海南医科大学学报

骨科发展至今,早中期的股骨头坏死的保守治疗仍然是目前难题,随着骨坏死的进展,可能恶化为不可逆性骨破坏,对髋关节产生影响,甚至导致髋部严重致残。在传统医学中,股骨头坏死属于"骨痹""骨蚀"的范畴,作为骨科常见病,治疗难度相对比较大。在中医看来,股骨头坏死发病机制为肾虚精亏、痰瘀痹阻等。临床上,大多数医生采用活血通络、补肾健脾的治疗原则。在早中期股骨头坏死中,中药治疗方式比较多元,经济性兼具,一直以来都备受现代医学界重视。本研究特对中药治疗早中期股骨头坏死的最新研究进展加以综述,以期为临床医学研究及相关疾病治疗提供更多的依据。

At present, the development of orthopedics, the conservative treatment of femoral head necrosis in the early and middle stages is still a difficult problem. With the progress of osteonecrosis, it may deteriorate into irreversible bone destruction, affecting the hip joint and even causing severe disability of the hip. In traditional medicine, femoral head necrosis belongs to the category of "bone erosion" and "bone erosion". As a common disease in orthopedics, the treatment difficulty is relatively large. In the view of Chinese medicine, the pathogenesis of femoral head necrosis is kidney deficiency, stagnation and so on. Clinically, most doctors use the principle of promoting blood circulation, tonifying kidney and strengthening spleen. In the early and middle femoral head necrosis, traditional Chinese medicine treatment methods are more diverse and economical, and have always been valued by the modern medical community. This study reviews the latest research progress of traditional Chinese medicine in the treatment of early and mid-stage femoral head necrosis, in order to provide more basis for clinical medical research and related disease treatment.