A Retrospective Study On The Treatment Of Qi Stagnation And Blood Stasis Necrosis Of The Femoral Head With Shock Wave And Necrosis Of The Femoral Head Capsule

Objective: To explore the clinical effect of treating the syndrome of qi stagnation and blood stasis of osteonecrosis of the femoral head with shockwave combined with the capsule of osteonecrosis of the femoral head.Methods: To collected and analyzed 70 cases(105 hips)of osteonecrosis of the femoral head with qi stagnation and blood stasis syndrome from June 2018 to March2019 in Luoyang Orthopedic-Traumatological Hospital Of Henan Provoince.According to the treatment plan,the patients were divided into two groups: the control group and the observation group.The VAS pain score,Harris function score,Harris function score group and necrosis area of femoral head were compared before treatment,1 month after treatment,3 months after treatment,6 months after treatment and 1 year after treatment,and the survival rate of femoral head was determined by follow-up.Results: There was no significant difference in baseline data between the two groups(P > 0.05);VAS pain score comparison,the results showed that there was a significant difference in VAS pain score before and after treatment between the two groups(F =261.103,P = 0.000),that is,there was a time effect;there was no significant difference in VAS pain score between the two groups before treatment(t =-0.660,P =0.512),the VAS pain score of the two groups showed a downward trend after treatment;the VAS pain score of the observation group was lower than that of the control group in the first month,the third month,the sixth month and the first year after treatment,the difference was statistically significant,there was no interaction between the two groups’ time and grouping factors(F = 1.111,P = 0.359);Harris function score comparison,the results showed that the two groups’ patients had different time before and after treatment The difference of Harris function score between the two groups was statistically significant(F = 187.783,P = 0.000),i.e.there was a time effect;there was no statistically significant difference between the two groups before treatment(t =-1.388,P = 0.000),P = 0.170);after 1 month,3months,6 months and 1 year of treatment,the Harris function score of the observation group was lower than that of the control group,the difference was statistically significant,there was no interaction between the time and grouping factors of the two groups(F = 1.606,P = 0.183);the results of the observation group were better than that of the control group,the difference was statistically significant There was statistical significance(z =-2.871,P < 0.05);two groups of patients in the necrosis area after treatment,the observation group was better than the control group,the difference was statistically significant(z =-2.070,P < 0.05).Conclusions: The clinical effect of the treatment of the syndrome of qi stagnation and blood stasis of the necrosis of the femoral head with the combination of the shockwave and the capsule of necrosis of the femoral head is significant,which can reduce the pain of the patients,improve the function of the hip joint of the patients,and slow down the pathological changes of the necrosis area of the femoral head,and the clinical effect is better than that with the capsule of necrosis of the femoral head alone.