针刀镜联合骨病回生丸保髋治疗股骨头坏死60例临床观察

Clinical Observation on 60 Cases of Femoral Head Necrosis Treated with Acupotomy and bone disease Hui Sheng Pill

目的:探究针刀镜联合骨病回生丸保髋治疗股骨头坏死的临床疗效。方法:选取120例股骨头坏死患者,依据随机数字表法分为对照组和观察组各60例。对照组患者予以骨病回生丸治疗,观察组患者施行针刀镜联合骨病回生丸保髋治疗,观察两组患者治疗效果、不良反应发生情况,并对比两组治疗前后髋关节功能(Harris评分)及日常生活能力(Barthel指数)改善情况。结果:经过治疗,观察组患者总有效率为95.00%,高于对照组患者的81.67%,差异有统计学意义(P<0.05)。观察组患者不良反应率为11.67%,低于对照组患者的13.33%,但差异无统计学意义(P>0.05)。两组患者治疗前Barthel指数、Harris评分比较差异无统计学意义(P>0.05);治疗后Barthel指数、Harris评分均较治疗前提高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:针刀镜联合骨病回生丸治疗股骨头坏死,可有效改善患者髋关节功能,提高日常生活能力,效果显著,且安全性较高,值得临床推广应用。

Objective： To explore the clinical efficacy of needle knife lens combined with bone disease Hui Sheng pill in the treatment of femoral head necrosis. Methods： 120 cases of avascular necrosis of the femoral head were selected and divided into 60 cases in the control group and the observation group according to the random number table method. The patients in the control group were treated with bone disease Hui Sheng pill, and the patients in the observation group were treated with needle knife mirror combined with bone disease Hui Sheng pill to protect the hip. The therapeutic effects and adverse reactions of the two groups were observed, and the improvement of hip function （Harris score） and activities of daily living （Barthel index） in two groups before and after treatment were compared. Results： After treatment, the total effective rate of the patients in the observation group was 95%, which was higher than that of the control group （81. 67%）, and the difference was statistically significant （P〈 0.05）. The rate of adverse reaction in the observation group was 11.67 ~, which was lower than that of the control group （13.33%）, but the difference was not statistically significant （P〉0.05）. There was no significant difference in Barthel index and Harris score between the two groups before treatment （P〉0.05）. Barthel index and Harris score increased after treatment, and the observation group was higher than that of the control group, the difference was statistically significant （P〈0.05）. Conclusion： Acupotomy combined with osteopathy and resuscitation pill can effectively improve the function of hip joint and improve the ability of daily living. It is effective and safe, and has great significance in clinical treatment.