股骨头坏死愈胶囊与双磷酸盐治疗股骨颈移位骨折术后股骨头缺血性坏死临床研究
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R681.8

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河南省中医药科学研究专项(2015ZY02063)


Clinical Study on Gugutou Huaisiyu Capsules and Bisphosphonates for Avascular Necrosis of Femoral Head After Surgery for Displaced Fractures of Femoral Neck
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    摘要:

    目的:观察比较股骨头坏死愈胶囊与双磷酸盐治疗股骨颈移位骨折术后股骨头缺血性坏死(ANFH) 的临床疗效。方法:选择本院收治的股骨颈移位骨折术后ANFH 患者55 例,按随机数字表法分为观察组30 例及对照组25 例。2 组术后均给予常规对症治疗,在此基础上观察组给予股骨头坏死愈胶囊治疗,对照组给予双磷酸盐阿仑膦酸钠治疗,连续治疗6 个月后,比较2 组临床疗效、疼痛情况、髋关节功能及功能独立性恢复情况,并检测其血常规、肝肾功能情况以判定药物的安全性。结果:治疗总有效率观察组90.48%,明显高于对照组67.65%,差异有统计学意义(P<0.05);治疗后,2 组疼痛视觉模拟评分法(VAS) 较治疗前下降,观察组VAS 评分低于对照组,差异有统计学意义(P<0.05);治疗后,2 组髋关节功能评分(Harris) 评分、功能独立性评定量表(FIM) 评分较治疗前升高,观察组Harris 评分、FIM 评分均高于对照组,差异均有统计学意义(P<0.05);2 组治疗期间均未出现药物不良反应。结论:股骨头坏死愈胶囊治疗股骨颈移位骨折术后ANFH,与单用双磷酸盐治疗比较,有利于提高临床疗效,能有效缓解患者疼痛,改善髋关节功能,恢复功能独立性,且药物安全性高。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Gugutou Huaisiyu capsules and bisphosphonates for avascular necrosis of femoral head(ANFH) after surgery for displaced fractures of femoral neck. Methods:A total of 55 cases of ANFH patients after surgery for displaced fractures of femoral neck in our hospital were divided into the observation group and the control group according to the random number table method group, 30 and 25 cases in each group respectively. After surgery, both groups were given routine symptomatic treatment; the observation group was additionally treated with Gugutou Huaisiyu capsules,and the control group was additionally treated with bisphosphonate(Alendronate sodium). After six-month treatment,the clinical effect,the pain,the hip joint function and the recovery of functional independence were compared between the two groups. The blood routine as well as the function of the liver and the kidney were detected to evaluate the safety of medicine. Results:The total effective rate was 90.48% in the observation group,significantly higher than that of 67.65% in the control group, the difference being significant(P<0.05). After treatment, the scores of Visual Analogue Scale(VAS) in the two groups were decreased when compared with those before treatment,and the score in the observation group was lower than that in the control group,the difference being significant(P<0.05). After treatment,the score of the hip joint function(Harris) and Functional Independence Measure(FIM) in the two groups were increased when compared with those before treatment,and the two scores in the observation group were higher than those in the control group(P<0.05). There was no adverse medicine reaction in the two groups during treatment. Conclusion:In the treatment of ANFH after surgery for displaced fractures of femoral neck, compared with simple bisphosphonates, Gugutou Huaisiyu capsules is conductive to enhancing clinical effect,effectively relieving pain,improving the hip joint function,and recovering functional independence with high safety.

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莫湘涛.股骨头坏死愈胶囊与双磷酸盐治疗股骨颈移位骨折术后股骨头缺血性坏死临床研究[J].新中医,2020,52(18):89-91

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  • 在线发布日期: 2020-09-20
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