医用三氧关节腔注射联合腹针及密集型银质针治疗早期股骨头坏死疗效分析
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摘要
目的探讨医用三氧关节腔注射联合腹针及密集型银质针治疗早期股骨头坏死(ONFH)的临床效果。方法选择2015年6月至2016年12月于东莞市第五人民医院康复医学科就诊的66例早期ONFH患者为研究对象,根据治疗方法将患者分为对照组和观察组,每组33例。对照组患者给予医用三氧关节腔注射、腹部特定电磁波治疗及传统针灸,观察组患者给予医用三氧关节腔注射、腹针和密集型银质针治疗,比较2组患者治疗前后髋关节Harris评分、临床疗效和治疗后3、6、12个月时的复发率。结果对照组和观察组患者治疗前Harris评分分别为71.6±3.5和72.2±3.6,治疗后Harris评分分别为77.5±3.3和90.6±3.9;2组患者治疗前Harris评分比较差异无统计学意义(P>0.05),2组患者治疗后Harris评分均高于治疗前(P<0.05),治疗后观察组患者Harris评分高于对照组(P<0.05)。对照组患者治疗优良率和总有效率分别为48.5%(16/33)和72.7%(24/33),观察组患者治疗优良率和总有效率分别为75.8%(25/33)和93.9%(31/33);观察组患者优良率和总有效率均显著高于对照组(χ2=3.877、5.216,P<0.05)。对照组患者治疗后3、6、12个月时的复发率分别为21.2%(7/33)、36.4%(12/33)和48.5%(16/33),观察组患者治疗后3、6、12个月时的复发率分别为9.1%(3/33)、15.2%(5/33)和24.2%(8/33);2组患者治疗后3、6个月时的复发率比较差异无统计学意义(χ2=1.886、3.882,P>0.05),观察组患者治疗后12个月时的复发率显著低于对照组(χ2=4.190,P<0.05)。结论医用三氧关节腔注射联合腹针及密集型银质针治疗早期ONFH疗效显著,复发率低。
Objective To investigate the clinical efficacy of three oxygen hip joint injection combined with abdominal acupuncture and intensive silver needle for the treatment of early osteonecrosis of femoral head(ONFH). Methods Sixty-six patients with early ONFH in the Department of Rehabilitation Medicine,the Fifth People' s Hospital of Dongguan from June2015 to December 2016 were selected as study objects. All patients were divided into control group and observation group according to treatment method,with 33 patients in each group. The patients in the control group were given three oxygen hip joint injection combined with abdominal specific electromagnetic wave therapy and traditional acupuncture; and the patients in the observation group were given three oxygen hip joint injection combined with abdominal acupuncture and intensive silver needle. The Harris score of the hip joint of patients in the two groups was evaluated and compared before and after treatment; the curative effect after treatment and the recurrence rate at 3,6,12 months after treatment were compared between the two groups.Results The Harris hip score of patients in the control group and observation group was 71. 6 ± 3. 5 and 72. 2 ± 3. 6 respectively before treatment,and it was 77. 5 ± 3. 3 and 90. 6 ± 3. 9 respectively after treatment. There was no statistic difference in the Harris hip score of patients between the two group before treatment(P > 0. 05). The Harris hip score of patients after treatment was significantly higher than that before treatment in the two groups(P < 0. 05). The Harris hip score of patients in the observation group was significantly higher than that in the control group after treatment(P < 0. 05). The excellent rate and total effective rate of patients in the control group were 48. 5%(16/33) and 72. 7%(24/33) respectively,and they were 75. 8%(25/33) and 93. 9%(31/33) respectively in the observation group after treatment; the excellent rate and total effective rate of patients in the observation group were significantly higher than those in the control group(χ2= 3. 877,5. 216; P < 0. 05). The recurrence rate of patients in the control group was 21. 2%(7/33),36. 4%(12/33) and 48. 5%(16/33) at 3,6,12 months after treatment; and it was 9. 1%(3/33),15. 2%(5/33) and 24. 2%(8/33) respectively in the observation group. There was no statistic difference in the recurrence rate of patients at 3,6 months after treatment between the two groups(χ2= 1. 886,3. 882; P > 0. 05); the recurrence rate of patients in the observation group was significantly lower than that in the control group at 12 months after treatment(χ2= 4. 190,P < 0. 05). Conclusion The medical three oxygen hip joint cavity injection combined with abdominal acupuncture and intensive silver needle for treatment of early ONFH is effectiveness,and the recurrence rate is lower.
Objective To investigate the clinical efficacy of three oxygen hip joint injection combined with abdominal acupuncture and intensive silver needle for the treatment of early osteonecrosis of femoral head(ONFH). Methods Sixty-six patients with early ONFH in the Department of Rehabilitation Medicine,the Fifth People' s Hospital of Dongguan from June2015 to December 2016 were selected as study objects. All patients were divided into control group and observation group according to treatment method,with 33 patients in each group. The patients in the control group were given three oxygen hip joint injection combined with abdominal specific electromagnetic wave therapy and traditional acupuncture; and the patients in the observation group were given three oxygen hip joint injection combined with abdominal acupuncture and intensive silver needle. The Harris score of the hip joint of patients in the two groups was evaluated and compared before and after treatment; the curative effect after treatment and the recurrence rate at 3,6,12 months after treatment were compared between the two groups.Results The Harris hip score of patients in the control group and observation group was 71. 6 ± 3. 5 and 72. 2 ± 3. 6 respectively before treatment,and it was 77. 5 ± 3. 3 and 90. 6 ± 3. 9 respectively after treatment. There was no statistic difference in the Harris hip score of patients between the two group before treatment(P > 0. 05). The Harris hip score of patients after treatment was significantly higher than that before treatment in the two groups(P < 0. 05). The Harris hip score of patients in the observation group was significantly higher than that in the control group after treatment(P < 0. 05). The excellent rate and total effective rate of patients in the control group were 48. 5%(16/33) and 72. 7%(24/33) respectively,and they were 75. 8%(25/33) and 93. 9%(31/33) respectively in the observation group after treatment; the excellent rate and total effective rate of patients in the observation group were significantly higher than those in the control group(χ2= 3. 877,5. 216; P < 0. 05). The recurrence rate of patients in the control group was 21. 2%(7/33),36. 4%(12/33) and 48. 5%(16/33) at 3,6,12 months after treatment; and it was 9. 1%(3/33),15. 2%(5/33) and 24. 2%(8/33) respectively in the observation group. There was no statistic difference in the recurrence rate of patients at 3,6 months after treatment between the two groups(χ2= 1. 886,3. 882; P > 0. 05); the recurrence rate of patients in the observation group was significantly lower than that in the control group at 12 months after treatment(χ2= 4. 190,P < 0. 05). Conclusion The medical three oxygen hip joint cavity injection combined with abdominal acupuncture and intensive silver needle for treatment of early ONFH is effectiveness,and the recurrence rate is lower.
引文
[1]何伟.如何把握股骨头坏死患者的保髋治疗时机[J].中国骨与关节杂志,2016,5(2):82-86.
[2]李泰贤,陈志伟,王荣田,等.基于文献计量分析中医药治疗股骨头坏死的研究现状[J].中国中医骨伤科杂志,2017,25(4):41-46.
[3]中华医学会骨科学分会关节外科学组.股骨头坏死临床诊疗规范[J].中国矫形外科杂志,2016,24(1):49-54.
[4]石学敏.针灸治疗学[M].2版.北京:人民卫生出版社,2016:394-398.
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[6]钟硕,孙子雯,孙国栋,等.银质针导热疗法的研究现状[J].中国中医骨伤科杂志,2016,24(11):76-78.
[7]李占峰,谭毅.Harris评分和X线在评价全髋关节置换术后疗效中的作用分析[J].中国医药指南,2015,13(24):115-116.
[8]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:168.
[9]刘冠虹,刘锦涛,姜宏.早中期股骨头坏死保守治疗若干进展[J].中国中医骨伤科杂志,2012,20(4):64-66.
[10]邢振龙,丘青中,吴栓.“三脏一体”整体观在膝骨性关节炎治疗中的应用[J].中国中医骨伤科杂志,2014,22(10):38-39.
[11]潘鑫戊,谢兴文,黄晋,等.股骨头坏死保髋治疗的研究进展[J].中国中医骨伤科杂志,2016,24(12):74-78.
[12]张杰,鲁劲.臭氧注射结合射频热凝治疗早期股骨头坏死[J].中国中医骨伤科杂志,2013,21(9):49-50.
[13]葛鸿庆,王君鳌,陈文治,等,腹针治疗膝关节骨性关节炎临床疗效及时效性初步研究[J].新中医,2012,44(10):97-99.
[14]吴振华.密集型银制针松解配合臭氧、玻璃酸钠治疗膝关节骨性关节炎60例临床疗效观察[J].吉林医学,2016,37(2):353-355.
[2]李泰贤,陈志伟,王荣田,等.基于文献计量分析中医药治疗股骨头坏死的研究现状[J].中国中医骨伤科杂志,2017,25(4):41-46.
[3]中华医学会骨科学分会关节外科学组.股骨头坏死临床诊疗规范[J].中国矫形外科杂志,2016,24(1):49-54.
[4]石学敏.针灸治疗学[M].2版.北京:人民卫生出版社,2016:394-398.
[5]薄智云.腹针疗法[M].北京:中国中医药出版社,2010:135-140.
[6]钟硕,孙子雯,孙国栋,等.银质针导热疗法的研究现状[J].中国中医骨伤科杂志,2016,24(11):76-78.
[7]李占峰,谭毅.Harris评分和X线在评价全髋关节置换术后疗效中的作用分析[J].中国医药指南,2015,13(24):115-116.
[8]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:168.
[9]刘冠虹,刘锦涛,姜宏.早中期股骨头坏死保守治疗若干进展[J].中国中医骨伤科杂志,2012,20(4):64-66.
[10]邢振龙,丘青中,吴栓.“三脏一体”整体观在膝骨性关节炎治疗中的应用[J].中国中医骨伤科杂志,2014,22(10):38-39.
[11]潘鑫戊,谢兴文,黄晋,等.股骨头坏死保髋治疗的研究进展[J].中国中医骨伤科杂志,2016,24(12):74-78.
[12]张杰,鲁劲.臭氧注射结合射频热凝治疗早期股骨头坏死[J].中国中医骨伤科杂志,2013,21(9):49-50.
[13]葛鸿庆,王君鳌,陈文治,等,腹针治疗膝关节骨性关节炎临床疗效及时效性初步研究[J].新中医,2012,44(10):97-99.
[14]吴振华.密集型银制针松解配合臭氧、玻璃酸钠治疗膝关节骨性关节炎60例临床疗效观察[J].吉林医学,2016,37(2):353-355.