| Objective:To evaluate the treatment of multi-channel Chinese medicine medium-term effects of as early as mid-term osteonecrosis of femoral head.Methods:From March 2006 to November 2007, Wangjing Hospital, China Academy of Chinese Medical Science in China, A Division of Wangjing hospitalized patients with osteonecrosis of femoral head, in accordance with the inclusion, exclusion criteria included subjects were 100 cases. Diagnosis and staging:the diagnostic reference standard Mont and so on; reference to the International Bone Cycle Research (Association Research Circulation Osseous, ARCO) staging system. TCM Syndrome Types:two high qualification Chief Physician by observing, smelling, consulting and pulse-taking for symptoms of collection, database entry, refer to the State Administration of TCM formulated and promulgated the " TCM diagnosis of disease and syndrome curative standard " and "Beijing evidence of Chinese medical diagnosis and treatment of conventional common diseases, "the dialectical unity of dialectical standards.According to the time sequence, using block randomization method, divided into treatment and control groups. Treatment group using Multi-channel Chinese medicine, surgery under the "three 4-type" differentiation agents. The control group, the femoral head core decompression and bone graft.Traditional Chinese medicinal prescriptions with the treatment group.Every three months treatment, patients were treated two courses, after Zhu crutches to avoid weight-bearing limb for three months, line-free weight-bearing functional exercises, and then three months after the full weight-bearing part of the load. Follow-up data of 87 cases over 2 years (115 hips) were followed up for 24-48 months, an average of 31.2 months. Two groups of patients and the Harris score imaging evaluation of the mid-term efficacy. SPSS13.0 statistical package statistical processing applications.Results: 1.Baseline:Gender, age, stage, Harris hip scores, duration and so on, treatment and control groups by the statistical test, no statistically significant difference (P> 0.05), the two groups were comparable. See table.2.Overall Results:Treatment group and control group were 115 cases of hips, image evaluation, stable rate is 77.39%; functional assessment, the total effective rate is 90.43%.Stageâ… ,â…¡is 92 hips, image evaluation, stable rate is 80.43%; functional assessment, the total effective rate is 91.30%.Stageâ…¢is 23 hips and imaging evaluation, stable rate is 65.22%; function evaluation, the total effective rate is 86.96%.Stageâ… ,â…¡of patients after the treatment the Harris score is higher than in stageâ…¢patients, but only life and walking ability is significantly (P<0.01).â… ,â…¡andâ…¢of image stabilization rate of chi-square test results showed no significant difference (P> 0.05).3.Group results:(1) OverallTreatment group,59 hips, image evaluation, stable rate is 76.27%; functional assessment, the total effective rate is 89.83 percent.Control group,56 hips, image evaluation, stable rate is 78.57%; functional assessment, the total effective rate is 91.07%.Treatment group and control group after treatment and improve the value of Harris score difference was not statistically significant (P> 0.05).Treatment group and control group image stabilization rate of chi-square test results showed no significant difference (P> 0.05).(2)â… ,â…¡of casesTreatment group,46 hips, radiographic evaluation, stable rate is 87.1%; functional assessment, the total effective rate is 91.3%.Control group,46 hips, image evaluation, stable rate is 77.78%; functional assessment, the total effective rate is 91.3%.After treatment, the Harris score is higher, but only the pain area significantly increased values (P<0.05).Treatment group and control group image stabilization rate of chi-square test results showed no significant difference (P> 0.05).(3)â…¢of casesTreatment group,13 hips, image evaluation, stable rate is 55.17%; functional assessment, the total effective rate is 84.62%.Control group,10 hips, image evaluation, stable rate is 50%; functional assessment, the total effective rate is 90%.After treatment, the Harris score lower than the control group, the Harris score increased value of life and pain and walking ability significantly improve the value of the difference was statistically significant (P<0.01).Treatment group and control group image stabilization rate of chi-square test results showed no significant difference (P>0.05).4. Group results:(1) treatment groupâ… ,â…¡andâ…¢of image stabilization rate of chi-square test results showed no significant difference (P> 0.05).â… ,â…¡patients in the Harris score after treatment was higher than in stageâ…¢patients, the Harris score, increase the value of life and pain and walking ability significantly improve the value of the difference was statistically significant (P<0.01).(2) control groupâ… ,â…¡andâ…¢of image stabilization rate of chi-square test results showed no significant difference (P> 0.05). â… ,â…¡in the treatment of patients after the Harris score lower than in stage III patients, the Harris score increased value and the difference in the pain area significantly enhance the value of statistical significance (P<0.01).5.Correlation outcomes:26 cases of hip. Image aggravatingTreatment group,14 hips, the Harris score difference before and after treatment significantly statistically significant (P<0.01).Control group of 12 hips, the Harris score before and after treatment showed no significant difference (P> 0.05).After treatment, the Harris score was higher in the Harris score increased value of life and pain and walking ability significantly improve the value of the difference was statistically significant (P<0.01).Conclusion:1. More than traditional approach and bone marrow core decompression art+TCM therapy early middle necrosis of femoral head is good curative effect, but the syndrome differentiation and treatment of Chinese medicine is also play an irreplaceable role.2. image stages can not as the only treatment standard, should according to the joint function of patients with a more humane for treatment.3. multi-channel Chinese medicine is smaller side-effects, faster recovery, low cost, and it is easier to accept.4 osteonecrosis of femoral head's therapeutic assessment function and imaging should be separated, to refer individual, differential treatment options.
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