火针联合骨坏死康复丸治疗肝肾亏虚型股骨头坏死临床观察

Clinical Observation on Fire Needling plus Gu Huai Si Kang Fu Pill for Femur Head Necrosis of Liver-kidney Deficiency Type

目的观察火针联合口服骨坏死康复丸治疗肝肾亏虚型股骨头坏死的临床疗效。方法纳入70例肝肾亏虚型股骨头坏死患者,按照随机数字表法分为试验组和对照组,每组35例。两组均口服骨坏死康复丸并配合拄拐负重练习,对照组予普通针刺治疗,试验组予火针治疗。比较两组临床疗效、影像学稳定率、不良反应发生情况和瘢痕遗留情况;观察两组治疗前后髋关节功能(Harris)评分的变化。结果试验组优良率高于对照组,差异具有统计学意义(P<0.05)。试验组影像学稳定率高于对照组,差异具有统计学意义(P<0.05)。治疗后,试验组Harris单项评分(疼痛程度、关节活动度、关节畸形和关节功能)以及总评分均优于对照组,差异均具有统计学意义(P<0.05)。两组均无严重不良反应发生情况,且均未发生遗留瘢痕情况。结论火针联合骨坏死康复丸治疗肝肾亏虚型股骨头坏死可提高临床疗效和影像学稳定率,改善髋关节功能,优于普通针刺治疗。

Objective To observe the clinical efficacy of fire needling plus Gu Huai Si Kang Fu pill for femur head necrosis of liver-kidney deficiency type.Method Seventy patients with femur head necrosis of liver-kidney deficiency type were enrolled and randomized to a study group and a control group,with 35 cases in each group.Both groups were intervened by oral administration of Gu Huai Si Kang Fu pill and weight training with canes.The control group received general acupuncture therapy,while the study group received fire needling therapy.The clinical therapeutic effects were compared between the two groups,as well as the imaging stability rates and the occurrences of adverse reactions and scars.Harris scores of hip function were observed in the two groups of patients before and after treatment.Result The excellent and good rate and the imaging stability rate were higher in the study group than in the control group,with statistically significant differences between two groups(P<0.05).After treatment,Harris scores including total,pain,joint motion,joint deformity and joint function in the study group were better in the study group than in the control group,with statistically significant differences between two groups(P<0.05).There were not any adverse reactions or scars in both groups.Conclusion Fire needling plus Gu Huai Si Kang Fu pill can raise the clinical efficacy and the imaging stability in treating femur head necrosis of liver-kidney deficiency type.It can also improve the function of hip joint.It is better than the general acupuncture.