Study on the efficacy of acupotomy release therapy based on the theory of Foot-Sanyin muscle meridians combined with Taohong Siwu Decoction in the treatment of early and mid-stage femoral head necrosis
Study on the efficacy of acupotomy release therapy based on the theory of Foot-Sanyin muscle meridians combined with Taohong Siwu Decoction in the treatment of early and mid-stage femoral head necrosis
Objective To investigate the clinical effect of closed acupotomy release therapy guided by the theory of Foot-Sanyin muscle meridians combined with Taohong Siwu Decoction in the treatment of early and mid-stage femoral head necrosis.Methods A retrospective analysis was conducted on the clinical data of 72 patients with early and mid-stage femoral head necrosis who were treated in our hospital from June 2020 to June 2023.The patients were divided into two groups according to different treatment protocols:38 patients received closed acupotomy release therapy guided by the theory of Foot-Sanyin muscle meridians combined with Taohong Siwu Decoction(observation group),and 34 patients received conventional closed release thera-py(control group).The treatment effects,hip function,pain intensity,and quality of life scores before and af-ter treatment were compared between the two groups.Results The overall therapeutic effect in the observa-tion group was superior to that in the control group,with a statistically significant difference(P<0.05).Three and six months after treatment,the Harris hip function scores in the observation group were higher,and the visual analog scale scores were lower than those in the control group,both with statistically significant differences(P<0.05).Six months after treatment,the observation group showed significantly higher scores in physiological function,physical pain,vitality,emotional role,social function,physical role,mental health,and general health on the SF-36 Health Survey,and lower whole blood viscosity(high shear,low shear),and plasma viscosity levels compared to the control group,all with statistically significant differences(P<0.05).Conclusion The combination of acupotomy release therapy based on the theory of Foot-Sanyin muscle meridi-ans and Taohong Siwu Decoction for patients with early and mid-stage femoral head necrosis is effective in im-proving hemorheology,alleviating physical pain,and enhancing patients'quality of life.
关键词
早中期股骨头坏死/闭合性松解术/小针刀/桃红四物汤/足三阴经筋/中医治疗
Key words
Early and mid-stage femoral head necrosis/Closed release therapy/Acupotomy/Taohong Siwu decoction/Foot-Sanyin muscle meridians/Traditional Chinese medicine treatment