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[1]莊至坤,郭金花,趙巖,等.股骨頭壞死髖關(guān)節(jié)疼痛和活動度與ARCO分期的相關(guān)性分析[J].中醫(yī)正骨,2020,32(01):21-24.
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股骨頭壞死髖關(guān)節(jié)疼痛和活動度與ARCO分期的相關(guān)性分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期數(shù):
2020年01期
頁碼:
21-24
欄目:
專家述評
出版日期:
2020-01-20

文章信息/Info

作者:
莊至坤1; 郭金花1; 趙巖2; 薛志鵬2; 陳衛(wèi)衡3
(1.泉州市正骨醫(yī)院,福建 泉州 362000; 2.中國中醫(yī)科學院望京醫(yī)院,北京 100102; 3.北京中醫(yī)藥大學第三附屬醫(yī)院,北京 100029)
關(guān)鍵詞:
股骨頭壞死;  髖關(guān)節(jié);  疼痛;  關(guān)節(jié)活動度;  ARCO分期;  數(shù)據(jù)庫
摘要:
目的:分析股骨頭壞死髖關(guān)節(jié)疼痛和活動度與ARCO分期的相關(guān)性。方法:從中國股骨頭壞死數(shù)據(jù)庫(China osteonecrosis of the femoral head database,CONFHD)中提取2016年7月至2018年12月就診的ONFH患者的病例資料,提取年齡、ARCO分期、髖關(guān)節(jié)疼痛視覺模擬量表(visual analogue scale,VAS)評分、髖關(guān)節(jié)活動度等信息。提取的所有資料均為患者到CONFHD參與醫(yī)院初次就診時的資料。分析髖關(guān)節(jié)疼痛VAS評分和髖關(guān)節(jié)6個方向活動度與ARCO分期的相關(guān)性。結(jié)果:1590例ONFH患者的病例資料中同時錄入了ARCO分期和髖關(guān)節(jié)疼痛VAS評分,涉及2429髖。患者的ARCO分期以Ⅱ、Ⅲ期為主,占71%。ONFH患者的髖關(guān)節(jié)疼痛VAS評分與ARCO分期呈正相關(guān)(rs=0.102,P=0.000),Ⅲ、Ⅳ期患者的髖關(guān)節(jié)疼痛VAS評分較為接近。1378例ONFH患者的病例資料中同時錄入了ARCO分期和髖關(guān)節(jié)屈曲、后伸、內(nèi)收、外展、內(nèi)旋、外旋活動度,涉及2068髖。ONFH患者的髖關(guān)節(jié)屈曲、后伸、內(nèi)收、外展、內(nèi)旋、外旋活動度均與ARCO分期呈負相關(guān)(rs=-0.233,P=0.000; rs=-0.248,P=0.000; rs=-0.180,P=0.000; rs=-0.210,P=0.000; rs=-0.302,P=0.000; rs=-0.171,P=0.000)。結(jié)論:隨著ARCO分期的增加,ONFH患者的髖關(guān)節(jié)疼痛程度隨之增強,病變后期患者的髖關(guān)節(jié)疼痛趨于穩(wěn)定; 髖關(guān)節(jié)各個方向的活動度隨著ARCO分期的增加而下降。

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備注/Memo

備注/Memo:
(收稿日期:2019-08-23 本文編輯:李曉樂)基金項目:國家中醫(yī)藥管理局國家中醫(yī)臨床研究基地業(yè)務建設(shè)科研專項課題(JDZX2015272); 北京市自然科學基金項目(7182186)通訊作者:陳衛(wèi)衡 E-mail:[email protected]
更新日期/Last Update: 2020-01-15