《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (03): 348-352.

• 临床研究 • 上一篇    下一篇

体外冲击波治疗股骨头缺血性坏死Ⅳ期患者的效果

马跃文1，姜冬蕾1，于晓彤2
   

  1. 1.中国医科大学附属第一医院，辽宁沈阳市110001；2.洽圩北京综合医学研究院，北京市100097。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-03-25 发布日期:2015-03-25

Effect of Extracorporeal ShockWave on Avascular Necrosis of Femoral Head of Stage IV

MA Yue-wen1, JIANG Dong-lei1, YU Xiao-tong2
   

  1. 1. Department of Rehabilitation, The First Hospital of China Medical University, Shenyang, Liaoning 110001, China; 2. Institute of Meta-Synthesis Medicine, Beijing 100097, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-03-25 Online:2015-03-25

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摘要： 目的观察体外冲击波(ESW)治疗股骨头缺血性坏死(ANFH) Ⅳ期患者的临床疗效。方法44 例ANFH患者(72 髋)均为国际骨循环研究会(ARCO)分期Ⅳ期，随机分为治疗组(n=37)和对照组(n=35)。对照组予常规治疗，治疗组加用ESW，压力2.0~4.0 bar，频率10 Hz，脉冲6000 次。于治疗前及治疗1 个月时，采用Harris 髋关节评分、徒手肌力评定(MMT)及健康调查简表(SF-36)进行评估。结果治疗后，治疗组Harris 髋关节评分、肌力优于对照组(P<0.05)；SF-36 中除生理职能、活力外，余各项评分优于对照组(P<0.05)。结论ESW能改善ANFH Ⅳ期患者的关节功能，提高生活质量。

关键词: 股骨头坏死, 体外冲击波, 髋关节, 生活质量

Abstract: Objective To observe the effect of extracorporeal shock waves (ESW) therapy on avascular necrosis of femoral head (ANFH) of stage IV. Methods 72 hips of 44 patients with ANFH of stage IV, according to Association Research Circulation Osseous, were randomly divided into treatment group (n=37) and control group (n=35). The control group received routine therapy, while the treatment group received ESW in addition, 2.0-4.0 bar, 10 Hz, 6000 times. They were evaluated with Harris Hip Score, Manual Muscle Test (MMT) and Short Form of health survey (SF-36) before and 1 month after treatment. Results The scores of Harris Hip Score and MMT improved more in the treatment group than in the control group (P<0.05) after treatment, as well as the scores of SF-36 except physical health and vitality (P<0.05). Conclusion The ESW can obviously improve the motor function and quality of life of patients with ANFH of stage IV.

Key words: femoral head necrosis, extracorporeal shock waves, hip, quality of life