扬刺电针配合松解内收肌群法治疗股骨头坏死疗效观察  

Effect of electroacupuncture of quintuple needling combined with adductor relaxation method for osteonecrosis of the femoral head

作　　者：王俊磊[1] 华春雷 聂怀利 WANG Jun-lei;HUA Chun-lei;NIE Huai-li(Taishan Sanatorium of Shandong Province,Taian 271000,Shandong Province,China;Taishan Nursing Vocational College,Taian 271000,Shandong Province)

机构地区：[1]山东省泰山疗养院,山东泰安271000 [2]泰山护理职业学院,山东泰安271000

出　　处：《针刺研究》2022年第7期636-639,共4页Acupuncture Research

基　　金：山东省中医药科技发展计划项目(No.2019-0341)。

摘　　要：目的:比较扬刺电针配合松解内收肌群与单纯采用松解内收肌群治疗股骨头坏死的临床疗效差异。方法:80例股骨头坏死患者随机分为治疗组和对照组,每组40例。对照组采用松解内收肌群的方法治疗,治疗组在对照组基础上在髋关节周围压痛点(阿是穴)最明显处加用扬刺电针,每次30min,每日治疗1次,两组均30d为1个疗程,共3个疗程。评价两组患者的临床疗效,比较两组患者治疗前后视觉模拟量尺(VAS)评分、Harris评分、髋关节活动功能评分。结果:治疗组总有效率为97.5%(39/40),对照组为82.5%(33/40),治疗组高于对照组(P<0.05)。与本组治疗前比较,两组VAS评分均明显降低(P<0.05),Harris评分、髋关节活动功能评分明显升高(P<0.05);治疗组VAS评分明显低于对照组(P<0.05),Harris评分、髋关节活动功能评分明显高于对照组(P<0.05)。结论:扬刺电针配合松解内收肌群治疗股骨头缺血性坏死临床疗效优于单纯使用松解内收肌群,可明显改善患者的临床症状。Objective To compare the clinical effects on osteonecrosis of the femoral head between the comprehensive therapy(electroacupuncture[EA]of quintuple needling combined with adductor relaxation method)and the adductor relaxation method.Methods Eighty patients with osteonecrosis of the femoral head were randomly allocated into a treatment group and a control group,with 40patients in each group.The patients in the control group were treated with the adductor relaxation method.In the treatment group,besides the treatment as the control group,EA of quintuple needling was exerted at the most obvious tender sites(Ashi points)around the hip joint,30min each time.The treatment was given once daily,30days as one session of treatment,and 3sessions were required totally in each group.The clinical effects of two groups were evaluated.The score of visual analogue scale(VAS),Harris score and the score of the hip mobility were compared before and after treatment and between the two groups.Results The total effective rate was 97.5%(39/40)in the treatment group,higher than 82.5%(33/40)in the control group(P<0.05).Compared with before treatment,the VAS score was remarkably decreased(P<0.05),while the Harris score and the score of the hip mobility were apparently increased in either group after treatment(P<0.05).In comparison between two groups,the VAS score in the treatment group was obviously lower(P<0.05)than that of the control group,while the Harris score and the score of the hip mobility were higher than those of the control group(P<0.05).Conclusion EA of quintuple needling combined with the adductor relaxation method obtains the better clinical effects on ischemic osteonecrosis of the femoral head compared with the simple adductor relaxation method,and this comprehensive therapy obviously relieves the clinical symptoms in patients.

关 键 词：股骨头坏死 扬刺法 电针 松解内收肌群 

分 类 号：R246.2[医药卫生—针灸推拿学]