【作者】 刘锋；

【导师】 王海彬；

【作者基本信息】 广州中医药大学 ， 中医学， 2011， 硕士

【摘要】 目的：本研究试图通过收集较大样本的股骨头缺血性坏死患者的病例资料,筛选分析股骨头缺血性坏死的证候分型间疼痛与塌陷分布规律,对其进行统计分析,希望能探讨出股骨头坏死的中医分型与股骨头坏死疼痛程度与塌陷体积的相关性。方法：1.通过收集我院2010年9月至2011年4月在广州中医药大学第一附属医院住院部确诊为股骨头坏死拟行全髋关节置换术的患者,收录患者不同证型间疼痛程度及股骨头塌陷大小比例各种数据,建立数据库进行数据管理。2.根据症候资料将病例分为为筋脉瘀滞型、肝肾亏损型两组,对数值资料进行分析,对分类资料进行卡方检验或Spearman相关分析。结果：1.股骨头坏死筋脉瘀滞型患者的疼痛程度相对肝肾亏损更为显著(P<0.01)。2.股骨头坏死不同证型间股骨头塌陷体积比例无显著差异(P>0.05)。3.股骨头坏死疼痛程度与塌陷体积比例无明显相关性(P>0.05)。4.股骨头坏死疼痛程度与ARCO分期Ⅲ-Ⅳ间无明显相关性(P>0.05)结论：1.股骨头坏死的疼痛与中医辨证分型有一定相关性。2.股骨头坏死不同证型间股骨头塌陷体积比例无明显差异。3.股骨头坏死疼痛程度与塌陷体积比例无明显相关性。4.股骨头坏死疼痛程度与ARCO分期Ⅲ-Ⅳ间无明显相关性。更多还原

【Abstract】 Objective:This study attempts to select and analysis the pain stage and the collapsed distribution about the avascular necrosis of femoral head through collecting the such case information in large sample. Statistical analyzing the data in order to find out whether any correlation exist between Chinese medicine syndrome differentiation of femoral head necrosis stage and pain intensity or the collapse size.Method:1. Collect the data about the patients who diagnosed as femoral head necrosis and plan to replace the total hip joint during Sep 2010 to Apr 2011 from the patient apartment of The No.1 hospital affiliated to Guangzhou University of Chinese Medicine. Sort the patients’data according to the pain intensity and the scale of femoral head collapsed size, build a database to manage the information.2. divide the case into 2 part:A. muscle and vessel stagnation and blood stasis type, B. deficiency of liver and kidney type, Chi-square test or t test the sorted information. results:1. the pain intensity of A type patients is significantly compared with the B type(P<0.01).2. No remarkable difference between different syndrome of femoral head necrosis and the collapsed size of femoral head(P>0.05).3.femoral head necrosis pain intensity and scale of the collapsed size show no marked difference(P>0.05). 4. There is no significant difference in pain intensity of femoral head necrosis and ARCO stage(P>0.05).Results:1. Knee osteoarthritis pain in patients with blood stasis type relative yang deficiency Cold Coagulation-type symptoms, kidney deficiency type even more significant (P<0.01); Yang deficiency cold coagulation-type swelling symptoms in patients relative blood stasis type, kidney deficiency type more significant (P<0.01).2. Knee osteoarthritis patients, in arthroscopic synovial hyperplasia seen in yang deficiency cold coagulation type than blood stasis type, kidney deficiency type even more significant (P <0.01); kidney deficiency type Bone spur proliferation than blood stasis type, yang deficiency cold coagulation type more significant (P<0.01); cartilage damage, meniscal degeneration, articular loose body syndrome was no significant difference (P> 0.05).3. Arthroscopy combined treatment of TCM Differential Treatment of Chinese medicine is more than just significant. Conclusion:1. Show association between pain intensity of femoral head necrosis and Chinese medicine syndrome differentiation.2. different syndrome of femoral head necrosis is no significantly compared with the size of collapsed.3. There is no remarkable difference between pain intensity of femoral head necrosis and collapsed size.4. No marked difference in pain intensity of femoral head necrosis and ARCO stage.更多还原