活血化瘀中药联合针刺治疗股骨头缺血性坏死的临床效果

Clinical effect of Chinese medicine for promoting blood circulation and removing blood stasis combined with acupuncture on avascular necrosis of femoral head

目的探讨活血化瘀中药联合针刺治疗股骨头缺血性坏死(ONFH)的临床效果。方法选取2022年1月至2023年1月九江市中医医院收治的60例ONFH患者作为研究对象,按照随机数字表法分为对照组(30例)和观察组(30例)。对照组采用针刺治疗,观察组加用活血化瘀中药治疗,两组均连续治疗4周。比较两组的影像学评价、髋关节功能、疼痛程度及生活质量。结果观察组的影像学评价优于对照组,差异有统计学意义(P<0.05);观察组治疗后的髋关节Harris评分、健康调查简表(SF-36)评分高于对照组,视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05)。结论活血化瘀中药联合针刺治疗ONFH效果较佳,在改善髋关节功能、减轻疼痛方面具有较高的价值,利于提高患者生存质量。

Objective To explore the clinical efficacy of traditional Chinese medicine for promoting blood circulation and removing stasis combined with acupuncture in the treatment of ischemic necrosis of the femoral head(ONFH).Methods Sixty patients with ONFH admitted to Jiujiang Traditional Chinese Medicine Hospital from January 2022 to January 2023 were selected as the study objects,and were divided into control group(30 cases)and observation group(30 cases)according to random number table method.The control group was treated with acupuncture and the observation group was treated with Chinese medicine for promoting blood circulation and removing blood stasis.Both groups were treated continuously for 4 weeks.Imaging evaluation,hip function,pain degree and quality of life were compared between the two groups.Results The imaging evaluation of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).After treatment,the hip Harris score and the 36-item short form health survey(SF-36)score of the observation group were higher than those of the control group,and the visual analogue scale(VAS)score was lower than that of the control group,with statistical significances(P<0.05).Conclusion The effect of promoting blood circulation and removing blood stasis combined with acupuncture on ONFH is good,which has high value in improving hip joint function and relieving pain,and is conducive to improving the life quality of patients.