体外冲击波联合桃红四物汤加减治疗早期股骨头坏死临床观察

Clinical Observation on the Treatment of Early Osteonecrosis of the Femoral Head with Extracorporeal Shock Wave Combining Modified Taohong Siwu Tang(桃红四物汤)

目的:观察体外冲击波联合桃红四物汤加减治疗早期股骨头坏死的临床疗效。方法:将64例早期股骨头坏死患者随机分为治疗组和对照组,每组32例。对照组口服桃红四物汤加减治疗,治疗组在对照组的基础上联合体外冲击波治疗。2组疗程均为3个月。观察2组临床疗效及Harris评分。结果:治疗组治愈14例,显效9例,有效5例,无效4例,总有效率为87.50%;对照组治愈11例,显效7例,有效5例,无效9例,总有效率为71.88%。2组比较,差异有统计学意义(P<0.05)。治疗1,3个月及治疗结束后6个月,2组Harris评分均有改善(P<0.05),且治疗组优于对照组(P<0.05)。结论:体外冲击波联合桃红四物汤加减口服治疗早期股骨头坏死临床效果明显,值得临床推广。

Objective：To observe the clinical curative effect of extracorporeal shock wave combined with Taohong Siwu Tang（桃红四物汤） in the treatment of early osteonecrosis of the femoral head.Methods： 64 cases of early osteonecrosis of the femoral head were randomly divided into a treatment group and a control group,32 cases in each group.The control group was orally given Taohong Siwu Tang,while the treatment group,based on the treatment of the control group,was treated with extracorporeal shock wave.Both groups were treated for 3 months.The clinical effect and Harris scores of the two groups were observed.Results：In the treatment group,14 cases were cured,9 cases were markedly effective,5 cases were effective,and 4 cases were ineffective,the total effective rate being 87.50%;while in the control group,11 cases were cured,7 cases were markedly effective,5 cases were effective,and 9 cases were ineffective,the total effective rate being 71.88%.The difference between the two groups was statistically significant（P 〈0.05）.Treatment for 1,3 months and after the end of treatment 6 months,the Harris scores of the two groups were improved（P 〈0.05）,and the treatment group was better than the control group（P 〈0.05）.Conclusion：Extracorporeal shock wave combined with Taohong Siwu Tang has an obvious effect in the treatment of early osteonecrosis of the femoral head,worthy of promotion.