Wang Jun-Lei, Hua Chun-Lei, Nie Huai-Li
Taishan Sanatorium of Shandong Province, Taian 271000, Shandong Pro-vince, China.
Taishan Nursing Vocational College, Taian 271000, Shandong Province.
Zhen Ci Yan Jiu. 2022 Jul 25;47(7):636-9. doi: 10.13702/j.1000-0607.20211154.
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.
Eighty patients with osteonecrosis of the femoral head were randomly allocated into a treatment group and a control group, with 40 patients 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, 30 min each time. The treatment was given once daily, 30 days as one session of treatment, and 3 sessions 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.
The total effective rate was 97.5% (39/40) in the treatment group, higher than 82.5% (33/40) in the control group (<0.05). Compared with before treatment, the VAS score was remarkably decreased (<0.05), while the Harris score and the score of the hip mobility were apparently increased in either group after treatment (<0.05). In comparison between two groups, the VAS score in the treatment group was obviously lower (<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 (<0.05).
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.
比较综合疗法(五针电针结合内收肌松解术)与内收肌松解术治疗股骨头坏死的临床疗效。
将80例股骨头坏死患者随机分为治疗组和对照组,每组40例。对照组采用内收肌松解术治疗。治疗组在对照组治疗的基础上,于髋关节周围最明显的压痛点(阿是穴)行五针电针治疗,每次30分钟。每日治疗1次,30天为1个疗程,每组共需治疗3个疗程。评估两组的临床疗效。比较两组治疗前后及组间视觉模拟评分(VAS)、Harris评分及髋关节活动度评分。
治疗组总有效率为97.5%(39/40),高于对照组的82.5%(33/40)(P<0.05)。与治疗前比较,两组治疗后VAS评分均显著降低(P<0.05),Harris评分及髋关节活动度评分均明显升高(P<0.05)。组间比较,治疗组VAS评分明显低于对照组(P<0.05),Harris评分及髋关节活动度评分高于对照组(P<0.05)。
与单纯内收肌松解术相比,五针电针结合内收肌松解术治疗缺血性股骨头坏死临床疗效更佳,该综合疗法能明显缓解患者临床症状。