全髋关节置换术联合中药治疗对老年股骨缺血性坏死患者骨密度的影响

Effect of total hip arthroplasty combined with traditional Chinese medicine on bone mineral density in elderly patients with avascular necrosis of femoral

目的:讨论全髋关节置换术联合中药祛风通络散对老年股骨头缺血性坏死患者骨密度的影响。方法:78例股骨头缺血性坏死患者,根据治疗方法不同分为对照组(n=35)与观察组(n=43)。对照组采用全髋关节置换术治疗,观察组采用全髋关节置换术联合中药祛风通络散治疗,比较两组的治疗效果,治疗后疼痛、术后关节活动度及骨密度。结果:术后,观察组总优良率(95.33%)高于对照组(74.28%),差异有统计学意义(P<0.05)。两组术后1个月比较,VAS评分低于同组术前,且观察组低于对照组(P<0.05);术后,两组屈髋度、内旋加外旋度、内收加外展度均大于同组术前,且观察组大于对照组(P<0.05);术后,两组股骨颈、股骨粗隆、Wards三角骨密度均高于同组术前,且观察组高于对照组(P<0.05)。结论:全髋关节置换术联合中药治疗老年股骨头缺血性坏死,可显著提高治疗效果,减轻术后疼痛,改善关节活动度及骨密度。

Objective:To observe the effect of total hip arthroplasty combined with traditional Chinese medicine Qufeng Tongluo San on bone mineral density in elderly patients with avascular necrosis of the femoral head.Methods:78 patients with avascular necrosis of the femoral head were divided into the control group(35 cases)and the observation group(43 cases)according to the treatment.The control group was treated with total hip arthroplasty.The observation group was treated with total hip arthroplasty combined with Chinese medicine Qufeng Tongluo Powder treatment.The therapeutic effects of the two groups,post-treatment pain,postoperative joint mobility and bone density were compared.Results:The total excellent rate after treatment was higher in the observation group than in the control group(95.33%vs.74.28%,P<0.05).1 month after operation,,the VAS scores of the two groups were lower than before surgery,and the observation group was lower than the control group(P<0.05).The hip flexion,internal rotation plus external rotation,adduction and abduction of the two groups were higher than that of the same group,and the observation group was higher than the control group(P<0.05).The femoral neck,femoral trochanter and Ward s triangular bone density of the two groups were higher than that of the same group.The femoral neck,femur trochanter and Ward s triangular bone density of the observation group were higher than those of the control group(P<0.05).Conclusion:Total hip arthroplasty combined with traditional Chinese medicine for the treatment of avascular necrosis of the femoral head in the elderly can significantly improve the treatment effect,reduce postoperative pain,as well as improve joint mobility and bone density.