体外冲击波治疗股骨头缺血性坏死Ⅳ期患者的效果.pdf

2015 3 21 3 Chin J Rehabil Theory Pract, Mar., 2015, Vol. 21, No.3 - 348 - 中国康复理论与实践 年 月第 卷第 期 ·临床研究· DOI: 10.3969/j.issn.1006-9771.2015.03.026 Ⅳ 体外冲击波治疗股骨头缺血性坏死 期患者的效果① 马跃文 1，姜冬蕾 1，于晓彤 2 Ⅳ [摘要] 目的 观察体外冲击波(ESW)治疗股骨头缺血性坏死(ANFH) 期患者的临床疗效。方法 44 例 ANFH 患者(72 髋)均 Ⅳ 为国际骨循环研究会(ARCO)分期 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(P0.05)；SF-36 中除生理职能、活力外，余各项评 Ⅳ 分优于对照组(P0.05)。结论 ESW能改善ANFH 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 Effect of Extracorporeal Shock Wave on Avascular Necrosis of Femoral Head of Stage IV MA Yue-wen1, JIANG Dong-lei1, YU Xiao-tong2 1. Department of Rehabilitation, The First Hospital of China Medical University, Shenyang, Liaoning 110001, Chi- na; 2. Institute of Meta-Synthesis Medicine, Beijing 100097, China Abstract: Objective To observe the effect of extracorporeal shock waves (ESW) therapy on avascular necrosis of femoral head (AN- FH) of stage IV. Methods 72 hips of 44 patients with ANFH of stage IV, according to Association Research Circulation Osseous, were ran- domly divided into treatment group (n=37) and control group (n=35). The control group received routine therapy, while the treatment group rece