| 李峻辉,罗志红,李富强,张恩龙,张 华,张崇耀,宁亚功.小针刀联合中药治疗痰瘀阻络型股骨头坏死骨髓水肿导致急性髋部疼痛的近期疗效观察[J].,2019,19(19):3703-3707 |
| 小针刀联合中药治疗痰瘀阻络型股骨头坏死骨髓水肿导致急性髋部疼痛的近期疗效观察 |
| Clinical Observation of Small Needle-knife on the Acute Hip Pain of Bone Marrow Edema on ANFH |
| 投稿时间：2019-02-06 修订日期：2019-02-28 |
| DOI：10.13241/j.cnki.pmb.2019.19.024 |
| 中文关键词: 股骨头坏死 骨髓水肿 小针刀 临床疗效 |
| 英文关键词: ANFH Bone marrow edema Small needle-knife Clinical effect |
| 基金项目:全军医药卫生科研基金项目(2006071001) |
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| 中文摘要: |
| 摘要 目的：观察小针刀联合内服中药治疗痰瘀阻络型股骨头缺血性坏死骨髓水肿导致急性髋部疼痛的近期疗效。方法：将60例辨证为痰瘀阻络型股骨头缺血性坏死骨髓水肿导致急性髋部疼痛患者随机分为2组，每组30例。治疗组给予小针刀治疗，对照组给予髓芯减压治疗，两组均联合内服中药治疗。治疗1月后，观察和比较两组的临床疗效，治疗前后视觉疼痛模拟（VAS）评分、Harris评分的变化并对比两组的围术期各项指标。结果：治疗后，治疗组总有效率、VAS评分和Harris评分分别为83.3%、2.85±0.32分、90.68±4.25分，对照组总有效率、VAS评分和Harris评分分别为86.7%、3.28±0.67分、92.16±5.62分。两组患者VAS评分均显著低于治疗前，髋关节Harris功能评分均显著高于治疗前(P<0.05)，但两组之间以上指标比较差异均无统计学意义(P>0.05)。治疗组的术中出血量、住院时间和治疗费用均显著小于对照组（P<0.05）。结论：小针刀联合内服中药治疗痰瘀阻络型股骨头坏死骨髓水肿导致急性髋部疼痛的近期疗效与髓芯减压联合内服中药治疗相当，但治疗简便、费用便宜。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of small needle-knife on acute hip pain of bone marrow edema on ANFH. Methods: 60 cases of Acute Hip Pain of Bone Marrow Edema on ANFH were randomly divided into the treatment group and the control group. The treatment group were treated by small needle-knife. The control group were treated by core compression. After 1 month of treatment, the clinical efficacy of the two groups was observed and compared, the changes of VAS（Visual analogue pain scores） and Harris scores before and after treatment and the perioperative indicators of the two groups were compared. Results: After treatment, the total effective rate, VAS scores and Harris scores in the treatment group were 83.3%, 2.85±0.32 and 90.68±4.25, respectively, while the total effective rate, VAS score and Harris score in the control group were 86.7%, 3.28±0.67 and 92.16±5.62, respectively. VAS score of the patients in both groups were significantly lower than that before treatment, and Harris function scores of the hip joint were significantly higher than that before treatment(P<0.05), but there were no statistically significant differences in the above indicators between the two groups(P>0.05). Intraoperative blood loss, hospitalization time and treatment cost of the treatment group were significantly lower than those of the control group(P<0.05). Conclusion: The short-term efficacy of small needle-knife combined with internal administration of traditional Chinese medicine in the treatment of acute hip pain caused by femoral head necrosis and bone marrow edema due to phlegm stasis blocking collatudes is comparable to that of core compression combined with internal administration of traditional Chinese medicine, but the treatment is simple and inexpensive. |
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