[1]李泰贤 沈丹青 薛志鹏 陈志伟 王荣田 刘道兵 何海军 谢斌 王均玉 陈卫衡△.针刀疗法改善股骨头坏死关节功能的近期疗效观察[J].中国中医骨伤科杂志,2018,26(04):24-28.
　LI Taixian SHEN Danqing XUE Zhipeng CHEN Zhiwei WANG Rongtian LIU Daobing HE Haijun XIE Bin WANG Junyu CHEN Weiheng.Clinical Observation on the Treatment of Osteonecrosis of the Femoral Head by Needle Knife[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(04):24-28.
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针刀疗法改善股骨头坏死关节功能的近期疗效观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年04期
页码:
24-28
栏目:
临床研究
出版日期:
2018-04-10

文章信息/Info

Title:
Clinical Observation on the Treatment of Osteonecrosis of the Femoral Head by Needle Knife
文章编号:
1005-0205(2018)04-0024-05
作者:
李泰贤1 沈丹青1 薛志鹏1 陈志伟1 王荣田1 刘道兵1 何海军1 谢斌1 王均玉1 陈卫衡1△
1中国中医科学院望京医院(北京,100102) △通信作者 E-mail:drchenweiheng@163.com
Author(s):
LI Taixian1 SHEN Danqing1 XUE Zhipeng1 CHEN Zhiwei1 WANG Rongtian1 LIU Daobing1 HE Haijun1 XIE Bin1 WANG Junyu1 CHEN Weiheng1△
1Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China.
关键词:
股骨头坏死;  针刀;  关节功能;  临床研究
Keywords:
Keywords: osteonecrosis of the femoral head;  needle knife;  range of motion;  clinical research
分类号:
R681.8
文献标志码:
A
摘要:
目的:观察针刀疗法改善股骨头坏死关节功能的临床疗效。方法:将100例股骨头坏死患者随机分为治疗组和对照组,每组50例,治疗组给予针刀治疗,对照组给予手法治疗,以Harris髋关节功能评分、视觉模拟(VAS)评分及髋关节活动度评价两组临床疗效。结果:治疗组治疗后第7天与第14天Harris优良率高于同期对照组,差异有统计学意义(P<0.05); 治疗组治疗后3个月与6个月Harris评分优良率高于对照组,差异无统计学意义(P>0.05); 治疗组治疗后各随访时间点VAS评分均低于同期对照组,差异有统计学意义(P<0.05); 治疗组治疗后第7天髋关节功能总分低于对照组,差异无统计学意义(P>0.05); 治疗组治疗后第14天、3个月与6个月髋关节功能总分高于同期对照组,差异有统计学意义(P<0.05)。结论:针刀疗法具有疼痛与功能改善迅速、疗效彻底持久,有助于提高患者生存质量与保髋率,值得临床进一步推广应用。
Abstract:
Abstract Objective: To observe the effect of the function by using the needle knife for treating osteonecrosis of the femoral head(ONFH).Methods:All 100 ONFH patients were randomly divided into two groups,50 patients receiving needle knife treatment,which were set as the experimental group,and 50 patients receiving manipulation therapy,which were set as control group.In order to evaluate the effect,the Harris hip score,visual analogue scales(VAS),and range of motion(ROM)of joints were recorded in different time points.Results:There were significant differences in the excellent and good rate of Harris score between the two groups 7 days and 14 days after the treatment(P<0.05).There were not statistically differences in Harris score between the two groups 3 months and 6 months after the treatment(P>0.05).There were significant differences in VAS between the two groups in each follow-up time point after treatment(P<0.05).There were significant differences in ROM between the two groups 14 days,3 months,6 months after the treatment(P<0.05).There was not statistically difference in ROM between the 7 days after operation of ROM(P>0.05).Conclusion:Needle knife therapy can relieve pain,improve joint function quickly,and lasting effect,which improves the quality of patients' life,promote successful rate of hip-preserving,it deserves to be spread and studied in the clinic.

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备注/Memo

备注/Memo:
基金项目:国家科技支撑计划项目(2015BAI04B00) 中国中医科学院特色诊疗技术与方法研究项目 (ZZ070864)
更新日期/Last Update: 2018-04-15