[1]庄至坤,郭金花,赵岩,等.股骨头坏死髋关节疼痛和活动度与ARCO分期的相关性分析[J].中医正骨,2020,32(01):21-24.
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股骨头坏死髋关节疼痛和活动度与ARCO分期的相关性分析()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期数:
2020年01期
页码:
21-24
栏目:
专家述评
出版日期:
2020-01-20

文章信息/Info

作者:
庄至坤1; 郭金花1; 赵岩2; 薛志鹏2; 陈卫衡3
(1.泉州市正骨医院,福建 泉州 362000; 2.中国中医科学院望京医院,北京 100102; 3.北京中医药大学第三附属医院,北京 100029)
关键词:
股骨头坏死;  髋关节;  疼痛;  关节活动度;  ARCO分期;  数据库
摘要:
目的:分析股骨头坏死髋关节疼痛和活动度与ARCO分期的相关性。方法:从中国股骨头坏死数据库(China osteonecrosis of the femoral head database,CONFHD)中提取2016年7月至2018年12月就诊的ONFH患者的病例资料,提取年龄、ARCO分期、髋关节疼痛视觉模拟量表(visual analogue scale,VAS)评分、髋关节活动度等信息。提取的所有资料均为患者到CONFHD参与医院初次就诊时的资料。分析髋关节疼痛VAS评分和髋关节6个方向活动度与ARCO分期的相关性。结果:1590例ONFH患者的病例资料中同时录入了ARCO分期和髋关节疼痛VAS评分,涉及2429髋。患者的ARCO分期以Ⅱ、Ⅲ期为主,占71%。ONFH患者的髋关节疼痛VAS评分与ARCO分期呈正相关(rs=0.102,P=0.000),Ⅲ、Ⅳ期患者的髋关节疼痛VAS评分较为接近。1378例ONFH患者的病例资料中同时录入了ARCO分期和髋关节屈曲、后伸、内收、外展、内旋、外旋活动度,涉及2068髋。ONFH患者的髋关节屈曲、后伸、内收、外展、内旋、外旋活动度均与ARCO分期呈负相关(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)。结论:随着ARCO分期的增加,ONFH患者的髋关节疼痛程度随之增强,病变后期患者的髋关节疼痛趋于稳定; 髋关节各个方向的活动度随着ARCO分期的增加而下降。

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备注/Memo

备注/Memo:
(收稿日期:2019-08-23 本文编辑:李晓乐)基金项目:国家中医药管理局国家中医临床研究基地业务建设科研专项课题(JDZX2015272); 北京市自然科学基金项目(7182186)通讯作者:陈卫衡 E-mail:drchenweiheng@163.com
更新日期/Last Update: 2020-01-15