血友病髂腰肌血肿的综合物理治疗1例报道

A case report of comprehensive physical therapy for hemophilia patient with iliopsoas hematoma

血友病是一组由于基因缺陷导致的先天性缺乏凝血因子Ⅷ或Ⅸ的遗传性出血性疾病〔1〕。肌肉或软组织出血在血友病患者中占10%~30%,髂腰肌出血在中重型患者中发生率为0.3%~13%,约有37%的患者并发有患侧股神经损伤〔2-3〕,表现为下腹部、髋部或下腰部疼痛、髋关节不能伸直以及股神经支配区域的感觉与运动功能发生障碍。

One iliopsoas hematoma patient with hemophilia for a period of 8weeks of comprehensive physical therapy,included factor replacement,physiotherapy and functional exercises.After treatment,swelling and soreness significantly reduced,hip flexion contracture disappeared and could supine,hip activity recovered to the level before the bleeding,the strength of quadriceps increased to 4＋,the superficial feeling of femoral media region still felt obstacles and obtained near normal walking gait.The comprehensive physical therapy of iliopsoas hematoma in hemophilic patient under the replacement therapy achieved better results.