蜡疗治疗塌陷早期非创伤性股骨头坏死的临床研究

Clinical Studies of Using Wax Treatment to Treat Non-Traumatic Osteonecrosis of Femoral Head in Prophase Collapse

目的:评估蜡疗治疗塌陷早期非创伤性股骨头坏死的临床疗效。方法:采用前瞻性自身对照方法,对非创伤性股骨头坏死患者(ARCOⅢa期)于患髋局部应用蜡疗治疗,每天1次,20~30次为1个疗程;采用髋关节Harris评分,从疼痛程度、关节畸形、关节活动范围和功能4个方面对治疗前后的髋关节评分及优良率进行客观评价。结果:平均随访8个月,治疗后Harris总分、疼痛程度、功能、关节活动范围分值均显著高于治疗前(P<0.05),关节畸形分值间差异无统计学意义(P>0.05)。结论:蜡疗治疗塌陷早期非创伤性股骨头坏死疗效满意,能显著减轻患者的髋部疼痛、增加关节活动范围、改善髋关节功能。

To assess clinical efficacy of using the wax therapy to treat early collapse of non-traumatic osteonecrosis Methods： A prospective self-control methods, patients with non-traumatic osteonecrosis for treatment of femoral head specialist （ARCOIIIa stage ）, giving local wax treatment treatment, 1 day, 20 to 30 times as a course of treatment. Harris hip score using methods from pain, joint deformities,joint range of motion and function of four aspectS of hip function and excellent rates of objective evaluation before and after treatment. Results： The mean follow-up of 8 months after treatment, Harris score, pain, function, joint range of motion scores was statistically differences（P〈0.05） between before treatment and after treatment, joint deformities was no statistically difference （P〉0.05） between before treatment and after treatment. Conclusion： Using the wax therapy to treat early collapse of non-traumatic osteonecrosis is satisfactive, it can reduce pain, increase joint range of motion and improve joint activities.