针刀与针灸治疗早中期股骨头缺血性坏死:临床随机对照研究  

Acupotomy and acupuncture in the treatment of avascular necrosis of femoral head at the early and middle stages:a clinical randomized controlled trial

作　　者：王占有[1] 周学龙[2] 谢利双 梁东岳 王莹 张红安[1] 郑景洪 

机构地区：[1]广西中医药大学,南宁530001 [2]广西中医药大学骨伤学院,南宁530001 [3]河南省焦作市中站区冯封社区卫生服务中心

出　　处：《中国针灸》2016年第10期1031-1035,共5页Chinese Acupuncture & Moxibustion

基　　金：广西自然科学基金资助项目:2010GXNSFA013206

摘　　要：目的：比较针刀与针灸治疗早中期股骨头缺血性坏死疗效差异。方法：采用随机对照的前瞻性研究方法,由第三方将60例Ficat-Arlet分期Ⅰ~Ⅱ期的股骨头缺血性坏死患者随机分为针刀组（32例）与针灸组（28例）。针刀组采用针刀对髋关节各治疗点进行松解治疗,每2周治疗1次,共治疗3次;针灸组穴取髋关节周围阿是穴为主进行针刺,并于阿是穴行温针灸治疗,每日1次,治疗6周。观察两组患者治疗前后Harris髋关节功能评分,并评定两组疗效。结果：两组治疗后Harris髋关节功能评分均显著提高（均P〈0.05）,且针刀组优于针灸组（P〈0.05）;针刀组治疗后有效率为90.6%（29/32）,优于针灸组的75.0%（21/28,P〈0.05）。结论：针刀治疗早中期股骨头缺血性坏死的Harris髋关节功能评分和有效率优于常规针灸治疗。Objective To compare the efficacy difference between acupotomy and acupuncture in the treatment of avascular necrosis of femoral head at the early and middle stages.Methods The randomized controlled prospective study method was adopted.Sixty cases of avascular necrosis of femoral head at Ficat-ArletⅠ to Ⅱ stages were randomized into an acupotomy group（32cases）and an acupuncture group（28cases）by the third part.In the acupotomy group,the acupotomy was adopted for the loose solution at the treatment sites of hip joint,once every two weeks,totally for 3times.In the acupuncture group,ashi points around the hip joint were selected and stimulated with warm acupuncture therapy,once every day,for 6weeks.Harris hip score was observed before and after treatment.The efficacy was evaluated in the two groups.Results Harris hip score was improved significantly after treatment in the two groups（both P0.05）.The result in acupotomy group was better than that in the acupuncture group（P0.05）.The effective rate was 90.6%（29/32）in the acupotomy group,better than75.0%（21/28）in the acupuncture group after treatment（P0.05）.Conclusion Harris hip score and the effective rate in the acupotomy group are better than those in the treatment with routine acupuncture for avascular necrosis of femoral head at the early and middle stages.

关 键 词：针刀 针灸 股骨头缺血性坏死 随机对照试验 

分 类 号：R246.2[医药卫生—针灸推拿学]