摘要
目的 评价拨筋归槽手法配合舒筋活血洗方外洗治疗肱骨外上髁炎（lateral epicondylitis,LE）的疗效.方法 将符合入选标准的150例LE患者随机分为2组,每组75例.治疗组给予拨筋归槽手法＋舒筋活血洗方外洗;对照组给予体外冲击波治疗＋舒筋活血洗方外洗.2组均治疗3个月.采用国际SF-McGill量表进行总分测评,以及VAS、现时疼痛强度（present pain intensity,PPI）、疼痛评估指数（pain rating index,PRI）评分,评价临床疗效.结果 治疗组总有效率为92.0%（69/75）、对照组为80.0%（60/75）,2组比较差异有统计学意义（χ2=8.339,P=0.039）.治疗组SF-McGill疼痛问卷总分治疗后[（26.3±9.9）分比（29.4±8.8）分,t=-4.183]、治疗后1个月[（20.5±7.7）分比（25.6±6.9）分,t=-3.954]、治疗后3个月[（14.4±8.0）分比（18.3±6.7）分,t=-4.031]均低于对照组（P〈0.05）;治疗组VAS评分治疗后[（4.9±1.4）分比（5.8±1.3）分,t=-4.631]、治疗后1个月[（3.0±1.0）分比（4.1±1.2）分,t=-3.752]、治疗后3个月[（2.3±1.0）分比（3.0±1.3）分,t=-4.350]均低于对照组（P〈0.05）;治疗组PPI评分治疗后[（2.4±0.6）分比（3.1±0.5）分,t=-7.528]、治疗后1个月[（1.8±0.6）分比（2.5±0.7）分,t=-6.630]、治疗后3个月[（1.1±0.4）分比（1.9±0.7）分,t=-3.425]均低于对照组（P〈0.05）;治疗组PRI评分治疗后[（19.5±8.0）分比（22.3±5.7）分,t=-3.574]、治疗后1个月[（13.7±4.7）分比（17.3±5.3）分,t=-3.985]、治疗后3个月[（9.3±6.6）分比（12.5±4.8）分,t=-1.270]均低于对照组（P〈0.05）.结论 拨筋归槽手法配合舒筋活血洗方外洗可改善LE患者临床症状,提高临床疗效.
Objectives In order to evaluate the clinical effect of manipulation combined with traditional Chinese medicine for the lateral epicondylitis.Methods A total of 150 patients with lateral epicondylitis were randomly divided into two groups, 75 patients in each group. The treatment group received manipulation combined with the TCM herbal bathing decoction, and the control group received the shock wave therapy and TCM herbal bathing decoction. Two groups were treated for 3 months. The SF-McGill scale, VAS, PPI, PRI were measured, and the clinical curative effect rate was assessed after treatment.Results The total effective rate of the treatment group was 92.0% （69/75）, and the control group was 80.0% （60/75）. There was statistical significant difference between two groups （χ2=8.339,P=0.039）. The SF-McGill pain questionnaire scores, after treatment （26.3 ± 9.9vs. 29.4 ± 8.8, t=-4.183）, one month after treatment （20.5 ± 7.7vs. 25.6 ± 6.9, t=-3.954）, and 3 months after treatment （14.4 ± 8.0vs. 18.3 ± 6.7,t=-4.031） in the treatment group were significantly lower than those in the control group （P〈0.05）. The VAS scores after treatment （4.9 ± 1.4vs. 5.8 ± 1.3,t=-4.631）, one month after treatment （3.0 ± 1.0vs. 4.1±1.2,t=-3.752）, and three months after treatment （2.3 ± 1.0vs. 3.0 ± 1.3,t=-4.350） in the treatment group were significantly lower than those in the control group （P〈0.05）. The PPI score after treatment （2.4 ± 0.6vs. 3.1 ± 0.5,t=-7.528）, one month after treatment （1.8 ± 0.6 vs. 2.5 ± 0.7,t=-6.630）, and 3 months after treatment （1.1 ± 0.4vs. 1.9 ± 0.7,t=-3.425） in the treatment group were significantly lower than those in the control group （P〈0.05）. The PRI score after treatment （19.5 ± 8.0vs. 22.3 ± 5.7,t=-3.574）, one month after treatment （13.7 ± 4.7vs. 17.3 ± 5.3,t=-3.985）, and three months after treatment （9.3 ± 6.6vs. 12.5 ± 4.8,t=-1.270） in the treatment group were significantly lower than those in the control group （P〈0.05）.Conclusions The Manipulation combined with traditional Chinese medicine bathing therapy can relief the symptoms of lateral epicondylitis, and improve the clinical curative effect.
作者
王雷
苏露煜
葛宏升
王晓玲
Wang Lei Su Luyi Ge Hongsheng Wang Xiaoling(The Affiliated Hospital of Shanxi University of Chinese Medicine, Xianyang 712000, China)
出处
《国际中医中药杂志》
2017年第4期316-320,共5页
International Journal of Traditional Chinese Medicine
关键词
肱骨外上髁炎
手法
整骨
活血舒筋
外用药
临床研究
Lateral epicondylitis
Manipulation
osteopathic
Activating blood and relaxing muscle-tendon
External application drugs
Clinical study
