摘要
目的:探讨股骨头缺血性坏死(ANFH)患者应用雷火灸联合耳穴埋豆对疼痛及髋关节功能的影响。方法:采用随机数字表法将2020年3月—2022年3月就诊的120例ANFH患者分为两组,每组60例。两组均予以常规药物治疗,对照组予以耳穴埋豆治疗,观察组加用雷火灸治疗,均连续治疗4周。分析两组临床疗效、疼痛程度、血清因子水平、血液流变学指标、髋关节功能、生活质量及不良反应。结果:观察组治疗后总有效率较对照组高(P<0.05),差异有统计学意义。治疗后两组VEGF水平较本组治疗前升高,VAS评分及TNF-α水平降低(P<0.05);与对照组治疗后比较,观察组VEGF水平升高,VAS评分及TNF-α水平降低(P<0.05),差异有统计学意义。治疗后两组全血(高切、中切、低切)还原黏度、血浆黏度及纤维蛋白原水平较本组治疗前降低,且与对照组治疗后比较,观察组全血(高切、中切、低切)还原黏度、血浆黏度及纤维蛋白原水平降低效果更明显(P<0.05),差异有统计学意义。与本组治疗前比较,两组患者Harris评分明显升高(P<0.05);与对照组治疗后比较,观察组治疗后Harris评分升高明显(P<0.05),差异有统计学意义。与本组治疗前比较,两组患者SF-36各维度评分明显升高(P<0.05);与对照组治疗后比较,观察组治疗后SF-36各维度评分升高明显(P<0.05),差异有统计学意义。结论:ANFH患者应用雷火灸联合耳穴埋豆可减轻疼痛程度,改善血清因子及髋关节功能,促进局部血液循环,提高患者生活质量,是一种安全、有效的治疗方案。
Objective:To explore the effects of thunder-fire moxibustion combined with burying beans in ear acupoints on pain and hip joint function in patients with avascular necrosis of femoral head(ANFH).Methods:120 patients with ANFH treated in our hospital from March 2020 to March 2022 were divided into two groups with 60 cases in each group by random number table method.Both groups were treated with conventional drugs.The patients in the control group were treated with burying beans in ear acupoints,and the patients in the observation group were treated with the combination of burying beans in ear acupoints and thunder-fire moxibustion.Both groups were treated for 4 weeks.The clinical efficacy,pain degree,serum factor levels,hemorheological indicators,hip joint function,quality of life and adverse reactions of the two groups were analyzed.Results:The total effective rate of the observation group after treatment was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the VEGF levels of the two groups were higher than those before treatment,and the VAS scores and TNF-αlevels were lower(P<0.05).Compared with the control group after treatment,the VEGF level in the observation group was higher,the VAS score and TNF-αlevel were lower,and the differences were statistically significant(P<0.05).After treatment,the reduced viscosity of whole blood(high cut,middle cut,low cut),plasma viscosity and fibrinogen level in the two groups were lower than those before treatment,and compared with the control group after treatment,the whole blood(high cut,middle cut,low cut)reduced viscosity,plasma viscosity and fibrinogen level in the observation group decreased(P<0.05).The differences were statistically significant.Compared with the two groups before treatment,the Harris score of the two groups was significantly increased(P<0.05);compared with the control group after treatment,the Harris score of the observation group after treatment was significantly increased(P<0.05),and the difference was statistically significant.Compared with those before treatment,the SF-36 scores in all dimensions of the two groups were significantly increased(P<0.05);compared with the control group after treatment,the SF-36 scores in all dimensions of the observation group after treatment were significantly increased(P<0.05).The differences were statistically significant.Conclusion:The application of thunder-fire moxibustion combined with burying beans in ear acupoints in ANFH patients can reduce the degree of pain,improve serum factors and hip joint function,promote local blood circulation,and improve the quality of life of patients,which is a safe and effective treatment plan.
作者
何兰兰
He Lanlan(The Third Department of Orthopedics,Zhengzhou Traditional Chinese Medicine Orthopaedic Hospital,Zhengzhou Henan 450000)
出处
《山西中医药大学学报》
2023年第7期774-778,共5页
Journal of Shanxi University of Chinese Medicine
基金
河南省中医药科学研究专项课题(2018ZY3039)。
作者简介
何兰兰,本科,医师,Email:zebengan1778@126.com。
