温针灸联合点穴牵伸推拿治疗寒湿型成人髋关节滑膜炎临床研究  

Clinical Study on Combination Use of Warming-Needle Moxibustion and Point-Pressing Massage of Pulling Manipulation for Transient Synovitis of the Hip Joint of Cold-Damp Type in Adults

作　　者：袁欣瑶 卢晓茵 诸攀宇 YUAN Xinyao;LU Xiaoyin;ZHU Panyu(Huzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University,Huzhou Zhejiang 313000,China)

机构地区：[1]浙江中医药大学附属湖州中医院,浙江湖州313000

出　　处：《新中医》2025年第8期109-114,共6页New Chinese Medicine

基　　金：2022年浙江文化研究工程重大项目浙派中医专科研究系列浙派中医针灸卷(22WH19-6Z);湖州市科技局项目(2021GYB17)。

摘　　要：目的:观察温针灸联合点穴牵伸推拿治疗寒湿型成人髋关节滑膜炎的临床疗效。方法:选取2022年1月—2024年6月在浙江中医药大学附属湖州中医院就诊的129例寒湿型成人髋关节滑膜炎患者,使用随机数字表法分为温针灸组、推拿组和联合疗法组,每组43例。3组患者均给予常规治疗,即健康宣教、床旁牵引。温针灸组在常规治疗基础上加以温针灸治疗。推拿组在常规治疗基础上加以点穴牵伸推拿治疗。联合疗法组在常规治疗基础上,先予点穴牵伸推拿治疗,再行温针灸治疗。3组每周均治疗5次,连续治疗2周。比较3组治疗前后疼痛视觉模拟评分法(VAS)评分、Harris评分、炎症指标[红细胞沉降率(ESR)、C-反应蛋白(CRP)]水平以及患侧股骨颈前间隙最大宽度、髋关节囊前隐窝积液最大深度。结果:治疗2周后,3组VAS评分均较治疗前降低(P<0.05),Harris评分均较治疗前升高(P<0.05)。联合疗法组VAS评分低于温针灸组和推拿组(P<0.05),Harris评分均高于温针灸组和推拿组(P<0.05)。治疗2周后,3组ESR、CRP水平均较治疗前降低(P<0.05),联合疗法组ESR、CRP水平均低于温针灸组和推拿组(P<0.05)。治疗2周后,3组患侧股骨颈前间隙最大宽度、髋关节囊前隐窝积液最大深度均较治疗前缩小(P<0.05),联合疗法组患侧股骨颈前间隙最大宽度、髋关节囊前隐窝积液最大深度均小于温针灸组和推拿组(P<0.05)。结论:温针灸联合点穴牵伸推拿能有效减轻寒湿型成人髋关节滑膜炎患者的髋关节疼痛、肿胀,改善其髋关节活动度,抑制炎症,疗效优于仅使用温针灸或点穴牵伸推拿治疗。Objective:To observe the clinical effect of the combination use of warming-needle moxibustion and point-pressing massage of pulling manipulation on transient synovitis of the hip joint of cold-damp type in adults.Methods:A total of 129 patients with transient synovitis of the hip joint of cold-damp type in adults who were treated in the Huzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University were selected and divided into the warming-needle moxibustion group,the massage group and the combination group according to the random number table method,with 43 cases in each group.The patients in the three groups were given conventional treatment,namely health education and bedside pulling manipulation.In addition to the conventional treatment,the warming-needle moxibustion group was additionally treated with warming-needle moxibustion,the massage group was additionally treated with point-pressing massage of pulling manipulation,and the combination group was first treated with point-pressing massage of pulling manipulation,and then with warming-needle moxibustion.The three groups were treated five times a week for two consecutive weeks.The scores of Visual Analogue Scale(VAS)of pain,Harris scores,levels of inflammatory indexes[erythrocyte sedimentation rate(ESR)and C-reactive protein(CRP)],the maximum width of space in front of femoral neck and maximum depth of recess effusion in front of capsule of hip joint were compared before and after treatment among the three groups.Results:After two weeks of treatment,the VAS scores in the three groups were decreased when compared with those before treatment(P<0.05),and the Harris scores were increased when compared with those before treatment(P<0.05).The VAS score in the combination group was lower than those in the warming-needle moxibustion group and the massage group(P<0.05),and the Harris score was higher than those in the warming-needle moxibustion group and the massage group(P<0.05).After two weeks of treatment,the levels of ESR and CRP

关 键 词：髋关节滑膜炎 成人 温针灸 点穴牵伸推拿 髋关节疼痛 髋关节活动度 炎症 

分 类 号：R684.3[医药卫生—骨科学] R246.2[医药卫生—外科学] R244.1[医药卫生—临床医学]