改良火针联合骨病回生丸治疗气滞血瘀型股骨头坏死临床观察
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R681.8;R246.2

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河南省中医药科学研究专项课题(2017ZY3018)


Clinical Observation of Modified Fire Needle Combined with Gubing Huisheng Pills for Femoral Head Necrosis of Qi-stagnating and Blood-stasis Type
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    摘要:

    目的:观察改良火针联合骨病回生丸治疗气滞血瘀型股骨头坏死的临床疗效。方法:将156例成人股骨头缺血性坏死患者随机分为3组,治疗组、对照1组和对照2组各52例。3组均口服骨病回生丸,对照1组采用火针疗法,对照2组采用刺络放血疗法,治疗组采用改良火针即先火针后行刺络放血疗法;3月为1疗程,对于仍有髋关节不适者可以再重复做火针或刺络放血、或者两者均做,连续治疗4疗程;观察比较3组临床疗效、减痛效果及治疗次数。结果:总有效率治疗组、对照1组、对照2组分别为94.23%、73.08%、67.31%,治疗组总有效率明显高于对照1组、对照2组(P<0.05);对照1组、对照2组总有效率相差不大(P>0.05)。疼痛疗效总有效率治疗组、对照1组、对照2组分别为98.08%,80.77%,71.15%,治疗组总有效率明显高于对照1组、对照2组(P<0.05);对照1组、对照2组总有效率相差不大(P>0.05)。治疗次数≤3次病例占有率治疗组为86.54%,对照1组则为69.21%,对照2组为67.31%,治疗组治疗次数≤3次占有效率明显高于对照1组、对照2组(P<0.05);对照1组、对照2组则相差不大(P>0.05)。3组治疗过程中均无明显不良反应。结论:火针并刺络放血疗法联合骨病回生丸治疗成人股骨头坏死疗效显著,可有效减轻疼痛,且无明显不良反应。

    Abstract:

    Objective:To observe the clinical effect of modified fire needle combined with Gubing Huisheng pills for femoral head necrosis of qi-stagnating and blood-stasis type.Methods:Divided 156 cases of adult patients with avascular necrosis of femoral head into three groups randomly,namely the treatment group,the control group 1 and the control group 2,52 cases in each group.Each group received the oral administration of Gubing Huisheng pills; the control group 1 received fire-needling therapy, the control group 2 received blood-letting puncture therapy, and the treatment group received modified fire needle as fire needle and blood-letting puncture therapy in sequence.One treatment course lasted for 3 months.If still with discomforts in the hip joint,patients could repeatedly received fire needle,blood-letting puncture or both,which lasted for 4 courses.Observed the clinical effect,pain-reducing effect and times of treatment in each group.Results:The total effective rate was 94.23%in the treatment group,73.08%in the control group 1 and 67.31%in the control group 2,and the total effective rate in the treatment group was significantly higher than that in the control group 1 and the control group 2 respectively(P<0.05); there was no significant difference being found in the total effective rate of the control group 1 and the control group 2(P>0.05).The total effective rate in clinical effect of pain was 98.08%in the treatment group,80.77%in the control group 1 and 71.15%in the control group 2,and the total effective rate in the treatment group was significantly higher than that in the control group 1 and the control group 2 respectively(P<0.05); there was no significant difference being found in the total effective rate of the control group 1 and the control group 2(P>0.05).The occupation rate of treatment less than 3 times was 86.54%in the treatment group,69.21%in the control group 1 and 67.31%in the control group 2,and the total effective rate in the treatment group was significantly higher than that in the control group 1 and the control group 2 respectively(P<0.01); there was no significant difference being found in the total effective rate of the control group 1 and the control group 2(P>0.05).No adverse reactions occurred in the three group during treatment.Conclusion:Modified fire needle combined with Gubing Huisheng pills has significant effect in treating femoral head necrosis of qi-stagnating and blood-stasis type,which can effectively alleviate pain without obvious adverse reactions.

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张鑫杰,皮书高,曹玉举.改良火针联合骨病回生丸治疗气滞血瘀型股骨头坏死临床观察[J].新中医,2018,50(12):187-190

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  • 在线发布日期: 2018-12-09
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