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| 推拿加中药治疗由激素和酒精造成的中晚期股骨头坏死的临床观察 |
| The clinical observation of the efficacy of massage therapy combined with traditional Chinese medicine on middle-late stage osteonecrosis of the femoral head due to hormone and alcohol |
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| DOI：10.3969/j.issn.1006.7108.2015.04.016 |
| 中文关键词: 中医中药 推拿 护骨胶囊 中药热敷 股骨头坏死 |
| 英文关键词:Traditional Chinese medicine Massage Hugu capsule Chinese medicine hot compress Osteonecrosis of the femoral head |
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| 中文摘要: |
| 目的 观察推拿加中药治疗由激素和酒精造成的中晚期股骨头坏死的临床疗效。方法收集2011年3月至2014年2 月间在我院骨科经推拿加中药治疗（口服护骨胶囊外用中药热敷)半年，且随访一年以上的由激素和酒精造成的中晚期股骨头坏死患者187例。以髋关节影像资料、Harris髋关节评分表作为评价指标进行评判。结果 X线随访中，其中稳定184髋，稳定率60. 9%，加重118髋，加重率39. 1%。治疗前总体Harris评分为（49. 6 ±5.7)分，治疗后总体Harris评分为（75. 4 士 4.7)分，治疗前后Harris评分比较差异有统计学意义(P <0. 01)，治疗后优于治疗前，且Ⅲ期提高较Ⅳ期高。结论 推拿加中药治疗由激素和酒精造成的中晚期股骨头坏死具有有效性，能较好改善患者的髋关节疼痛、关节活动、行走及生活能力。 |
| 英文摘要: |
| Objective To observe the clinical efficacy of massage combined with traditional Chinese medicine on middle-late stage osteonecrosis of the femoral head due to hormone and alcohol. Methods The data of 187 patients of middle-late stage osteonecrosis of the femoral head due to hormone and alcohol，who were treated with massage combined with traditional Chinese medicine (oral Hugu capsule combined with external use of hot compress) and followed up for over one year from March 2011 to February 2014 in the department of orthopedics in our hospital，were collected. The hip image data and Harris hip score table were as the evaluation index. Results During the follow-up using X-ray，184 hips were stable，and the stable rate was 60. 9%. 118 hips were aggravated，and the exacerbation rate was 39. 1%. The overall Harris score was 49. 6 ± 5. 7 before the treatment. The overall Harris score was 75. 4 ±4. 7 after the treatment. The comparison before and after treatment was statistically significant (P < 0.01). The effect after the treatment was better than before the treatment，and the improvement rate was higher in the stage III than in the stage IV. Conclusion The massage therapy combined with traditional Chinese medicine is effective in the treatment of middle-late stage osteonecrosis of the femoral head due to hormone and alcohol. The treatment can relieve the hip pain，improve joint activity and walking and living ability of the patients. |
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