摘要
目的:观察补肾生骨方结合健康管理对股骨头坏死患者髋关节功能的影响。方法:选择股骨头坏死患者71例(120髋),采用配对病例对照研究设计方案,分为治疗组和对照组各60髋。治疗组口服补肾生骨方,并对髋关节功能锻炼(不负重)、出行方式及体质量进行管理;对照组给予髓芯减压植骨术。治疗后比较两组患者Harris评分及影像学结果。结果:治疗后,治疗组Harris评分优良率为96.61%,对照组为79.31%,两组比较,差异有统计学意义(P<0.05)。治疗3个月,治疗组Harris评分高于治疗前,且高于同期对照组,差异均有统计学意义(P<0.05);治疗6个月,两组患者Harris评分均高于本组治疗前,且治疗组高于同期对照组,差异均有统计学意义(P<0.05);治疗9个月,两组患者Harris评分均高于本组治疗前,且治疗组高于同期对照组,差异均有统计学意义(P<0.05)。治疗12个月,治疗组稳定率为93.22%,对照组为79.31%,两组比较,差异有统计学意义(P<0.05);治疗组加重率为6.78%%,对照组为20.69%,两组比较,差异有统计学意义(P<0.05)。结论:补肾生骨方结合健康管理能有效减轻股骨头坏死患者髋部疼痛症状,改善患者髋关节功能活动,降低患者股骨头塌陷发生率。
Objective:To observe the effect of the Bushen Shenggu Recipe combined with health management on hip function in patients with femoral head necrosis.Methods:A total of 71 patients(120 hips) with necrosis of the femoral head were selected,and they were divided into a treatment group and a control group with 60 hips in each group using a paired case-control study design.The treatment group orally took Bushen Shenggu Recipe and managed hip joint functional exercises(non-weight-bearing),travel mode,and body weight.The control group was treated with core decompression and bone grafting.The Harris score and imaging results were compared between the two groups after treatment.Results:After treatment,the excellent and good rate of Harris score in the treatment group was 96.61%,and that in the control group was 79.31%,and the difference was statistically significant(P<0.05).After 3 months of treatment,Harris score in the treatment group was higher than before treatment,and higher than that in the control group during the same period,the differences were statistically significant(P<0.05).After 6 months of treatment,the Harris scores of the two groups were higher than those before treatment,and the treatment group was higher than that of the control group during the same period,the differences were statistically significant(P<0.05).After 9 months of treatment,the Harris scores of the two groups were higher than those before treatment,and the treatment group was higher than that of the control group during the same period,the differences were statistically significant(P<0.05).After 12 months of treatment,the stability rate of the treatment group was 93.22%,and that of the control group was 79.31%,and the difference was statistically significant(P<0.05).The exacerbation rate was 6.78% in the treatment group and 20.69% in the control group,and the difference was statistically significant(P<0.05).Conclusion:Bushen Shenggu Recipe combined with health management can effectively relieve the symptoms of hip pain,improve the functional activities of the hip joint,and reduce the incidence of femoral head collapse in patients with femoral head necrosis.
作者
阎晓霞
韩崇涛
赵志强
朱紫燕
徐迎锋
徐良
YAN Xiaoxia;HAN Chongtao;ZHAO Zhiqiang;ZHU Ziyan;XU Yingfeng;XU Liang(The Third Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou Henan China 450008;Henan Provincial Orthopedic Hospital,Zhengzhou Henan China 450016;Henan University of Chinese Medicine,Zhengzhou Henan China 450046)
出处
《中医学报》
CAS
2022年第8期1754-1759,共6页
Acta Chinese Medicine
基金
河南省中医药科学研究专项课题项目(2018ZY-2016)
河南省中医拔尖人才科研专项课题项目(2019ZYBJ21)。
关键词
股骨头坏死
补肾生骨方
健康管理
髋关节功能锻炼
髓芯减压植骨术
femoral head necrosis
Bushen Shenggu Recipe
health management
functional exercise of hip joint
core decompression and bone grafting
