针刀对股骨头缺血性坏死患者髋关节囊内压和骨内压影响的临床研究  

Clinical Study of Impact of Acupotomy Therapy on the Hip Intracapsular Pressure and Intraosseous Pressure of Patients with Avascular Necrosis of Femoral Head

作　　者：瞿群威[1] 陈四海[1] 王胜成[1] 曹可政 

机构地区：[1]十堰市红十字医院,湖北十堰442000

出　　处：《针灸临床杂志》2013年第7期46-49,共4页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:研究针刀对股骨头缺血性坏死(ANFH)患者的疗效以及对髋关节囊内压和骨内压的影响。方法:60例患者随机分为3组,观察组运用针刀进行髋关节腔减压、骨髓腔减压和髋关节周围软组织松解的整体松解治疗,对照1组只进行髋关节腔减压和骨髓腔减压治疗,对照2组单纯进行骨髓腔减压治疗。3个月后统计疗效并测量治疗前后患侧髋关节囊内压和骨内压。结果:除X线评分外,观察组各项疗效评价指标的改善率明显高于两个对照组(P<0.05或0.01);观察组和对照1组患者囊内压和骨内压治疗后均有显著性下降(P<0.01),对照2组骨内压也有显著性下降(P<0.01),但囊内压下降无显著性差异(P>0.05);观察组的囊内压和骨内压下降幅度明显大于两个对照组(P<0.05或0.01)。结论:针刀整体松解治疗可以明显降低ANFH患者囊内压和骨内压,降压效果和临床疗效均优于针刀单纯骨髓腔减压或骨髓腔和髋关节腔联合减压。Objective：To study the curative effect of acupotomy in the treatment of avascular necrosis of the femoral head （ANFH） and the impact of this therapy on the hip intraeapsular pressure and intraosseous pressure among these patients. Methods：60 patients were divided randomly and equally into three groups. The observa- tion group was treated with acupotomy overall release therapy comprising the hip joint cavity decompression, marrow cavity decompression and hip surrounding soft tissues release. The control group 1 was only treated with hip joint cavity decompression and marrow cavity decompression. The control group 2 was treated simply with marrow cavity decompression. After three months their curative effective was evaluated and hip intraeapsular pressure and intraosseous pressure were measured before and after treatment. Results： With the exception of x - ray scores, the improvement rate of every effective evaluation index in the observation group was higher than that in the other two control groups（P 〈 0.05 or 0.01 ）. The intracapsular pressure and intraosseous pressure of pa- tients in the observation group and the control group 1 were significantly decreased after treatment （P 〈 0.01 ）. In the control group 2, the intraosseous pressure also had a significant drop （ P 〈 0.01 ） , but intracapsular pres- sure drop had no significant difference （ P 〉 0.05 ）. The intraeapsular pressure and intraosseous pressure in the observation group dropped much more significantly than those in other two control groups （P 〈0.05 or 0.01 ）. Conclusion：Acupotomy overall release therapy can obviously reduce the intracapsular pressure and irttraosseous pressure for patients with ANFH, and its decompression effect and clinical curative effect are better than those of single marrow cavity decompression or those of hip joint cavity integrated with marrow cavity decompression.

关 键 词：股骨头缺血性坏死 针刀疗法 骨内压 关节囊内压 临床疗效 

分 类 号：R246.2[医药卫生—针灸推拿学]