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Article(id=1276976132960420603, tenantId=1146029695717560320, journalId=1276577828834349082, issueId=1276976057215488893, articleNumber=null, orderNo=null, doi=10.19540/j.cnki.cjcmm.20251020.501, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1757260800000, receivedDateStr=2025-09-08, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1782384435166, onlineDateStr=2026-06-25, pubDate=1768406400000, pubDateStr=2026-01-15, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1782384435166, onlineIssueDateStr=2026-06-25, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1782384435166, creator=13701087609, updateTime=1782384435166, updator=13701087609, issue=Issue{id=1276976057215488893, tenantId=1146029695717560320, journalId=1276577828834349082, year='2026', volume='51', issue='2', pageStart='301', pageEnd='600', issueExtLink='null', onlineDate='null', pubDate='1768406400000', pubDateStr='2026-01-15', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=1, specialIssue=null, createTime=1782384417107, creator='13701087609', updateTime=1782384524478, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1276976507658563977, tenantId=1146029695717560320, journalId=1276577828834349082, issueId=1276976057215488893, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1276976507658563978, tenantId=1146029695717560320, journalId=1276577828834349082, issueId=1276976057215488893, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=309, endPage=315, ext={EN=ArticleExt(id=1276976133191107325, articleId=1276976132960420603, tenantId=1146029695717560320, journalId=1276577828834349082, language=EN, title=Analysis of changing patterns of blood stasis degree in non-traumatic osteonecrosis of femoral head based on DSA features, columnId=null, journalTitle=Chinese Journal of Traditional Chinese Medicine, columnName=null, runingTitle=null, highlight=null, articleAbstract=

To analyze the changing pattern of blood stasis degree in different TCM syndromes of non-traumatic osteonecrosis of femoral head (NONFH), the present study adopted a retrospective cross-sectional design. The clinical and digital subtraction angiography (DSA) data were collected from 60 NONFH patients with blood stasis syndrome treated at the Third Affiliated Hospital of Beijing University of Chinese Medicine from February 2022 to March 2025. According to Chinese Medicine Identification Criteria for Necrosis of the Femoral Head (2019 edition), 60 patients were allocated into three groups of phlegm-stasis obstruction of collaterals, meridian obstruction, and liver-kidney deficiency, with 20 patients in each group. The morphological features of blood vessels were observed by DSA, and the diameter of the profunda femoris artery, diameters of medial/lateral circumflex femoral arteries, and vessel count were recorded. The degrees of blood stasis in different syndrome groups were analyzed. The results showed that there were 38 males and 22 females among the 60 patients, with mean age of (41.18±14.56) years. Two, thirty-three, twenty-two, and one patients were in ARCO stages Ⅰ, Ⅱ, Ⅲ and Ⅳ, respectively. There was no difference in the baseline data (age, BMI, etc.) among the three groups. Regarding the vascular parameters, the meridian obstruction group had the profunda femoris artery diameter of (6.59±0.94) mm, medial circumflex femoral artery diameter of (2.99±0.42) mm, medial/lateral ratio of 0.50 (0.43, 0.58), and total number of arteries being 8.00 (7.00, 8.00), which were all lower than those in the phlegm-stasis obstruction group and the liver-kidney deficiency group (P<0.05, P<0.01). The results indicated that the DSA of NONFH patients with blood stasis presented abnormal vascular morphology, and their vascular images showed a certain pattern throughout the disease course, with lower vessel diameter and count in the middle stage. This result suggested that the degree of blood stasis in the patients varied from mild to severe and back again with the progression of the disease. This study not only provides quantifiable imaging indicators for the macroscopic diagnosis of blood stasis syndrome and verify its dynamic evolution law, but also suggests that in clinical practice, imaging techniques such as DSA can be used to assist in syndrome differentiation and classification. This provides objective references for staged treatment and the optimization of intervention timing and intensity of blood-activating and stasis-resolving regimens.

, authors=null, authorsList=Yu-zhi LIU, Yu-hang SHI, Jin-shan BAI, Jia-ming LIN, Yu-kun WANG, Guo-zhi YANG, Yu-xin LUO, Rong-tian WANG, Bao-hong MI, Yan-qiong ZHANG, Na LIN, Tai-xian LI, Bao-qiang ZHOU, Wei-heng CHEN, authorCompany=null, correspAuthors=Bao-qiang ZHOU, Wei-heng CHEN, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1276976133665063679, articleId=1276976132960420603, tenantId=1146029695717560320, journalId=1276577828834349082, language=CN, title=基于DSA血管影像特征的非创伤性股骨头坏死中医证型血瘀程度变化规律分析, columnId=1276976066719781817, journalTitle=中国中药杂志, columnName=股骨头坏死动态血瘀新知及其系统干预前沿专题, runingTitle=null, highlight=null, articleAbstract=

为分析非创伤性股骨头坏死（NONFH）不同中医证型的血瘀程度变化规律，采用回顾性横断面研究设计，收集2022年2月至2025年3月，北京中医药大学第三附属医院诊疗的60例NONFH血瘀证患者的临床与数字减影血管造影（DSA）影像资料，依据《股骨头坏死中医辨证标准（2019年版）》，分为痰瘀阻络组、经脉痹阻组、肝肾亏虚组各20例，通过DSA观察血管形态学特征，记录股深动脉直径、旋股内／外侧动脉直径、血管计数指标，分析不同证型的血瘀程度。结果显示，60例患者中男性38例、女性22例，平均年龄（41.18±14.56）岁，国际骨循环研究会（ARCO）分期Ⅰ期2例、Ⅱ期33例、Ⅲ期24例、Ⅳ期1例，3组基线资料［年龄、体质量指数（BMI）等］差异无统计学意义。血管指标方面，经脉痹阻组股深动脉直径（6.59±0.94） mm、旋股内侧动脉直径（2.99±0.42） mm、内／深比值0.50（0.43，0.58）、动脉血管总数8.00（7.00，8.00）条，均低于痰瘀阻络组和肝肾亏虚组（P<0.05，P<0.01）。结果表明，NONFH血瘀证患者血管形态学异常，全病程血管影像呈一定规律，早、晚期血管直径与血管计数高，中期则相反，可能随疾病进展，患者血瘀程度由轻到重再到轻。结果为血瘀证的宏观诊断提供了可量化的影像学指标，印证了其动态演变规律，提示临床可借助DSA等影像技术辅助辨证分型，为实现分期论治，优化活血化瘀方案的干预时机与强度提供客观参考。

, authors=

刘毓之，硕士研究生，E-mail:

, authorsList=刘毓之, 史宇航, 白金山, 林嘉铭, 王宇坤, 杨国智, 罗钰鑫, 王荣田, 宓保宏, 张彦琼, 林娜, 李泰贤, 周宝强, 陈卫衡, authorCompany=null, correspAuthors=周宝强, 陈卫衡, authorNote=null, correspAuthorsNote=

*

陈卫衡，博士，主任医师，博士生导师，主要从事骨关节疾病的临床与基础研究，E-mail: ；

*

周宝强，硕士，中级工程师，主要从事骨伤科中成药临床和基础相关研究，E-mail:
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刘毓之，硕士研究生，E-mail:

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刘毓之，硕士研究生，E-mail:

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基于DSA血管影像特征的非创伤性股骨头坏死中医证型血瘀程度变化规律分析
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刘毓之 1 , 史宇航 1 , 白金山 1 , 林嘉铭 1 , 王宇坤 1 , 杨国智 1 , 罗钰鑫 1 , 王荣田 1, 2, 3 , 宓保宏 1, 2, 3 , 张彦琼 4 , 林娜 4 , 李泰贤 1, 2, 3 , 周宝强 2, * , 陈卫衡 1, 2, 3, *
中国中药杂志 | 股骨头坏死动态血瘀新知及其系统干预前沿专题 2026,51(2): 309-315
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中国中药杂志 |股骨头坏死动态血瘀新知及其系统干预前沿专题 2026 , 51 (2) : 309 -315
基于DSA血管影像特征的非创伤性股骨头坏死中医证型血瘀程度变化规律分析
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刘毓之1 , 史宇航1, 白金山1, 林嘉铭1, 王宇坤1, 杨国智1, 罗钰鑫1, 王荣田1, 2, 3, 宓保宏1, 2, 3, 张彦琼4, 林娜4, 李泰贤1, 2, 3, 周宝强2, * , 陈卫衡1, 2, 3, *
作者信息
  • 1．北京中医药大学 第三附属医院，北京 100029
  • 2．中医骨伤治疗与运动康复智能化教育部工程研究中心，北京 100029
  • 3．北京中医药大学 骨伤科研究所，北京 100029
  • 4．中国中医科学院 中药研究所，北京 100700
通讯作者:

*

陈卫衡，博士，主任医师，博士生导师，主要从事骨关节疾病的临床与基础研究，E-mail: ；

*

周宝强，硕士，中级工程师，主要从事骨伤科中成药临床和基础相关研究，E-mail:
Analysis of changing patterns of blood stasis degree in non-traumatic osteonecrosis of femoral head based on DSA features
Yu-zhi LIU1 , Yu-hang SHI1, Jin-shan BAI1, Jia-ming LIN1, Yu-kun WANG1, Guo-zhi YANG1, Yu-xin LUO1, Rong-tian WANG1, 2, 3, Bao-hong MI1, 2, 3, Yan-qiong ZHANG4, Na LIN4, Tai-xian LI1, 2, 3, Bao-qiang ZHOU2, * , Wei-heng CHEN1, 2, 3, *
Affiliations
  • 1.the Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China
  • 2.Engineering Research Center of Chinese Orthopaedic and Sports Rehabilitation Artificial Intelligence, Ministry of Education, Beijing 100029, China
  • 3.Institute of Orthopedics and Traumatology, Beijing University of Chinese Medicine, Beijing 100029, China
  • 4.Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing 100700, China
出版时间: 2026-01-15 doi: 10.19540/j.cnki.cjcmm.20251020.501
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为分析非创伤性股骨头坏死（NONFH）不同中医证型的血瘀程度变化规律，采用回顾性横断面研究设计，收集2022年2月至2025年3月，北京中医药大学第三附属医院诊疗的60例NONFH血瘀证患者的临床与数字减影血管造影（DSA）影像资料，依据《股骨头坏死中医辨证标准（2019年版）》，分为痰瘀阻络组、经脉痹阻组、肝肾亏虚组各20例，通过DSA观察血管形态学特征，记录股深动脉直径、旋股内／外侧动脉直径、血管计数指标，分析不同证型的血瘀程度。结果显示，60例患者中男性38例、女性22例，平均年龄（41.18±14.56）岁，国际骨循环研究会（ARCO）分期Ⅰ期2例、Ⅱ期33例、Ⅲ期24例、Ⅳ期1例，3组基线资料［年龄、体质量指数（BMI）等］差异无统计学意义。血管指标方面，经脉痹阻组股深动脉直径（6.59±0.94） mm、旋股内侧动脉直径（2.99±0.42） mm、内／深比值0.50（0.43，0.58）、动脉血管总数8.00（7.00，8.00）条，均低于痰瘀阻络组和肝肾亏虚组（P<0.05，P<0.01）。结果表明，NONFH血瘀证患者血管形态学异常，全病程血管影像呈一定规律，早、晚期血管直径与血管计数高，中期则相反，可能随疾病进展，患者血瘀程度由轻到重再到轻。结果为血瘀证的宏观诊断提供了可量化的影像学指标，印证了其动态演变规律，提示临床可借助DSA等影像技术辅助辨证分型，为实现分期论治，优化活血化瘀方案的干预时机与强度提供客观参考。

非创伤性股骨头坏死  /  数字减影血管造影  /  血瘀证  /  中医证型  /  血管形态学

To analyze the changing pattern of blood stasis degree in different TCM syndromes of non-traumatic osteonecrosis of femoral head (NONFH), the present study adopted a retrospective cross-sectional design. The clinical and digital subtraction angiography (DSA) data were collected from 60 NONFH patients with blood stasis syndrome treated at the Third Affiliated Hospital of Beijing University of Chinese Medicine from February 2022 to March 2025. According to Chinese Medicine Identification Criteria for Necrosis of the Femoral Head (2019 edition), 60 patients were allocated into three groups of phlegm-stasis obstruction of collaterals, meridian obstruction, and liver-kidney deficiency, with 20 patients in each group. The morphological features of blood vessels were observed by DSA, and the diameter of the profunda femoris artery, diameters of medial/lateral circumflex femoral arteries, and vessel count were recorded. The degrees of blood stasis in different syndrome groups were analyzed. The results showed that there were 38 males and 22 females among the 60 patients, with mean age of (41.18±14.56) years. Two, thirty-three, twenty-two, and one patients were in ARCO stages Ⅰ, Ⅱ, Ⅲ and Ⅳ, respectively. There was no difference in the baseline data (age, BMI, etc.) among the three groups. Regarding the vascular parameters, the meridian obstruction group had the profunda femoris artery diameter of (6.59±0.94) mm, medial circumflex femoral artery diameter of (2.99±0.42) mm, medial/lateral ratio of 0.50 (0.43, 0.58), and total number of arteries being 8.00 (7.00, 8.00), which were all lower than those in the phlegm-stasis obstruction group and the liver-kidney deficiency group (P<0.05, P<0.01). The results indicated that the DSA of NONFH patients with blood stasis presented abnormal vascular morphology, and their vascular images showed a certain pattern throughout the disease course, with lower vessel diameter and count in the middle stage. This result suggested that the degree of blood stasis in the patients varied from mild to severe and back again with the progression of the disease. This study not only provides quantifiable imaging indicators for the macroscopic diagnosis of blood stasis syndrome and verify its dynamic evolution law, but also suggests that in clinical practice, imaging techniques such as DSA can be used to assist in syndrome differentiation and classification. This provides objective references for staged treatment and the optimization of intervention timing and intensity of blood-activating and stasis-resolving regimens.

non-traumatic osteonecrosis of femoral head  /  digital subtraction angiography  /  blood stasis syndrome  /  TCM syndrome  /  vascular morphology
刘毓之, 史宇航, 白金山, 林嘉铭, 王宇坤, 杨国智, 罗钰鑫, 王荣田, 宓保宏, 张彦琼, 林娜, 李泰贤, 周宝强, 陈卫衡. 基于DSA血管影像特征的非创伤性股骨头坏死中医证型血瘀程度变化规律分析. 中国中药杂志, 2026 , 51 (2) : 309 -315 . DOI: 10.19540/j.cnki.cjcmm.20251020.501
Yu-zhi LIU, Yu-hang SHI, Jin-shan BAI, Jia-ming LIN, Yu-kun WANG, Guo-zhi YANG, Yu-xin LUO, Rong-tian WANG, Bao-hong MI, Yan-qiong ZHANG, Na LIN, Tai-xian LI, Bao-qiang ZHOU, Wei-heng CHEN. Analysis of changing patterns of blood stasis degree in non-traumatic osteonecrosis of femoral head based on DSA features[J]. Chinese Journal of Traditional Chinese Medicine, 2026 , 51 (2) : 309 -315 . DOI: 10.19540/j.cnki.cjcmm.20251020.501
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  • 国家自然科学基金重点项目(82030122)
  • 国家自然科学基金面上项目(82474548)
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doi: 10.19540/j.cnki.cjcmm.20251020.501
  • 接收时间：2025-09-08
  • 首发时间：2026-06-25
  • 出版时间：2026-01-15
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  • 收稿日期：2025-09-08
基金
国家自然科学基金重点项目(82030122)
国家自然科学基金面上项目(82474548)
作者信息
    1．北京中医药大学 第三附属医院，北京 100029
    2．中医骨伤治疗与运动康复智能化教育部工程研究中心，北京 100029
    3．北京中医药大学 骨伤科研究所，北京 100029
    4．中国中医科学院 中药研究所，北京 100700

通讯作者:

*

陈卫衡，博士，主任医师，博士生导师，主要从事骨关节疾病的临床与基础研究，E-mail: ；

*

周宝强，硕士，中级工程师，主要从事骨伤科中成药临床和基础相关研究，E-mail:
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https://castjournals.cast.org.cn/joweb/zgzyzz/CN/10.19540/j.cnki.cjcmm.20251020.501
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