基于中医四诊仪探讨早期酒精性股骨头坏死的脉象特征

文章信息/Info

• Title:基于中医四诊仪探讨早期酒精性股骨头坏死的脉象特征

• 卷期:2024年22卷17期

• 作者:董兴童1  郑志永2  王欢1

• 1. 山东中医药大学第一临床医学院 山东济南 250014  2.山东省中医院关节肿瘤科 山东济南 250014

• Author(s):DONG Xingtong1  ZHENG Zhiyong2  WANG Huan1

• 1.The First Clinical College,Shandong University of Traditional Chinese Medicine  Jinan,Shandong Province 250014 2.Joint Oncology Department,Shandong Traditional Chinese Medicine  Jinan, Shandong Province 250014

• 关键词酒精；股骨头坏死；脉象；中医四诊仪

• Keywords:Alcohol;Femoral head necrosis;Pulse condition;Four diagnostic instrument of traditional Chinese medicine

• 摘要:目的：基于中医四诊仪客观化探讨早期酒精性股骨头坏死患者的脉象特征。方法：选取自2019年8月至2022年8月就诊于山东省中医院符合纳入标的65例早期酒精性股骨头坏死患者作为观察组，利用中医四诊仪记录患者右侧脉象信息，同样措施采集同一时期于体检中心体检的健康体检者的脉象信息作为对照组。比较两组脉象信息差异。结果：本次共收集观察组65例，对照组61例。经过统计学检验，两组脉象在脉率、脉节律、脉力、紧张度和流利度方面的不同具有统计学意义，脉位上的不同没有统计学意义。与对照组相比，观察组出现率较高的脉象为弦脉与滑数脉，脉力更偏向于无力。结论：本次研究发现早期酒精性股骨头坏死患者的脉象与健康体检者的脉象之间存在统计学差异。早期酒精性股骨头坏死患者的脉象与患者性别、年龄无明显相关性。                                                                                                                                                                                

• AbstractTo explore the pulse characteristics of early alcoholic necrosis of   femoral head based on the objectification of the four diagnostic instrument of traditional Chinese medicine.Methods:65 patients with early alcoholic necrosis of the femoral head who met the inclusion criteria from August 2019 to August 2022 were selected as the observation group, and pulse information on the right side of the patients were recorded with the four diagnostic instrument of traditional Chinese medicine.The same measures were taken to collect the pulse information of the healthy physical examiners in the physical examination center at the same time as the control group.Compare the difference of pulse information between the two groups.Results:65 cases in the observation group and 61 cases in the control group were collected.Through statistical test,the difference between the two groups in pulse rate, pulse rhythm, pulse force,tension and fluency is statistically significant,but the difference in pulse position is not statistically significant.Compared with the control group,the pulse conditions in the observation group with higher occurrence rate are string pulse and gliding pulse,and the pulse force is more weak.This study found that there is a statistical difference between the pulse conditions of patients with early alcoholic necrosis of the femoral head and those of healthy people.There is no significant correlation between the pulse of patients with early alcoholic necrosis of the femoral head and their gender and age.

  酒精性股骨头坏死是指由于长期饮酒所导致的股骨头血供受阻，从而引起股骨头缺血性坏死[1]。据流行病学调查[2]，该病好发于青壮年，致残率高，严重影响患者生活质量。由于患者早期多数没有明显的髋部不适，故多数患者就诊时病情已发展至Ⅲ期甚至Ⅳ期，只能行手术治疗[3]。据报道，现有髋关节假体使用年限约为20年左右，故对于年轻患者而言，保髋治疗已成为医学界的共识[4]。在保髋治疗方面，中医药疗法具有创伤小，费用低，安全性良好等优点，受到较多医者的推崇。根据临床症状，可将股骨头坏死归于中医学“骨蚀”范畴[5]。