[1]姬成茂,袁小华,崔超伟,等.医用三氧关节腔注射联合腹针及密集型银质针治疗早期股骨头坏死疗效分析[J].新乡医学院学报,2018,35(7):601-604.[doi:10.7683/xxyxyxb.2018.07.013]
　JI Cheng-mao,YUAN Xiao-hua,CUI Chao-wei,et al.Curative effect of three oxygen joint cavity injection combined with abdomical acupuncture and intensive silver needle for early osteonecrosis of the femoral head[J].Journal of Xinxiang Medical University,2018,35(7):601-604.[doi:10.7683/xxyxyxb.2018.07.013]
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医用三氧关节腔注射联合腹针及密集型银质针治疗早期股骨头坏死疗效分析
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
35
期数:
2018年7
页码:
601-604
栏目:
临床研究
出版日期:
2018-07-05

文章信息/Info

Title:
Curative effect of three oxygen joint cavity injection combined with abdomical acupuncture and intensive silver needle for early osteonecrosis of the femoral head
作者:
姬成茂; 袁小华; 崔超伟; 周丽萍; 陈海城; 周映红
（东莞市第五人民医院康复医学科，广东　东莞　523900）
Author(s):
JI Cheng-mao; YUAN Xiao-hua; CUI Chao-wei; ZHOU Li-ping; CHEN Hai-cheng; ZHOU Ying-hong
（Department of Rehabilitation Medicine，the Fifth People′s Hospital of Dongguan，Dongguan 523900，Guangdong Province，China）
关键词:
股骨头坏死; 医用三氧; 腹针疗法; 密集型银质针疗法; 传统针灸
Keywords:
osteonecrosis of the femoral head; medical three oxygen; abdominal acupuncture therapy; intensive silver needle therapy; traditional acupuncture
分类号:
R684
DOI:
10.7683/xxyxyxb.2018.07.013
文献标志码:
A
摘要:
目的　探讨医用三氧关节腔注射联合腹针及密集型银质针治疗早期股骨头坏死（ONFH）的临床效果。方法　选择2015年6月至2016年12月于东莞市第五人民医院康复医学科就诊的66例早期ONFH患者为研究对象，根据治疗方法将患者分为对照组和观察组，每组33例。对照组患者给予医用三氧关节腔注射、腹部特定电磁波治疗及传统针灸，观察组患者给予医用三氧关节腔注射、腹针和密集型银质针治疗，比较2组患者治疗前后髋关节Harris评分、临床疗效和治疗后3、6、12个月时的复发率。结果　对照组和观察组患者治疗前Harris评分分别为71.6±3.5和72.2±3.6，治疗后Harris评分分别为77.5±3.3和90.6±3.9；2组患者治疗前Harris评分比较差异无统计学意义（P>0.05），2组患者治疗后Harris评分均高于治疗前（P<0.05），治疗后观察组患者Harris评分高于对照组（P<0.05）。对照组患者治疗优良率和总有效率分别为48.5%（16/33）和72.7%（24/33），观察组患者治疗优良率和总有效率分别为75.8%（25/33）和93.9%（31/33）；观察组患者优良率和总有效率均显著高于对照组（χ2=3.877、5.216，P<0.05）。对照组患者治疗后3、6、12个月时的复发率分别为21.2%（7/33）、36.4%（12/33）和48.5%（16/33），观察组患者治疗后3、6、12个月时的复发率分别为9.1%（3/33）、15.2%（5/33）和24.2%（8/33）；2组患者治疗后3、6个月时的复发率比较差异无统计学意义（χ2=1.886、3.882，P>0.05），观察组患者治疗后12个月时的复发率显著低于对照组（χ2=4.190，P<0.05）。结论　医用三氧关节腔注射联合腹针及密集型银质针治疗早期ONFH疗效显著，复发率低。
Abstract:
Objective　To investigate the clinical efficacy of three oxygen hip joint injection combined with abdominal acupuncture and intensive silver needle for the treatment of early osteonecrosis of femoral head （ONFH）.Methods　Sixty-six patients with early ONFH in the Department of Rehabilitation Medicine，the Fifth People′s Hospital of Dongguan from June 2015 to December 2016 were selected as study objects.All patients were divided into control group and observation group according to treatment method，with 33 patients in each group.The patients in the control group were given three oxygen hip joint injection combined with abdominal specific electromagnetic wave therapy and traditional acupuncture；and the patients in the observation group were given three oxygen hip joint injection combined with abdominal acupuncture and intensive silver needle.The Harris score of the hip joint of patients in the two groups was evaluated and compared before and after treatment；the curative effect after treatment and the recurrence rate at 3，6，12 months after treatment were compared between the two groups.Results　The Harris hip score of patients in the control group and observation group was 71.6±3.5 and 72.2±3.6 respectively before treatment，and it was 77.5±3.3 and 90.6±3.9 respectively after treatment.There was no statistic difference in the Harris hip score of patients between the two group before treatment（P>0.05）.The Harris hip score of patients after treatment was significantly higher than that before treatment in the two groups （P<0.05）.The Harris hip score of patients in the observation group was significantly higher than that in the control group after treatment （P<0.05）.The excellent rate and total effective rate of patients in the control group were 48.5%（16/33）and 72.7%（24/33）respectively,and they were 75.8%（25/33） and 93.9%（31/33）respectively in the observation group after treatment；the excellent rate and total effective rate of patients in the observation group were significantly higher than those in the control group （χ2=3.877，5.216；P<0.05）.The recurrence rate of patients in the control group was 21.2%（7/33），36.4%（12/33）and 48.5%（16/33）at 3，6，12 months after treatment；and it was 9.1%（3/33），15.2%（5/33） and 24.2%（8/33） respectively in the observation group.There was no statistic difference in the recurrence rate of patients at 3，6 months after treatment between the two groups（χ2=1.886，3.882；P>0.05）；the recurrence rate of patients in the observation group was significantly lower than that in the control group at 12 months after treatment （χ2=4.190，P<0.05）.Conclusion　The medical three oxygen hip joint cavity injection combined with abdominal acupuncture and intensive silver needle for treatment of early ONFH is effectiveness，and the recurrence rate is lower.

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更新日期/Last Update: 2018-07-05