益肾强骨丸联合体外高能冲击波治疗股骨头坏死临床观察
摘要
目的探讨益肾强骨丸联合体外高能冲击波治疗股骨头坏死,对改善坏死区骨质密度及预防股骨头塌陷的效果。方法将收治的股骨头坏死患者60例采用数字随机分组法,分为治疗组和对照组。治疗组在常规温针、推拿等治疗基础上,给予高能体外冲击波骨病治疗术和益肾强骨丸口服;对照组在常规温针、推拿等治疗基础上给予碳酸钙片和仙灵骨葆胶囊口服。治疗前、治疗6个月后,通过X光片,Harris评分,VAS评分,骨密度等进行对比2组治疗效果。结果治疗组有效率86. 67%高于对照组有效率70. 00%。通过6个月的治疗,2组Harris评分,骨密度均较治疗前好转,VAS评分下降(P <0. 05);治疗组以上指标的改善优于对照组(P <0. 05)。结论益肾强骨丸联合体外高能冲击波治疗股骨头坏死,能加速新生骨质的爬行替代,使囊变区缩小,对预防股骨头塌陷方面疗效显著。
引文
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[8]申开琴.补肾活血汤治疗股骨头缺血坏死早中期46例临床观察[J].光明中医,2018,33(13):1881-1883.
[2]白明华,程蕾,张自强.中医治疗股骨头坏死的临床效果分析[J].山西医药杂志,2017,46(1):59-61.
[3]DEVESA JM,VICENTE R,ABRAIRA V.Visual analogue seales for grading faecal incontinence and quality of life:their relationship with the Jorge-Wexner score and Rockwood scale[J].Tech Coloproctol,2013,17(1):67-71.
[4]陈文生,孟炼,沈劲松,等.骨髓水肿与股骨头缺血性坏死的关联性分析[J].当代医药论从,2014,4(12):251-252.
[5]GEMMEL F,VAN DER VEEN H C,VAN SCHELVEN W D,et al.Multi-modality imaging of transient osteoporosis of the hip[J].Acta Orthop Dica Belgica,2012,78(5):619.
[6]孙树椿.中医骨伤学[M].北京:中华医学电子音像出版社,2016:139.
[7]肖军,杨述华.体外冲击波治疗股骨头缺血性坏死[J].国外医学·骨科学分册,2005,26(1),26-28.
[8]申开琴.补肾活血汤治疗股骨头缺血坏死早中期46例临床观察[J].光明中医,2018,33(13):1881-1883.