Clinical Observation of Acupotomy Release Therapy Under the Theory of Sinew Channels in the Treatment of Femoral Head Necrosis
10.13359/j.cnki.gzxbtcm.2025.06.016
- VernacularTitle:经筋理论下针刀松解治疗股骨头坏死的疗效观察
- Author:
Junren WANG
1
;
Lingjuan HU
;
Mei LIU
Author Information
1. 北京市和平里医院,北京 100102
- Keywords:
femoral head necrosis;
theory of sinew channels;
acupotomy release;
analgesia;
neurotransmitters;
clinical observation
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(6):1407-1412
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of acupotomy release therapy under the theory of sinew channels in the treatment of femoral head necrosis.Methods A total of 82 patients diagnosed with femoral head necrosis who underwent hip-preserving treatment at Beijing Hepingli Hospital from May 2020 to May 2023 were selected as the study subjects.The patients were randomly divided into an observation group and a control group using a random number table,with 41 patients in each group.The control group received hip joint rehabilitation training combined with sinew channel massage therapy,while the observation group received acupotomy release therapy under the theory of sinew channels in addition to the treatment given to the control group.for 6 months of treatment.Changes in the Visual Analogue Scale(VAS)scores of pain,hip joint range of motion,and Harris scores were observed before and after treatment.Additionally,serum levels of 5-hydroxytryptamine(5-HT),substance P(SP),calcitonin gene-related peptide(CGRP),and neuropeptide Y(NPY)were compared between the two groups before and after treatment.Results(1)After treatment,the VAS scores of both groups were significantly improved(P＜0.05),and the observation group showed significantly better improvement in VAS scores compared to the control group,with a statistically significant difference(P＜0.05).(2)After treatment,the hip joint range of motion improved significantly in both groups(P＜0.05),and the observation group showed significantly better improvement in hip joint range of motion compared to the control group,with a statistically significant difference(P＜0.05).(3)After treatment,the excellent and good rate of hip joint function in the observation group was 95.12%(39/41),while it was 78.05%(32/41)in the control group.The observation group had a significantly higher excellent and good rate of hip joint function compared to the control group,with a statistically significant difference(P＜0.05).(4)After treatment,the levels of 5-HT,SP,CGRP,and NPY improved significantly in both groups(P＜0.05),and the observation group showed significantly better improvement in these levels compared to the control group,with a statistically significant difference(P＜0.05).Conclusion Acupotomy release therapy under the theory of sinew channels in the treatment of femoral head necrosis can significantly alleviate pain symptoms and improve hip joint function in patients.Its analgesic mechanism may be related to the regulation of neurotransmitter levels and the restoration of their balance.
