摘要
目的:观察平乐郭氏正骨手法治疗股骨髋臼撞击综合征(Femoral Acetabular Impingement,FAI)的临床疗效。方法:2021年5月至2022年5月诊断为股骨髋臼撞击综合征并行保守治疗的60例住院患者,随机分为观察组(30例)和对照组(30例)。观察组采用中药塌渍+平乐郭氏正骨手法治疗,对照组采用中药塌渍+塞来昔布胶囊治疗,14 d为1个疗程。评价治疗前、治疗1周及治疗2周后两组的视觉模拟量表(VAS)评分、髋关节活动度、Harris髋关节功能量表(HHS)评分。结果:治疗后两组VAS评分和HHS评分均较治疗前明显降低,差异有统计学意义(P<0.05);观察组髋关节活动度较治疗前明显好转,差异有统计学意义(P<0.05);对照组髋关节活动度较治疗前无明显变化,差异无统计学意义(P>0.05);且观察组髋关节活动度和HHS评分降低较对照组更显著,差异有统计学意义(P<0.05);治疗后观察组VAS评分与对照组比较差异无统计学意义(P>0.05)。结论:平乐郭氏正骨手法可缓解股骨髋臼撞击综合征患者的髋部疼痛、活动受限等症状,以纠正髋关节的“筋出槽,骨错缝”,恢复其生理解剖机能。
Objective:To observe the clinical efficacy of Pingle Guo's orthopaedic manipulation on the treatment of femoral acetabular impingement(FAI)syndrome and preliminarily explore its mechanism.Methods:60 hospitalized patients with femoral acetabular impingement syndrome diagnosed and treated conservatively were randomly divided into an observation group of 30 cases and a control group of 30 cases from May 2021 to May 2022.The observation group was treated with traditional Chinese medicine liquid application+Pingle Guo's orthopaedic manipulation,while the control group was treated with traditional Chinese medicine liquid application+Celecoxib capsule,with a course of 14 d.Visual analogue scale(VAS)score,hip joint range of motion,and Harris hip scale(HHS)score of the two groups before treatment,1 week of treatment,and 2 weeks after treatment were evaluated.Results:The VAS score and HHS score after treatment in both groups were significantly lower than before treatment(P<0.05),while the hip joint activity in the observation group was significantly improved compared to before treatment(P<0.05).In the control group,there was no significant change in hip joint activity compared to before treatment(P>0.05),and the decrease in hip joint activity and HHS score in the observation group was more significant than that in the control group(P<0.05).There was no significant difference in VAS score between the observation group and the control group after treatment(P>0.05).Conclusion:Pingle Guo's orthopaedic manipulation can effectively alleviate the symptoms of hip pain and movement limitation in patients with femoral acetabular impingement syndrome,correct the“tendon out of groove and bone dislocation”of the hip joint,and restore its physiological and anatomical mechanism.
作者
水晓洋
岳松涛
郭马珑
阎亮
乔卫平
王江一
崔佳璇
SHUI Xiaoyang;YUE Songtao;GUO Malong;YAN Liang;QIAO Weiping;WANG Jiangyi;CUI Jiaxuan(Henan University of Chinese Medicine,Zhengzhou 450046,China;Luoyang Orthopedic-Traumatological Hospital of Henan(Henan Provincial Orthopedic Hospital),Luoyang 471002,Henan China;Henan Provincial Hospital of Traditional Chinese Medicine,Zhengzhou 450053,China;The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450003,China)
出处
《中国中医骨伤科杂志》
CAS
2023年第10期18-22,共5页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
河南省中医药科学研究专项课题(20-21ZY2245)。
关键词
平乐郭氏正骨
股骨髋臼撞击
疗效观察
作用机制
Pingle Guo's orthopedics
femoral acetabular impingement
observation of therapeutic efficacy
mechanism of action
