| 聚焦式体外冲击波联合离心锻炼治疗大转子疼痛综合征 |
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投稿时间：2021-01-21
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| 作者 | Author | 单位 | Address | E-Mail |
| 时利军 |
SHI Li-jun |
北京协和医院研究生院中日友好医院骨科, 北京 100029 |
Department of Orthopaedics, Graduate School of Peking Union Medical College, China-Japan Friendship Hospital, Beijing 100029, China |
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| 李腾奇 |
LI Teng-qi |
北京大学中日友好临床医学院骨科, 北京 100029 |
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| 徐鑫 |
XU Xin |
北京协和医院研究生院中日友好医院骨科, 北京 100029 |
Department of Orthopaedics, Graduate School of Peking Union Medical College, China-Japan Friendship Hospital, Beijing 100029, China |
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| 王培旭 |
WANG Pei-xu |
北京协和医院研究生院中日友好医院骨科, 北京 100029 |
Department of Orthopaedics, Graduate School of Peking Union Medical College, China-Japan Friendship Hospital, Beijing 100029, China |
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| 李智卓 |
LI Zhi-zhuo |
北京大学中日友好临床医学院骨科, 北京 100029 |
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| 高福强 |
GAO Fu-qiang |
北京协和医院研究生院中日友好医院骨科, 北京 100029
中日友好医院骨坏死与关节保留重建中心, 北京 100029 |
Department of Orthopaedics, Graduate School of Peking Union Medical College, China-Japan Friendship Hospital, Beijing 100029, China |
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| 孙伟 |
SUN Wei |
北京协和医院研究生院中日友好医院骨科, 北京 100029
中日友好医院骨坏死与关节保留重建中心, 北京 100029 |
Department of Orthopaedics, Graduate School of Peking Union Medical College, China-Japan Friendship Hospital, Beijing 100029, China |
zrsunwei@163.com |
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| 期刊信息：《中国骨伤》2021年，第34卷，第12期，第1158-1164页 |
| DOI：10.12200/j.issn.1003-0034.2021.12.013 |
| 基金项目:国家自然科学基金（编号：81672236，82072524）；北京协和医学院研究生创新基金（编号：2019-2002-91） |
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中文摘要:
目的：探讨聚焦式体外冲击波联合离心锻炼治疗股骨大转子疼痛综合征的临床疗效。
方法：2017年9月至2019年6月，将符合研究标准的53例股骨大转子疼痛综合征（greater trochanteric pain syndrome，GTPS）的患者分为观察组（29例）和对照组（24例）。观察组，男8例，女21例，年龄38~62（49.96±6.39）岁，病程6~13（8.58±1.99）个月，采用聚焦式体外冲击波联合离心锻炼治疗；对照组，男5例，女19例，年龄39~62（52.79±5.86）岁，病程6~14（9.04±2.51）个月，单纯采用离心锻炼治疗。分别使用疼痛视觉模拟评分（visual analogue scale，VAS）和髋关节Harris评分评估两组患者治疗前及治疗后1、2、6个月时髋部疼痛缓解程度及髋关节功能恢复情况，比较治疗效果。
结果：治疗后1个月，两组VAS、髋关节Harris评分及治疗成功率比较差异无统计学意义（P>0.05）；2个月时，观察组VAS （3.20±0.81）分低于对照组的（3.87±0.61）分（P<0.05），髋关节Harris评分（81.93±2.43）分与对照组（82.12±2.34）分比较差异无统计学意义（P=0.770），治疗成功率（58.62%，17/29）高于对照组（29.16%，7/24）（P=0.032）；6个月时，观察组VAS （2.24±0.68）分低于对照组的（3.12±0.53）分（P<0.001），髋关节Harris评分（85.10±1.75）分高于对照组的（83.66±1.78）分（P=0.005），治疗成功率（82.75%，24/29）与对照组（62.50%，15/24）比较差异无统计学意义（P=0.096）。
结论：聚焦式体外冲击波联合离心锻炼能够显著缓解大转子疼痛综合征患者髋部疼痛症状，改善髋关节功能，安全性可靠，值得在临床实践中应用推广。 |
| 【关键词】体外冲击波疗法 自体锻炼 髋关节 大转子疼痛综合征 |
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| Focused extracorporeal shock wave therapy with centrifugal exercise for the treatment of greater trochanteric pain syndrome |
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ABSTRACT
Objective: To explore the clinical efficacy of focused extracorporeal shock wave therapy with centrifugal exercise in the treatment of greater trochanteric pain syndrome.
Methods: From September 2017 to June 2019,53 eligible cases of greater trochanteric pain syndrome were randomly divided into observation group (29 cases) and control group (24 cases). In observation group,there were 8 males and 21 females,aged from 38 to 62 years old with an average of (49.96±6.39) years old;the course of disease ranged from 6 to 13 months with an average of(8.58±1.99) months;treated with focused extracorporeal shock wave therapy with centrifugal exercise. In control group,there were 5 males and 19 females,aged from 39 to 62 years old with an average of(52.79±5.86) years old;the course of disease ranged from 6 to 14 months with an average of(9.04±2.51) months;treated with centrifugal exercise alone. Visual analogue scale (VAS) and hip Harris score were measured before ESWT treatment and at 1,2,and 6 months to evaluate relieve degree of pain and functional recovery of hip joint,respectively.
Results: At 1 month after treatment,there were no significant differences in VAS,hip Harris score and treatment success rate (all P>0.05). At 2 months after treatment,VAS score in observation group(3.20±0.81) was lower than that of control group (3.87±0.61,P=0.002),there were no significant differences in hip Harris score score between observation group (81.93±2.43) and control group (82.12±2.34,P=0.770),the treatment success rate in observation group (58.62%,17/29) was higher than that of control group (29.16%,7/24) (P=0.032). At 6 months after treatment,VAS score in observation group (2.24±0.68) was lower than that of control group (3.12±0.53,P<0.001),hip Harris score score in observation group(85.10±1.75) was higher than that of control group (83.66±1.78)(P=0.005),there were no significant differences in treatment success rate between observation group(82.75%,24/29) and control group(62.50%,15/24)(P=0.096).
Conclusion: In treatment of greater trochanteric pain syndrome,focused extracorporeal shock wave therapy with centrifugal exercise could significantly relieve symptoms of lateral hip pain,improve functional recovery of hip joint with good safety. This treatment strategy is worthy of application and promotion in clinical practice. |
| KEY WORDS Extracorporeal shockwave therapy Autogenic training Hip joint Greater trochanteric pain dyndrome |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 时利军,李腾奇,徐鑫,王培旭,李智卓,高福强,孙伟.聚焦式体外冲击波联合离心锻炼治疗大转子疼痛综合征[J].中国骨伤,2021,34(12):1158~1164 |
| 英文格式: | SHI Li-jun,LI Teng-qi,XU Xin,WANG Pei-xu,LI Zhi-zhuo,GAO Fu-qiang,SUN Wei.Focused extracorporeal shock wave therapy with centrifugal exercise for the treatment of greater trochanteric pain syndrome[J].zhongguo gu shang / China J Orthop Trauma ,2021,34(12):1158~1164 |
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