摘要
目的:探讨穴位贴敷疗法联合体外冲击波(ESWT)治疗肱骨外上髁炎的临床疗效。方法:选取2021年6月至2021年10月治疗的60例肱骨外上髁炎患者,按照随机数字表法分为对照组和观察组各30例。对照组常规使用体外冲击波治疗,观察组在对照组的基础上联合穴位贴敷疗法进行治疗。治疗前和治疗3周、5周后分别采用视觉模拟评分(VAS)、上肢功能(Upper Limb Function Score,DASH)评分及病患网球肘评价(PRTEE)对两组患者进行比较评估,并记录总有效率及不良反应事件。结果:治疗前两组患者VAS评分、DASH评分、PRTEE评分比较,差异均无统计学意义(P>0.05);治疗3周及5周后,观察组患者VAS评分、PRTEE评分改善均优于对照组,差异均有统计学意义(P<0.05);而上肢功能评分方面,治疗3周后两组评分差异无统计学意义(P>0.05),但治疗5周后观察组患者优于对照组,差异均有统计学意义(P<0.05)。结论:穴位贴敷疗法联合体外冲击波治疗肱骨外上髁炎效果显著,能够缓解疼痛,促进肘关节功能恢复,可在临床推广使用。
Objective:To explore the clinical efficacy of acupoint application combined with extracorporeal shock wave therapy(ESWT)on the treatment of lateral epicondylitis.Methods:A total of 60 patients with lateral epicondylitis were randomly divided into control group(n=30)and observation group(n=30)from June 2021 to October 2021.The control group was treated with extracorporeal shock wave therapy,and the observation group was treated with acupoint application therapy on the basis of the control group.Visual analogue scale(VAS),upper limb function score(DASH)and patient-rated tennis elbow evaluation(PRTEE)were recorded before treatment and 3 and 5 weeks after treatment respectively,and the total effective rate and adverse events were recorded.Results:Before treatment,there was no significant difference in VAS scores,DASH scores and PRTEE scores between the two groups(P>0.05),the VAS scores and PRTEE scores in the observation group were significantly better than those in the control group(P<0.05),while the DASH scores was significantly higher than that in the control group(P<0.05),there was no significant difference between the two groups(P>0.05),but the observation group was better than the control group after 5 weeks of treatment,the difference was statistically significant(P<0.05).Conclusion:Acupoint application combined with extracorporeal shock wave therapy is effective on the treatment of lateral epicondylitis,which can effectively relieve pain and promote the recovery of elbow function.
作者
何国文
高大伟
胡栢均
陈亮
黄益辉
吴宇峰
甘福开
梁华辉
HE Guowen;GAO Dawei;HU Baijun;CHEN Liang;HUANG Yihui;WU Yufeng;GAN Fukai;LIANG Huahui(Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine,Zhongshan 528400,Guangong China)
出处
《中国中医骨伤科杂志》
CAS
2022年第7期61-64,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
中山市社会公益与基础研究项目(2020SYF03)
中山市科技局项目(2016F2FC0019)
广东省卫健委医学科学技术研究项目(A2019306)。
关键词
穴位贴敷
体外冲击波
肱骨外上髁炎
网球肘
临床疗效
acupoint application
extracorporeal shock wave
lateral epicondylitis
tennis elbow
curative effect
