雷火灸在中期股骨头缺血性坏死患者治疗中的影响价值

目的探究雷火灸对中期股骨头缺血性坏死(ANFH)患者的影响。方法选取郑州中医骨伤病医院骨关节一科2018年5月至2020年11月125例中期ANFH患者作为研究对象,采用抽签法将其分为两组,对照组62例给予常规西药治疗及康复训练,观察组63例联合雷火灸,对比两组疗效。结果干预后,观察组Harris髋关节功能评分(86.33±7.41)分、髋关节优良率63.49%、血管内皮生长因子(VEGF)(399.85±26.71)ng/L均高于对照组(79.64±6.98)分、48.39%、(327.85±25.67)ng/L,视觉模拟评分量表(VAS)(3.03±0.41)分、肿瘤坏死因子-α(TNF-α)(18.03±2.41)ng/L水平低于对照组(5.14±0.98)分、(22.15±3.18)ng/L(P<0.05)。结论雷火灸可以明显改善中期ANFH患者的髋关节功能,降低疼痛程度,进而纠正外周血清状态,提高临床治疗效果。

Objective To explore the effect of thunder-fire moxibustion on patients with medium-term avascular necrosis of the femoral head(ANFH).Methods 125 patients with medium-term ANFH in the first Department of Bone Joint of Zhengzhou Traditional Chinese Medicine Bone Injury Hospital from May 2018 to November 2020 were selected as the research objects.They were divided into two groups by lot.62 cases in the control group were treated with conventional western medicine and rehabilitation training,and 63 cases in the observation group were combined with thunder-fire moxibustion.The curative effects of the two groups were compared.Results After intervention,Harris hip function score(86.33±7.41),excellent and good rate of hip joint(63.49%),VEGF(399.85±26.71)ng/L in the observation group were higher than those in the control group(79.64±6.98),48.39%,(327.85±25.67)ng/L.Visual analogue score(VAS)(3.03±0.41)and tumor necrosis factor-α(TNF-α)level(18.03±2.41)ng/L in the observation group were lower than(5.14±0.98)and(22.15±3.18)ng/L in the control group(P<0.05).Conclusion Thunder-fire moxibustion can significantly improve the hip function,reduce the degree of pain,correct the peripheral serum state and improve the clinical treatment effect of patients with medium-term ANFH.