基于足三阴经筋理论的小针刀松解疗法联合桃红四物汤治疗早中期股骨头坏死研究

Study on the efficacy of acupotomy release therapy based on the theory of Foot-Sanyin muscle meridians combined with Taohong Siwu Decoction in thetreatment of early and mid-stage femoral head necrosis

目的 研究在足三阴经筋理论指导下的闭合性小针刀松解疗法联合桃红四物汤治疗早中期股骨头坏死的临床效果。方法 选取2020年6月至2023年6月在该院就诊的72例早中期股骨头坏死患者作为研究对象,对其临床资料进行回顾性分析。根据治疗方案不同将患者分为2组,其中38例接受足三阴经筋理论指导下的闭合性小针刀松解疗法联合桃红四物汤治疗(观察组),另34例接受常规闭合性松解术治疗(对照组)。比较2组治疗效果,以及治疗前后髋关节功能、疼痛程度及生活质量评分。结果 观察组患者整体疗效优于对照组,差异有统计学意义(P<0.05)。治疗后3、6个月时,观察组患者Harris髋关节功能评分高于对照组,视觉模拟评分法评分低于对照组,差异均有统计学意义(P<0.05)。治疗后6个月时,观察组患者生理功能、躯体疼痛、活力、情感职能、社会功能、生理职能、精神健康及总体健康等简明健康状况调查问卷评分显著高于对照组,全血黏度高切、低切及血浆黏度水平均低于对照组,差异均有统计学意义(P<0.05)。结论 基于足三阴经筋理论指导下的小针刀松解术联合桃红四物汤治疗早中期股骨头坏死患者效果显著,有助于改善患者血液流变学,减轻躯体疼痛,提高患者生活质量。

Objective To investigate the clinical effect of closed acupotomy release therapy guided by the theory of Foot-Sanyin muscle meridians combined with Taohong Siwu Decoction in the treatment of early and mid-stage femoral head necrosis.Methods A retrospective analysis was conducted on the clinical data of 72 patients with early and mid-stage femoral head necrosis who were treated in our hospital from June 2020 to June 2023.The patients were divided into two groups according to different treatment protocols:38 patients received closed acupotomy release therapy guided by the theory of Foot-Sanyin muscle meridians combined with Taohong Siwu Decoction(observation group),and 34 patients received conventional closed release therapy(control group).The treatment effects,hip function,pain intensity,and quality of life scores before and after treatment were compared between the two groups.Results The overall therapeutic effect in the observation group was superior to that in the control group,with a statistically significant difference(P<0.05).Three and six months after treatment,the Harris hip function scores in the observation group were higher,and the visual analog scale scores were lower than those in the control group,both with statistically significant differences(P<0.05).Six months after treatment,the observation group showed significantly higher scores in physiological function,physical pain,vitality,emotional role,social function,physical role,mental health,and general health on the SF-36 Health Survey,and lower whole blood viscosity(high shear,low shear),and plasma viscosity levels compared to the control group,all with statistically significant differences(P<0.05).Conclusion The combination of acupotomy release therapy based on the theory of Foot-Sanyin muscle meridians and Taohong Siwu Decoction for patients with early and mid-stage femoral head necrosis is effective in improving hemorheology,alleviating physical pain,and enhancing patients′quality of life.