研究旨在观察补肾活血中药配合外展固定对小儿股骨头坏死的临床疗效来说明中医药在治疗小儿股骨头坏死方面存在有一定优势。 方法： 回顾性研究收集2009年12月-2012年4月在我院诊断为小儿股骨头坏死的患儿,进行病例随访,对治疗方法分为如下两组：对照组、治疗组。对照组除给予卧床休息外,未予行其它治疗,治疗组给予口服补肾活血中药以及外展固定,两组均最低随访2年,评价治疗后两组在世界卫生组织(WHO)的疼痛分级,Stulberg分型,Mose环标准,临床症状等有无差异。 结果： 对照组15例,其中男性10例,女性5例,平均年龄(6.87±2.133)岁,治疗组38例,其中男性32例,女性6例,平均年龄(7.80±2.274)岁。两组病例在性别,年龄,Catterall分型方面比较,均为P0.05,差异无显著性,具有可比性。两组患儿在经过治疗后其疼痛程度较前明显减轻,治疗前后对比有显著性差异(P0.001)。股骨头的外形按Mose环标准在两组间对比有显著性差异(P0.01),治疗组恢复得较好,其中良好10髋,可23髋,差6髋,对照组可6髋,差10髋。头臼的匹配情况按照Stulberg分型,治疗组和对照组之间存在差异(P0.05),其中治疗组优良占32髋,可占5髋,差占2髋,对照组优良占7髋,可占6髋,差占3髋。 整体的疗效评价用临床症状评价,结果显示补肾活血中药配合外展固定治疗儿童股骨头坏死较好,优良率为76.92%,两组相比优良率存在差异(P0.05)。而在同一Catterall分型中,治疗组和对照组在Ⅱ型以及Ⅲ型临床症状存在差异,在Catterall Ⅳ型之间临床症状未见明显差异,说明对于Catterall Ⅳ型保守治疗未存在明显优势,以上结果表明补肾活血中药配合外展固定治疗儿童股骨头坏死对于Catterall Ⅱ型和Ⅲ型在影像学和临床症状方面均具有较好的疗效。 结论： 补肾活血中药生脉成骨胶囊配合外展固定治疗儿童股骨头坏死在恢复股骨头的圆形轮廓和改善股骨头与髋臼的匹配性以及临床症状方面较对照组具有较好的疗效。
[Abstract]:Objective: at present, the choice of treatment for femoral head necrosis in children is still controversial. The purpose of this study was to observe the clinical effect of Bushen Huoxue Chinese medicine combined with abduction fixation on the necrosis of the femoral head in children to show that Chinese medicine has some advantages in treating the necrosis of the femoral head in children. Methods: the patients with femoral head necrosis diagnosed in our hospital from December 2009 to April 2012 were collected and followed up. The treatment methods were divided into two groups: control group and treatment group. The control group was not treated with any other treatment except bed rest. The treatment group was treated with oral Chinese medicine for tonifying kidney and activating blood circulation and external fixation. The two groups were followed up for a minimum of 2 years. To evaluate whether there were any differences between the two groups in the pain grading and Stulberg classification of the two groups after treatment at the World Health Organization (WHO) and whether there were any differences between the two groups in the criteria of the Mose ring and the clinical symptoms. Results: there were 15 cases in the control group, including 10 males and 5 females with an average age of (6.87 卤2.133) years. 38 cases in the treatment group were male (32 cases) and female (6 cases) with an average age of (7.80 卤2.274) years. There was no significant difference in sex, age and Catterall classification between the two groups (P 0.05). After treatment, the pain degree of the two groups was obviously alleviated, and there was significant difference before and after treatment (P0.001). There was significant difference in the shape of femoral head according to Mose ring standard between the two groups (P0.01). In the treatment group, the recovery was better, including good 10 hips, fair 23 hips, poor 6 hips, control group 6 hips and poor 10 hips. According to Stulberg classification, there was significant difference between the treatment group and the control group (P0.05), in which 32 hips were excellent in the treatment group, 5 hips were good, 2 hips were poor, 7 hips were excellent in the control group, 6 hips were excellent, and 3 hips were poor. The overall evaluation of the efficacy of clinical symptoms evaluation, the results showed that Bushen Huoxue Chinese medicine combined with abduction fixation treatment of children with femoral head necrosis is better, the excellent and good rate is 76.922.There is a difference between the two groups of excellent and good rate (P0.05). In the same Catterall classification, the clinical symptoms of type 鈪，
本文编号：2190442
[Abstract]:Objective: at present, the choice of treatment for femoral head necrosis in children is still controversial. The purpose of this study was to observe the clinical effect of Bushen Huoxue Chinese medicine combined with abduction fixation on the necrosis of the femoral head in children to show that Chinese medicine has some advantages in treating the necrosis of the femoral head in children. Methods: the patients with femoral head necrosis diagnosed in our hospital from December 2009 to April 2012 were collected and followed up. The treatment methods were divided into two groups: control group and treatment group. The control group was not treated with any other treatment except bed rest. The treatment group was treated with oral Chinese medicine for tonifying kidney and activating blood circulation and external fixation. The two groups were followed up for a minimum of 2 years. To evaluate whether there were any differences between the two groups in the pain grading and Stulberg classification of the two groups after treatment at the World Health Organization (WHO) and whether there were any differences between the two groups in the criteria of the Mose ring and the clinical symptoms. Results: there were 15 cases in the control group, including 10 males and 5 females with an average age of (6.87 卤2.133) years. 38 cases in the treatment group were male (32 cases) and female (6 cases) with an average age of (7.80 卤2.274) years. There was no significant difference in sex, age and Catterall classification between the two groups (P 0.05). After treatment, the pain degree of the two groups was obviously alleviated, and there was significant difference before and after treatment (P0.001). There was significant difference in the shape of femoral head according to Mose ring standard between the two groups (P0.01). In the treatment group, the recovery was better, including good 10 hips, fair 23 hips, poor 6 hips, control group 6 hips and poor 10 hips. According to Stulberg classification, there was significant difference between the treatment group and the control group (P0.05), in which 32 hips were excellent in the treatment group, 5 hips were good, 2 hips were poor, 7 hips were excellent in the control group, 6 hips were excellent, and 3 hips were poor. The overall evaluation of the efficacy of clinical symptoms evaluation, the results showed that Bushen Huoxue Chinese medicine combined with abduction fixation treatment of children with femoral head necrosis is better, the excellent and good rate is 76.922.There is a difference between the two groups of excellent and good rate (P0.05). In the same Catterall classification, the clinical symptoms of type 鈪，
本文编号：2190442
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