体外冲击波治疗联合常规康复对髋关节撞击综合征的疗效

Therapeutic efficacy of extracorporeal shock wave therapy combined with routine rehabilitation on femoroacetabular impingement

目的探讨体外冲击波治疗(ESWT)联合常规康复对髋关节撞击综合征(FAI)的疗效。方法选取2021年1月至2022年10月就诊于天津市河西区康复医院的FAI患者82例,应用随机数字表随机分为对照组与试验组,每组各41例。对照组予以常规康复,试验组在常规康复基础上予以ESWT治疗,两组均连续治疗8周。比较两组临床疗效,于治疗前后行视觉模拟评分(VAS)、Harris髋关节功能量表(HHS)以及髋关节肌力[屈伸峰力矩(PT)]的测评,并行血清白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)的测定。结果试验组总有效率为95.12%,与对照组的73.17%相比较高,差异有统计学意义(P<0.05)。治疗后,试验组VAS评分显著低于对照组(P<0.05),HSS评分显著高于对照组(P<0.05)。治疗后,试验组屈髋、伸髋PT值显著高于对照组(P<0.05)。治疗后,试验组血清IL-1β、IL-6水平显著低于对照组(P<0.05)。结论对于FAI患者,ESWT联合常规康复能够更有效地减轻疼痛症状,改善患者髋关节肌力和功能,抑制炎症因子表达,提高疗效。

Objective To investigate the therapeutic efficacy of extracorporeal shock wave therapy(ESWT)combined with routine rehabilitation on femoroacetabular impingement(FAI).Methods From January 2021 to October 2022,82 patients with FAI treated in Hexi District Rehabilitation Hospital of Tianjin were recruited and randomly divided into control group and experimental group,with 41 cases in each group.Routine rehabilitation was given to all patients,and ESWT was additionally given to those of the experimental group.A 8-week treatment was performed.Therapeutic efficacy of the two groups was compared.Before and after treatment,visual analogue scale(VAS)scores,Harris hip score(HHS),peak torque(PT)values of hip flexion and extension,and serum levels of interleukin-1β(IL-1β)and interleukin-6(IL-6)were measured.Results The total effective rate in the experimental group was significantly higher than that in the control group(95.12%VS 73.17%,P<0.05).After treatment,significantly lower VAS and higher HSS were detected in the experimental group than those in the control group(both P<0.05).After treatment,PT values of hip flexion and extension in the experimental group were significantly higher than those in the control group(P<0.05).Serum levels of IL-1βand IL-6 in the experimental group were significantly lower than those in the control group(P<0.05).Conclusion For FAI patients,ESWT combined with routine rehabilitation can more effectively relieve pain symptoms,improve hip muscle strength and function,inhibit the expressions of inflammatory factors,and enhance the efficacy.