Clinical Study of Dampness-Reducing and Bone-Setting Decoction Combined with ESWT on the Treatment of Steroid-Osteonecrosis of Femoral Head in Early and Middle Stage with Phlegm-Dampness Syndrome
Objective:To observe the clinical efficacy of dampness-reducing and bone-setting decoction combined with extra-corporeal shock wave therapy(ESWT)on the treatment of steroid-induced osteonecrosis of the femoral head(SONFH)in early and middle stage with phlegm-dampness syndrome.Methods:60 cases of patients with SONFH with phlegm damp-ness syndrome were included and randomly divided into control group and observation group.30 cases in the control group were treated with ESWT,and 30 cases in the observation group were given dampness-reducing and bone-setting decoction combined with ESWT,and their bone marrow oedema grades,hip joint effusion grades,visual analogue scale(VAS)scores and clinical efficacy were observed in the follow-up after 3 months of treatment.Results:There was no statistically signifi-cant difference between the observation group and the control group before treatment(P＞0.05);after 3 months of treat-ment,the grade of hip joint effusion in the observation group was lower than that before treatment(P＜0.05),and there was no significant change in the grade of hip joint effusion in the control group compared of that before treatment(P＞0.05);VAS scores and bone marrow oedema grades of the two groups were significantly lower than those after treatment(P＜0.05),and VAS scores,bone marrow oedema grades and hip joint effusion grades in the observation group were lower than those of the control group,with statistically significant differences(P＜0.05).The total effective rate was 93.33％in the observation group,which was significantly higher than that of the control group,which was 83.33％.Conclusion:Dampness-reducing and bone-setting decoction combined with ESWT is clinically effective in SONFH in early and middle stage with phlegm-dampness syndrome,which can significantly relieve patients'pain,reduce hip joint effusion,improve bone marrow oedema,and is better than single ESWT.
dampness-reducing and bone-setting decoctionsteroid-osteonecrosis of femoral headhip joint effusionbone marrow oedemaextracorporeal shock wave
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