内热针配合髋关节灌注治疗髋关节滑膜炎效果观察.docxVIP

内热针配合髋关节灌注治疗髋关节滑膜炎效果观察 　　【摘要】目的：观察内热针配合髋关节灌注治疗髋关节滑膜炎的临床效果。方法：回顾性分析2015年7月-2018年7月在咸宁市中心医院康复医学、疼痛科治疗的60例成人髋关节滑膜炎患者，将其按照治疗方式的不同分为两组，治疗组30例采用内热针配合关节腔灌注甲氨蝶呤治疗，对照组30例采用关节腔灌注甲氨蝶呤治疗，两组均以治疗1次为1个治疗周期，观察比较两组临床疗效、疼痛明显缓解时间及vas评分。结果：治疗组疼痛明显缓解时间为（3.10±0.50）d，对照组疼痛明显缓解时间为（7.40±2.50）d，组间比较差异有统计学意义（p0.05）。治疗后，治疗组vas评分低于对照组，差异有统计学意义（p0.05）。治疗组治疗总有效率为93.33%，对照组治疗总有效率为80.00%，治疗组治疗总有效率优于对照组，差异有统计学意义（p0.05）。结论：内热针配合髋关节灌注甲氨蝶呤治疗髋关节滑膜炎效果显著，值得临床应用与推广。 　　【关键词】髋关节滑膜炎;内热针;关节腔灌注;甲氨蝶呤 　　【abstract】objective：toobservetheclinicaleffectofinternalheatneedlecombinedwithhipjointperfusioninthetreatmentofhipsynovitis.method：aretrospectiveanalysisof60adultpatientswithhipsynovitistreatedinrehabilitationmedicineandpaindepartmentofourhospitalfromjuly2015tojuly2018wereenrolled.theyweredividedintotwogroupsaccordingtodifferenttreatmentmethods.30patientsinthetreatmentgroupweretreatedwithinternalheatneedlecombinedwithjointcavityperfusionofmethotrexate，while30patientsinthecontrolgroupweretreatedwithjointcavityperfusionofmethotrexate.bothgroupsweretreatedonceasatreatmentcycle.theclinicalefficacy，painrelieftimeandvasscoreofthetwogroupswereobservedandcompared.result：thepainrelieftimeinthetreatmentgroupwas（3.10±0.50）days，whilethatinthecontrolgroupwas（7.40±2.50）days，thereweresignificantdifferencesbetweentwogroups（p0.05）.aftertreatment，thevasscoreofthetreatmentgroupwaslowerthanthatofthecontrolgroup，thedifferencewasstatisticallysignificant（p0.05）.thetotaleffectiverateofthetreatmentgroupwas93.33%，andthatofthecontrolgroupwas80.00%.thetotaleffectiverateofthetreatmentgroupwasbetterthanthatofthecontrolgroup，thedifferencewasstatisticallysignificant（p0.05）.conclusion：theeffectofinternalheatneedlecombinedwithhipjointinfusionofmethotrexateonhipsynovitisissignificantandworthyofclinicalapplicationandpromotion. 　　【keywords】hipsynovitis;internalheatneedle;jointcavityperfusion;methotrexate 　　髖关节滑膜炎是由于髋关节损伤或者炎症导致关节微循环不畅，进而关节腔积液形成而引发关节疼痛、肿胀、功能受限等症状的临床综合征，以儿童或者成人多发病，一般分为急性、慢性滑膜炎两种，关节退变，机械应力刺激，病毒或者细菌感染及内分泌代谢紊乱等是其常见发病原因[