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目的:探讨体外冲击波联合中药外敷治疗髋关节滑膜炎的临床疗效。方法:选取髋关节滑膜炎患者19例,其中男14例,女5例,左髋6例,右髋13例,年龄23~55岁,平均(36.4±1.3)岁,病程15天至2.5个月,平均(1.8±0.2)个月。随访时间1~6个月,平均(3.2±0.4)个月。治疗前后及随访时采用髋关节功能Harris评分、VAS疼痛评分及髋关节磁共振评价疗效。结果:患者治疗前Harris评分(72.79±1.72)分,VAS评分(5.63±0.83)分;治疗后Harris评分(86.74±1.28)分,VAS评分(2.68±0.75)分;末次随访时Harris评分(92.63±1.46)分,VAS评分(1.16±0.60)分。治疗后及末次随访时Harris评分和VAS疼痛评分与治疗前对比,差异有统计学意义(P<0.05)。结论:体外冲击波联合中药外敷治疗髋关节滑膜炎,能够减轻髋关节肿胀疼痛,促进髋关节功能康复,临床疗效显著。
Objective: To investigate the clinical efficacy of extracorporeal shock wave combined with traditional Chinese medicine in the treatment of hip synovitis. Methods: Totally 19 patients with hip synovitis were selected, including 14 males and 5 females, 6 cases of left hip and 13 cases of right hip, aged from 23 to 55 years (average, 36.4 ± 1.3) Months, with an average of (1.8 ± 0.2) months. Follow-up time was 1 to 6 months, with an average of (3.2 ± 0.4) months. Harris hip function, VAS pain score and hip magnetic resonance were used to evaluate the curative effect before and after treatment and follow-up. Results: Harris score (72.79 ± 1.72) and VAS score (5.63 ± 0.83) before treatment; Harris score (86.74 ± 1.28) and VAS score (2.68 ± 0.75) after treatment; Harris score at the last follow-up (92.63 ± 1.46) points, VAS score (1.16 ± 0.60) points. Harris score and VAS pain score after treatment and at the last follow-up were significantly different from those before treatment (P <0.05). Conclusion: Combining extracorporeal shock wave and external application of traditional Chinese medicine in the treatment of hip synovitis can relieve the swelling and pain of hip joint and promote the rehabilitation of hip joint function. The clinical effect is significant.