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体外冲击波结合揿针在肱骨外上髁炎中的疗效分析

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目的:探讨体外冲击波结合揿针在肱骨外上髁炎中的疗效.方法:选取2019年9月—2022年9月湖南中医药高等专科学校附属第一医院收治的60例肱骨外上髁炎患者作为研究对象,采用随机数表法将其分为研究组与对照组,每组各30例.对照组患者采用体外冲击波治疗,研究组患者采用体外冲击波结合揿针治疗.评价两组患者临床疗效、疼痛程度[视觉模拟量表(VAS)]、肘关节功能(Mayo肘关节功能评分)及日常生活活动能力(Barthel指数评分量表).结果:研究组患者临床疗效优于对照组(x2=4.320,P<0.05).治疗后1周及1个月,两组患者VAS评分均降低,且研究组低于对照组,差异有统计学意义(F=42.79、535.80,P<0.05).治疗后1周及1个月,两组患者Mayo肘关节功能各维度评分均升高,且研究组高于对照组,差异有统计学意义(F=13.96、17.33、23.32、15.24、143.00、102.90、65.81、187.30,P<0.05).治疗后1周及1个月,两组患者Barthel指数评分均升高,且研究组高于对照组,差异有统计学意义(F=79.41、15.06,P<0.05).结论:体外冲击波结合揿针治疗肱骨外上髁炎疗效显著,可有效减轻患者的疼痛,改善患者的肘关节功能,提高患者的日常生活活动能力.
Effect of Extracorporeal Shock Wave Combined with Pressing Needle on Lateral Humeral Epicondylitis
Objective:To investigate the curative effect of external shock wave combined with pressing needle in the treatment of lateral humeral epicondylitis.Methods:60 patients with lateral humeral epicondylitis admitted to the hospital from September 2019 to September 2022 were divided into two groups according to the random number table method.30 patients in the control group were treated with external shock wave therapy,while 30 patients in the research group were treated with external shock wave therapy combined with pressing needle therapy.The clinical efficacy,degree of pain,elbow joint function(Mayo Elbow Joint Function),and activities of daily living(Barthel Index)were evaluated.Results:The clinical efficacy of the study group was better than that of the control group(x2=4.320,P<0.05).After 1 week and 1 month of treatment,the visual analogy scale(VAS)scores of both groups decreased,and the study group was lower than the control group(F=42.79,535.80;P<0.05).1 week and 1 month after treatment,the Mayo Elbow Joint Function scores and Barthel Index scores of both groups increased,and the study group was higher than the control group(F=13.96,17.33,23.32,15.24,143.00,102.90,65.81,187.30,79.41,15.06;P<0.05).Conclusion:ESW combined with pressing needle treatment of lateral humeral epicondylitis is effective.It can effectively reduce the pain of patients,improve elbow function,and improve the ability of daily living of patients.

Lateral humeral epicondylitisExtracorporeal shock wavePressing needleDegree of painInflammatory markers

苏华新、唐森、周蝶

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湖南中医药高等专科学校附属第一医院康复科,湖南 株洲 412000

肱骨外上髁炎 体外冲击波 揿针 疼痛程度 炎症指标

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(20)