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发布时间：2023-10-07 17:41:09 来源：文档文库
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CHINESECOMMUNITYDOCTORS
论著社区中医药
成人股骨头坏死的中医辨证论治
王晓
273400山东省费县中医医院
doi:10.3969/j.issn.1007-614x.2015.12.71摘
要
目的：探讨成人股骨头坏死的中医辨证论治效果。方法：收治气滞血瘀型患者94例，肝肾亏虚型患者114例
以及湿热内阻型患者110例，分别采用桃红四物汤、补血荣筋丸以及白虎桂枝汤合宣痹汤治疗。结果：3型患者经治疗后其各自Harris评分均较治疗前获得了明显提升，治疗前后比较差异均有统计学意义(P＜0.01；3型患者的临床治疗优良率均＞60%，其中尤以肝肾亏虚型的治疗效果最佳，优良率达到83.3%，与其他2型比较差异均有统计学意义(P＜0.01。结论：中医辨证论治治疗成人股骨头坏死效果满意，建议推广应用。关键词necrosis
股骨头坏死；成人；中医；辨证论治
TreatmentbasedonsyndromedifferentiationoftraditionalChinesemedicalscienceofadultfemoralhead
WangXiao
TheTraditionalChineseMedicineHospitalofFeiCounty,ShandongProvince273400
Abstract
Objective:ToexplorethetreatmentbasedonsyndromedifferentiationoftraditionalChinesemedicalscienceofadult
femoralheadnecrosis.Methods:94patientswithQiZhiXueYutype,114patientswithGanShenKuiXutypeand110patientswithShiReNeiZutypewereselected.TheywererespectivelytreatedwithTaoHongSiWuDecoction,BuXueRongJinPillandBaiHuGuiZhiDecoctioncombinedwithXuanBiDecoction.Results:Aftertreatmentof3typesofpatients,comparedwithbeforetreatment,Harrisscorewasimprovedsignificantly,andthedifferencewasstatisticallysignificant(P＜0.01.Theclinicaltreatmentoftheexcellentandgoodrateof3typesofpatientsreachedover60%,amongthem,thetreatment 