【摘要】 目的：观察内热针配合髋关节灌注治疗髋关节滑膜炎的临床效果。方法：回顾性分析2015年7月-2018年7月在咸宁市中心医院康复医学、疼痛科治疗的60例成人髋关节滑膜炎患者，将其按照治疗方式的不同分为两组，治疗组30例采用内热针配合关节腔灌注甲氨蝶呤治疗，对照组30例采用关节腔灌注甲氨蝶呤治疗，两组均以治疗1次为1个治疗周期，观察比较两组临床疗效、疼痛明显缓解时间及VAS评分。结果：治疗组疼痛明显缓解时间为(3.10±0.50)d，对照组疼痛明显缓解时间为(7.40±2.50)d，组间比较差异有统计学意义(P<0.05)。治疗后，治疗组VAS评分低于对照组，差异有统计学意义(P<0.05)。治疗组治疗总有效率为93.33%，对照组治疗总有效率为80.00%，治疗组治疗总有效率优于对照组，差异有统计学意义(P<0.05)。结论：内热针配合髋关节灌注甲氨蝶呤治疗髋关节滑膜炎效果显著，值得临床应用与推广。

    【关键词】 髋关节滑膜炎; 内热针; 关节腔灌注; 甲氨蝶呤

    【Abstract】 Objective：To observe the clinical effect of internal heat needle combined with hip joint perfusion in the treatment of hip synovitis.Method：A retrospective analysis of 60 adult patients with hip synovitis treated in rehabilitation medicine and pain department of our hospital from July 2015 to July 2018 were enrolled.They were divided into two groups according to different treatment methods.30 patients in the treatment group were treated with internal heat needle combined with joint cavity perfusion of Methotrexate ......