[1]张一珺,吴金球,符晓燕,等.督灸联合穴位电刺激对老年骨质疏松性髋部骨折患者全髋关节置换术后的影响[J].西部中医药,2025,38(09):148-151.[doi:10.12174/j.issn.2096-9600.2025.09.29]
　ZHANG Yijun,WU Jinqiu,FU Xiaoyan,et al.Effects of Du Meridian Moxibustion Combined with TEAS on the Recovery of the Elderly Patients Suffering Osteoporotic Hip Fracture after Total Hip Arthroplasty[J].Western Journal of Traditional Chinese Medicine,2025,38(09):148-151.[doi:10.12174/j.issn.2096-9600.2025.09.29]
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督灸联合穴位电刺激对老年骨质疏松性髋部骨折患者全髋关节置换术后的影响()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年09期
页码:
148-151
栏目:
特色医疗
出版日期:
2025-09-15

文章信息/Info

Title:
Effects of Du Meridian Moxibustion Combined with TEAS on the Recovery of the Elderly Patients Suffering Osteoporotic Hip Fracture after Total Hip Arthroplasty
作者:
张一珺1, 吴金球2, 符晓燕1, 洪军1, 吴吉婷1
1.上海市第四康复医院，上海 200040
2.复旦大学附属华东医院，上海 200040
Author(s):
ZHANG Yijun1, WU Jinqiu2, FU Xiaoyan1, HONG Jun1, WU Jiting1
1.Shanghai Forth Rehabilitation Hospital, Shanghai 200040, China
2.Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China
关键词:
骨质疏松; 髋部骨折; 全髋关节置换术; 督灸; 穴位电刺激
Keywords:
osteoporosis; hip fracture; total hip arthroplasty; meridian moxibustion; transcutaneous electrical acupoint stimulation
分类号:
R274.9
DOI:
10.12174/j.issn.2096-9600.2025.09.29
文献标志码:
B
摘要:
目的探讨督灸联合穴位电刺激的综合护理对老年骨质疏松性髋部骨折患者全髋关节置换术（total hip arthroplasty，THA）后的影响。 方法选取髋部骨折行THA的患者70例，按照随机数字表法分为治疗组与对照组，每组35例。对照组THA术后行常规康复干预措施；治疗组于对照组基础上予督灸联合穴位电刺激的综合护理。干预3周后比较两组患者下床活动时间、术后负重时间、骨密度、髋关节功能、髋关节功能疗效。 结果治疗组患者下床行走时间、术后负重时间短于对照组（P＜0.01）；术后12周，两组患者腰椎（L2-L4）正位和股骨颈骨密度水平升高，治疗组高于对照组（P＜0.01）；干预3周、术后12周，两组患者Harris评分均高于术前，治疗组高于对照组（P＜0.01）；治疗组患者髋关节功能优良率为88.57%（31/35），高于对照组的62.86%（22/35）（P＜0.05）。 结论在常规康复干预的基础上，对老年骨质疏松性髋部骨折患者THA术后采用督灸联合穴位电刺激干预疗效更优，有利于病情康复，提高骨密度，促进髋关节功能恢复。
Abstract:
ObjectiveTo explore the influence of Du meridian moxibustion joined with transcutaneous electrical acupoint stimulation (TEAS) on the rehabilitation of the elderly patients with osteoporotic hip fracture after total hip arthroplasty (THA). MethodsSeventy patients who performed THA were chosen, and divided into the treatment group and the control group according to random number table method with 35 cases in each group. The control group accepted conventional rehabilitation interventions after THA, and the treatment group was given comprehensive nursing including Du meridian moxibustion and TEAS. To compare the time of off-bed activities, postoperative weight-bearing time, bone density, and hip joint function between both groups after three weeks of the intervention. ResultsThe treatment group was shorter than the control group in the time of off-bed activities and postoperative weight-bearing time (P<0.01); BMD levels of lumbar vertebrae (L2-L4) and femoral neck were elevated at 12 weeks after the operation, the treatment group was higher than the control group (P<0.01); Harris scores of the two groups after three weeks of the intervention and at 12 weeks after the operation were higher than these before the operation, and the treatment group was higher than the control group (P<0.01); the excellent rate of hip function of the treatment group was 88.57% (31/35), higher than 62.86% (22/35) of the control group (P<0.05). ConclusionOn the basis of conventional rehabilitation intervention, the combination of Du meridian moxibustion with TEAS given to the patient after THA could gain better clinical effects, which was conducive to the recovery of the disease, improve BMD and promote the recovery of hip function.

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备注/Memo

备注/Memo:
张一珺（1984—），女，主管护师。研究方向：骨与关节疾病的康复护理。Email：jojo84520@126.com。上海市静安区卫生科研课题计划（2018HL05）。
更新日期/Last Update: 2025-09-15