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五步松筋正骨手法联合截血膏治疗网球肘临床观察

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目的 观察五步松筋正骨手法联合截血膏治疗网球肘的临床疗效.方法 将我院96例网球肘患者随机分为治疗组与对照组各48例.对照组应用扶他林治疗,治疗组应用五步松筋正骨手法联合截血膏治疗.治疗后比较两组中医症候疗效及视觉模拟评分(VAS)、压力疼痛感觉阈(PPT)、无痛握力(PFG)、前臂腕伸肌肌力、Mayo肘关节功能(Mayo)、日常生活能力(ADL)评分,比较治疗后1个月复发率、优良率.结果 治疗后,治疗组临床总有效率显著高于对照组(P<0.05);两组前臂内、外旋VAS评分低于治疗前,治疗组前臂内、外旋VAS评分低于对照组(P<0.05);两组PPT、PFG高于治疗前,治疗组PPT、PFG高于对照组(P<0.05);两组前臂腕伸肌肌力、Mayo、ADL评分高于治疗前,治疗组前臂腕伸肌肌力、Mayo、ADL评分高于对照组(P<0.05).治疗后1个月,治疗组复发率显著低于对照组(P<0.05);治疗组优良率显著高于对照组(P<0.05).结论 五步松筋正骨手法联合截血膏治疗网球肘,明显提高临床疗效,降低疼痛,提高压力疼痛感觉阈、握力、肌力,改善肘关节功能和生活能力,降低复发率,提高优良率.
Clinical observation on five-step muscle relaxation and bone setting technique combined with Jiexue Cream in treatment of tennis elbow
Objective To observe the clinical efficacy of five-step muscle relaxation and bone setting technique combined with Jiexue Cream in treatment of tennis elbow.Methods A total of 96 patients with tennis elbow were randomly divided into treatment group and control group,with 48 cases in each group.Control group was treated with voltarin,and treatment group was treated with five-step muscle relaxation and bone setting technique combined with Jiexue Cream.The efficacy of TCM syn-dromes,Visual Analogue Scale(VAS),pressure and pain sensory threshold(PPT),painless grip strength(PFG),forearm wrist extensor muscle strength,Mayo elbow function(Mayo)and ability of daily living(ADL)scores of the two groups were compared after treatment;the recurrence rate and excellent and good rate of the two groups at one month after treatment were compared.Results After treatment,the total clinical effective rate of treatment group was significantly higher than that of control group(P<0.05);the VAS scores in both groups were lower than those before treatment,and were lower in treatment group than those in control group(P<0.05);the PPT and PFG of both groups were higher than those before treatment,and were higher in treatment group than those in control group(P<0.05);the scores of forearm wrist extensor muscle strength,Mayo,and ADL in both groups were higher than those before treatment,and were higher in treatment group than those in control group(P<0.05).One month after treatment,the recurrence rate of treatment group was significantly lower than that of control group(P<0.05);the excellent rate of treatment group was significantly higher than that of control group(P<0.05).Conclusion five-step muscle relaxation and bone setting technique combined with Jiexue Cream significantly enhances clinical efficacy,reduceds pain,improves pressure pain sensation threshold,grip strength,and muscle strength,improves elbow joint function and living ability,reduces recurrence rate,and increases excellent rate in treatment of tennis elbow.

Tennis elbowFive-step muscle relaxation and bone setting techniqueJiexue CreamClinical efficacy

李冬

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武汉市中医医院,湖北武汉 430014

网球肘 五步松筋正骨手法 截血膏 临床疗效

武汉市卫生健康委医学科研项目

WZ20D09

2024

湖北中医药大学学报
湖北中医药大学

湖北中医药大学学报

CSTPCD
影响因子:0.873
ISSN:1008-987X
年,卷(期):2024.26(4)