Quadruple Therapy For The Treatment Of Avascular Necrosis Of Clinical Study

Objective:To preliminarily appraise curative effect of therapy to avascular necrosis of femoral head ANFH with Chinese native medicine GUANG YUAN CHENG FU WAN, Marrow core decompressure + Fibula transplant Sueguery, Holds walking stick, Joint bag decompressure and four method treatment avascular necrosis of femoral head, ANFH curative effect and each therapy function intensity, analyzes the mutual action between the four treatment, provide basis for clinical.Method:Selects 32 medical records according to the standard, adopts orthogonal design, half-randomly enter 8 experimental groups according to the orthogonal experiment head table, according to the orthogonal experiment table arrange corresponding intervention measure, in five days afert each record experiment refers to the adult thigh hip avascular necrosis curative effect appraisal law (1st session of national bone necrosis academic meeting 1995 standards) gather experimental data, after gathering experimental data all, carries on the statistical analysis.Result:The curative effect of Chinese native medicine GUANG YUAN CHENG FU WAN treatment to encircle-collapse time ANFH have statistics significance(P＜0.05), _the curative effect of Marrow core depressure + Fibula transplant surgery treatment to encircles-collapse time ANFH have statistics significance (P＜0.05); The curative effect of Holds walking stick to protect trouble extremity treatment to encircle-collapse time ANFH have statistics significance (P＜0.05) Marrow core depressure + Fibula transplant surgery and the Chinese native medicine GUANG YUAN CHENG FU WAN treatment to encircle- -collapse time ANFH have correlation (P＜0.05) ; Marrow core depressure + Fibula transplant surgery and Holds walking stick to protect trouble extremity treatment to encircle-collapse time ANFH have the correlation (P＜0.05).Conclusion:The Chinese native medicine GUANG YUAN CHENG FU WAN treatment to encircle-collapse time ANFH have accurate curative effect; Marrow core depressure + Fibula transplant surgery treatment to encircle-collapse time ANFH have accurate curative effect; Holds walking stick to protect trouble extremity treatment to encircle-collapse time ANFH have accurate curative effect; Among the three methods, the curative effect intensity of Marrow core depressure + Fibula transplant surgery is biggest, Holds walking stick to protect trouble extremity the next best, the Chinese native medicine next the both; Marrow core depressure + Fibula transplant surgery and the Chinese native medicine GUANG YUAN CHENG FU WAN treatment to encircle-collapse time ANFH have mutual promoter action; Marrow core depressure + Fibula transplant surgery and Holds walking stick to protect trouble extremity treatment to encircle-collapse time ANFH have the mutual promoter action. Cooperation of Chinese and Western medicine complex therapy is suitable to encircle-collapse time ANFH; The Chinese native medicine treatment to encircle-collapse time ANFH should unify with the surgery, display interactive effect, whole-body recuperation and partial treatment unify (inside and outside concurrently governs),Bian Zheng Shi Zhi is the key, the treatment course should be lightly long, not lower than 6 months; Marrow core depressure + Fibula transplant surgery to encircle-collapse time ANFH should unify with the Chinese native medicine and Holds walking stick to protect trouble extremity, display correlation, (doctor patient cooperation); encircle-collapse time ANFH patient should be supposed to display the commanding officer activity, positivly participate, cooperate with doctor, correctly hold walking stick to protect trouble extremity, Too long holding time is not suitable, 3 months after surgery are suitable (action rest cooperation); Joint-bag decompressure treatment to encircle-collapse time ANFH rapidly reduce pain, dispiay effect from muscle and lagment. (lagrnent bone equal attention); Chinese nativemedicine + Marrow core depressure + Fibula transplant surgery + Holds walking stick + /- Joint-bag decompressure therapy to encircle-collapse time ANFH may be a good plan; In view of the more and moren many illness complication of THA to ANFH, THA to ANFH should be strictly carefully selected.