髂腰肌松解手法治疗早中期股骨头坏死功能障碍临床观察

Clinical observation of the treatment of iliopsoas loosening techniques in early-to-middle stage osteonecrosis of femoral dead disfunction patients

关键词:  髂腰肌  松解手法  股骨头坏死  指刀  功能锻炼

Key words:  iliopsoas muscle  loosening techniques  osteonecrosis of the femoral head  finger knife  functional exercise

摘要:

[目的] 观察髂腰肌松解治疗早中期股骨头坏死的临床效果。[方法] 选取2014年1月1日-2015年6月30日在郑州中医骨伤病医院关节科住院治疗的股骨头坏死（ONFH）患者共156例，按随机数字法分为治疗组、对照组，每组78例。治疗组患者采取髂腰肌松解手法结合功能锻炼的综合疗法，对照组患者采用常规手法结合功能锻炼的综合疗法。所有患者治疗前、治疗30 d后，按日本骨科协会评估治疗（JOA）评分进行临床疗效比较。[结果] 两组病例治疗后髋关节疼痛均明显减轻，髋关节功能均较前明显改善，治疗组优于对照组。[结论] 该方法采用先整体调节腰背部，再局部治疗髋部，并结合功能训练治疗早中期ONFH，体现了本方案的"筋骨同治"及"局部治疗与整体治疗相结合"的治疗理念，值得临床推广使用。

Abstract:

[Objective] To observe the clinical effect of iliopsoas loosening techniques in the treatment of early-to-middle stage osteonecrosis of femoral head disfunction patients.[Methods] Select ONFH patients of 156 cases between January 1, 2014 to June 30, 2015 in Zhengzhou Traditional Chinese Medicine Hospital of Orthopedics inpatient treatment. Two groups were randomly divided into treatment group and control group according to 1:1, each group of 78 cases. In the treatment group, the combination therapy of iliopsoas loosening techniques and functional exercise were combined. The patients in the control group were treated by routine therapy combined with functional exercise. All patients according to the JOA scores compare clinical efficacy before treatment and after 30 days.[Results] Two groups of patients of hip pain were significantly reduced after treatment. The hip function improved significantly compared with the former, the treatment group than the control group.[Conclusion] The method adopts the first overall adjustment of the lower back, and then local treatment of the hip, combined with functional training to treat early-to-middle stage ONFH, reflecting the concept of "tendons and bone simultaneously treat" and "local treatment and the combination of the overall treatment"。It is worthy of clinical use.