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| SuperPATH髋关节置换联合针灸巨刺运动法治疗股骨颈骨折加速康复疗效观察* | |
| 引用本文： | 万青,魏庆中,邹成松,宁慧君,邵水艳,陈涛,易红赤.SuperPATH髋关节置换联合针灸巨刺运动法治疗股骨颈骨折加速康复疗效观察*[J].云南中医学院学报,2022(1):40-46. |
| 作者姓名： | 万青 魏庆中 邹成松 宁慧君 邵水艳 陈涛 易红赤 |
| 作者单位： | （1. 云南中医药大学，云南 昆明 650500；2. 云南中医药大学第一附属医院，云南 昆明 650021；3. 昆明圣爱中医馆，云南 昆明 650031） |
| 基金项目： | 收稿日期： 2022 - 01- 13 * 基金项目： 云南中医药大学第一临床医学院研究生科学研究基金（2021Y07） 第一作者简介： 万青（1972-），男，在读硕士研究生，云南姚氏妇科流派主要传承人，研究方向：中西医结合治疗骨伤科疾病、中医药治疗妇科疾病。 △通信作者： 陈涛，E-mail：henpao@126.com；易红赤，E-mail:yyhongchi@126.com |
| 摘 要： | 目的 探讨SuperPATH入路微创髋关节置换术联合针灸巨刺运动法治疗股骨颈骨折术后康复疗效。方法 实际纳入49例，2组患者均选择SuperPATH入路微创髋关节置换术，手术操作均由同一组医师完成，均采用腰硬联合麻醉；2组患者均接受康复锻炼；对照组予术后常规抗炎、抗凝与镇痛治疗。针刺组在对照组基础上加针灸巨刺运动法。结果 实际纳入49例，2组患者年龄、BMI、性别、患部及基础疾病总体均数与分布无统计学差异（P>0.05）。2组治疗前Harris评分及VAS评分总体均数与分布无统计学差异（P>0.05）。2组治疗前后Harris评分与VAS评分组内比较均有统计学差异（P<0.05）。2组治疗7 d与30 d回访Harris评分组间比较总体均数异存在统计学差异（P<0.05），以及治疗7 d与30 d回访差值差异有统计学意义（P<0.05）。2组患者治疗7 d VAS评分总体分布存在统计学差异（P<0.05），以及治疗7 d差值差异有统计学意义（P<0.05）。2组患者治疗30 d VAS评分总体分布无统计学差异（P>0.05），以及回访30 d差值差异无统计学意义（P>0.05）。2组患者治疗7 d血沉差值差异有统计学意义（P<0.05）。针刺组治疗前后C-反应蛋白组内比较总体分布存在统计学差异（P<0.05）。结论 本研究结果表明SuperPATH入路微创髋关节置换术联合针灸巨刺运动法治疗股骨颈骨折改善髋关节功能、减轻疼痛，减少术后并发症，降低红细胞沉降率与C-反应蛋白水平，可能有降低炎症反应的作用，进而加快术后康复。 |
| 关 键 词： | 针灸巨刺法 加速康复外科 SuperPATH 髋关节置换 |
Clinical Effect of SuperPATH Total Hip Arthroplasty Combined with Acupuncture and Moxibustion Opposing Needling Movement Method on Accelerated Rehabilitation of Femoral Neck Fracture |
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| WAN Qing,WEI Qingzhong,ZOU Chengsong,NING Huijun,SHAO Shuiyan,CHEN Tao,YI Hongchi.Clinical Effect of SuperPATH Total Hip Arthroplasty Combined with Acupuncture and Moxibustion Opposing Needling Movement Method on Accelerated Rehabilitation of Femoral Neck Fracture[J].Journal of Yunnan College of Traditional Chinese Medicine,2022(1):40-46. | |
| Authors: | WAN Qing WEI Qingzhong ZOU Chengsong NING Huijun SHAO Shuiyan CHEN Tao YI Hongchi |
| Affiliation: | (1. Yunnan University of Chinese Medicine, Kunming, 650500, China; 2. The First Affiliated Hospital of Yunnan University of Chinese Medicine, Kunming, 650021, China; 3. Sheng Ai Hospital of Traditional Chinese Medicine, Kunming, 650031, China) |
| Abstract: | Objective To investigate the postoperative rehabilitation effect of SuperPATH minimally invasive hip replacement combined with acupuncture and moxibustion for femoral neck fracture. Methods A total of 49 patients were actually enrolled, and the SuperPATH approach was used for minimally invasive hip arthroplasty in both groups. The operation was completed by the same group of physicians and combined lumbar and epidural anesthesia was used. Both groups received rehabilitation exercise; The control group received routine anti-inflammatory, anticoagulant and analgesic treatment. Acupuncture group plus acupuncture giant thorn movement method on the basis of control group. Results In fact, 49 cases were included, and there were no significant differences in age, BMI, gender, overall mean and distribution of affected areas and underlying diseases between the two groups(P>0.05). There was no significant difference in the overall mean and distribution of Harris score and VAS score between the two groups before treatment(P>0.05). There were significant differences in Harris score and VAS score between the two groups before and after treatment(P<0.05). There were statistically significant differences in the overall mean of Harris assessment between the two groups(P<0.05), and there were statistically significant differences between the two groups(P<0.05). There was statistical difference in the overall distribution of VAS score at 7 days of treatment between 2 groups(P<0.05), and the difference at 7 days of treatment was statistically significant(P<0.05). There was no statistically significant difference in the overall distribution of VAS score between 2 groups at 30 days after treatment(P>0.05), and no statistically significant difference in the difference at 30 days after return visit(P>0.05).The difference of ESR between 2 groups at 7 days after treatment was statistically significant(P<0.05). There was statistical difference in the overall distribution of C-RP in acupuncture group before and after treatment (P<0.05). Conclution The results of this study indicate that SuperPATH minimally invasive hip replacement combined with acupuncture and acupuncture for the treatment of femoral neck fracture can improve hip function, relieve pain, reduce postoperative complications, reduce erythrocyte sedimentation rate and C-reactive protein level, and may reduce inflammatory response, thus speeding up postoperative recovery. |
| Keywords: | acupuncture and moxibustion opposing needling enhanced recovery after surgery SuperPATH total hip arthroplasty |
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