浮针联合活血健骨汤治疗早中期股骨头坏死32例

Floating Acupuncture Combined with Huoxue and Bone Broth was Used to Treat 32 Cases of Non-Traumatic Avascular Necrosis of the Femoral Head in the Early and Middle Stages

目的:回顾性分析浮针联合活血健骨汤治疗早中期股骨头坏死的疗效。方法:选取经浮针联合活血健骨汤治疗后的早中期单侧股骨头坏死患者32例并进行电话随访,对其治疗前、治疗2个月和治疗开始1年后的疼痛视觉模拟量表(VAS)评分、Harris髋关节评分及生活质量简表(SF-36)评分进行评估。结果:患者治疗期间未出现严重不良反应,个别患者浮针治疗部位存在皮下瘀斑,一般3 d左右自然恢复。经方差分析结果显示,不同时间点的疗效对患者各项评分均有不同影响,治疗2个月和治疗开始1年后患者VAS评分较治疗前明显降低,Harris评分及SF-36评分较治疗前提高,差异有统计学意义(P<0.05),停止治疗期间变化不大。回顾分析以往病例:ARCO分期Ⅰ期10例,Ⅱ期17例,ⅢA期5例;治愈7例,临床显效20例,无效5例。结论:临床应用浮针扫散再灌注联合活血健骨汤治疗早中期非创伤性股骨头缺血性坏死安全有效,可以作为非创伤性早中期股骨头缺血性坏死保髋治疗的新选择。

Objective:To retrospectively study the efficacy of floating needle combined with Huoxue and bone broth in the treatment of non-traumatic avascular necrosis of the femoral head in the early and middle stages.Methods:A total of 32patients with early and intermediate unilateral osteonecrosis of the femoral head after treatment with floating needle combined with Huoxue and bone broth were enrolled and followed up by telephone,and the pain visual analogue scale(VAS),Harris hip score and quality of life brief scale(SF-36)were evaluated before treatment,2months after treatment and 1 year after treatment.Results:There were no serious adverse reactions during treatment,and there were subcutaneous ecchymosis at the treatment site of floating needle in individual patients,which generally recovered naturally in about 3d.The results of ANOVA showed that the efficacy of different time points had different effects on all scores of patients,and the scores of VAS,Harris and SF-36were significantly lower than those before treatment at 2months after treatment and 1year later,and there was little change during discontinuation of treatment.Looking back and analyzing previous cases,there were 10cases of stageⅠ,17cases of stageⅡ,5cases of stageⅢA,7cases of cure,20cases of clinical efficacy and 5cases of ineffectiveness.Conclusion:The clinical application of floating needle sweeping and reperfusion combined with Huoxue and bone broth is safe and effective in the treatment of avascular necrosis of the femoral head,and can be used as a new choice for the treatment of non-traumatic avascular necrosis of the femoral head in the early and middle stages.