摘要
目的:观察评价骨病活血膏外敷治疗股骨头坏死的临床疗效。方法:选取本院骨伤科收治的100例股骨头坏死患者作为研究对象,随机分为2组各50例。观察组患者采用骨病活血膏外敷结合功能锻炼、双下肢皮牵引进行治疗;对照组口服复方丹参片结合功能锻炼、双下肢皮牵引进行治疗。观察记录2组患者治疗的总有效率、治疗前后中医证候量化评分、疼痛视觉模拟评分(VAS)、Harris评分以及SF-36量表评价患者髋关节功能及生活质量。结果:治疗后,2组Harris评分及SF-36评分均高于治疗前,疼痛VAS评分低于治疗前,差异均有统计学意义(P<0.05);观察组患者治疗后Harris评分及SF-36评分均高于对照组,疼痛VAS评分低于对照组,差异均有统计学意义(P<0.05)。治疗后,2组疼痛、跛行、X线、总评分等证候量化评分分别与治疗前比较,差异均有统计学意义(P<0.05);观察组疼痛、跛行、总评分分别与对照组比较,差异均有统计学意义(P<0.05)。2组临床疗效总有效率观察组82.0%,高于对照组70.0%,差异有统计学意义(P<0.05)。结论:骨病活血膏外敷治疗股骨头坏死能够有效缓解患者的临床症状,提高其生活质量,疗效良好,值得临床应用。
Objective： To observe and evaluate the clinical effect of Gubing Huoxue ointment in treating femoral head necrosis.Methods：Selected 100 cases of patients with osteonecrosis of the femeral head admitted into the department of orthopaedics and traumatology in our hospital,and divided them into two groups randomly,50 cases in each group.The observation group received the treatment of external application of Gubing Huoxue ointment combined with joint function exercise as well as skin traction on both lower extremities;the control group received the treatment of oral application of compound tablets of red-rooted salvia combined with the joint function exercise as well as skin traction on both lower extremities.Observed and recorded in both groups the total effective rate,quantitative Chinese medicine syndrome scores,visual analogue scale（VAS）,Harris scores and SF-36 scale for evaluating the function of hip joint and life quality before and after treatment.Results：After treatment,Harris scores and SF-36 scores in both groups were higher than those before treatment,while VAS scores were lower than those before treatment,differences being significant（P〈0.05）.Harris scores and SF-36 scores in the observation group were both higher than those in the control group,while VAS scores were lower than those in the control group,differences being significant（P〈0.05）.After treatment,quantitative syndrome scores of pain,claudication,X ray,and summing scores in the two groups were respectively compared with those before treatment,differences being significant（P〈0.05）.Quantitative syndrome scores of pain,claudication and summing scores in the observation group was compared with that in the control group,differences being significant（P〈0.05）.The total effective rate in the observation group was 82.0%,being higher than 70.0% in the control group.Conclusion： External application of Gubing Huoxue ointment for osteonecrosis of the femeral head can effectively release the clinical syndromes of patients a
出处
《新中医》
CAS
2018年第1期64-68,共5页
New Chinese Medicine
基金
河南省中医药科学研究专项课题(2015ZY02009)
关键词
股骨头坏死
骨病活血膏
关节功能锻炼
双下肢皮牵引
Harris评分
SF-36量表
Osteonecrosis of the femeral head
Gubing Huoxue ointment
Joint function exercise
Skin traction on bothlower extremities
Harris scores
SF-36 scale
