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黄丽萍, 王刚, 高谦, 方壮巍, 苏新玲, 周明. 内热针治疗早期股骨头缺血性坏死的临床疗效观察[J]. 解放军医学院学报, 2020, 41(12): 1202-1205, 1221. DOI: 10.3969/j.issn.2095-5227.2020.12.008
引用本文: 黄丽萍, 王刚, 高谦, 方壮巍, 苏新玲, 周明. 内热针治疗早期股骨头缺血性坏死的临床疗效观察[J]. 解放军医学院学报, 2020, 41(12): 1202-1205, 1221. DOI: 10.3969/j.issn.2095-5227.2020.12.008
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HUANG Liping, WANG Gang, GAO Qian, FANG Zhuangwei, SU Xinling, ZHOU Ming. Effect of internal heat needling on early stage avascular necrosis of femoral head[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2020, 41(12): 1202-1205, 1221. DOI: 10.3969/j.issn.2095-5227.2020.12.008
Citation: HUANG Liping, WANG Gang, GAO Qian, FANG Zhuangwei, SU Xinling, ZHOU Ming. Effect of internal heat needling on early stage avascular necrosis of femoral head[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2020, 41(12): 1202-1205, 1221. DOI: 10.3969/j.issn.2095-5227.2020.12.008
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内热针治疗早期股骨头缺血性坏死的临床疗效观察

Effect of internal heat needling on early stage avascular necrosis of femoral head

    摘要
  • 摘要:
      目的  观察内热针治疗早期股骨头缺血性坏死的临床效果。
      方法  选取2017年1月- 2018年12月在解放军总医院第一医学中心康复医学科就诊的Ficat分期为Ⅰ期和Ⅱ期的接受内热针治疗的股骨头缺血性坏死患者。内热针针刺部位为臀部和腹股沟，每个部位治疗1次，间隔5 d，针刺后加热针体至43℃。记录治疗前、治疗后1个月、治疗后12个月时患者的视觉模拟评分(visual analogue scale，VAS)和Harris髋关节评分(Harris hip score，HHS)。
      结果  21例股骨头缺血性坏死患者中男性15例，女性6例，平均年龄32.1(21～46)岁，Ficat分期Ⅰ期8例，Ⅱ期13例。治疗前、治疗后 1个月、治疗后12个月，VAS 评分分别为3.7±1.2、1.9±1.5、2.3±1.1，HHS总评分分别为50.6±13.8、73.7±8.6、69.7±13.3，治疗后1个月和治疗后12个月的 VAS 评分及HHS总评分与治疗前比较，差异有统计学意义(P均＜0.01)。HSS评分中疼痛(19.05±8.3 vs 30.8±9.2)、髋关节功能(27.2±6.3 vs 32.9±7.0)、关节活动度(2.1±0.6 vs 3.0±1.1)三个子项目评分治疗后12个月较治疗前均显著提升，结果与总评分趋势一致(P均＜0.01)。
      结论  内热针疗法可改善FicatⅠ~Ⅱ期股骨头缺血性坏死患者的疼痛和下肢功能状态。

     

    Abstract:
      Objective  To observe the clinical effect of internal heat needling on early stage avascular necrosis of femoral head.
      Methods  From January 2017 to December 2018, patients with Ficat stageⅠ/Ⅱ avascular necrosis of femoral head (ANFH) were enrolled in the department of rehabilitation medicine of the First Medical Center, Chinese PLA General Hospital. The patients received internal heat needling in the buttocks and groin sites with the needle body heated to 43℃, once per site, every 5 days. VAS and Harris hip score (HHS) were evaluated before treatment, at 1 month and 12 months after treatment.
      Results  Totally 21 patients completed the regimen, with 15 males and 6 females aged 32.1 (range, 21-46) years. Eight cases were in Ficat stageⅠ, and 13 cin stageⅡ.The VAS scores at pre- treatment, 1 month and 12 months after treatment were 3.7±1.2, 1.9±1.5, 2.3±1.1, respectively; HHS total scores were 50.6±13.8, 73.7±8.6, 69.7±13.3, respectively. There were significant differences in VAS score and HHS total score between the pre- and post-treatment timepoints (all P＜0.01). Compared to pre-treatment, the scores of pain (19.05±8.3 vs 27.2±6.3), function (2.1±0.6 vs 3.0±1.1) and ROM (30.8±9.2 vs 32.9±7.0) in HSS at 12 months after treatment increased significantly (all P＜0.01), which were consistent with the trend in total score changes.
      Conclusion  Internal heat needling can improve the pain and the lower limb function of patients with early stage avascular necrosis of femoral head.

     

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