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透明质酸注射液治疗慢性网球肘的效果

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目的 比较透明质酸注射和类固醇激素注射治疗慢性网球肘的临床效果.方法 回顾性分析2021年1月至2022年12月在河南省直第三人民医院接受注射药物治疗的80例慢性网球肘患者,根据注射药物不同,分为两组:透明质酸组36例;类固醇组44例.分别于治疗前、治疗后1个月、治疗后3个月及治疗后1 a采用疼痛视觉模拟评分(VAS)、Mayo肘关节评分进行疗效评价.结果 两组患者治疗后VAS评分下降,透明质酸组VAS评分在治疗后1个月、3个月及1 a后均优于治疗前(P<0.05).类固醇组VAS评分在治疗后1个月、3个月后优于治疗前(P<0.05).组间对比,透明质酸组VAS评分在治疗后1个月、3个月及1 a后均优于类固醇组(P<0.05).两组患者治疗后Mayo评分均升高.透明质酸组Mayo评分在治疗后1个月、3个月后优于治疗前(P<0.05).类固醇组在治疗后1个月优于治疗前(P<0.05).组间对比,透明质酸组Mayo评分在治疗后1个月、3个月及1 a后均优于类固醇组(P<0.05).结论 透明质酸和类固醇激素在痛点的局部注射被证明对治疗慢性网球肘有效,且透明质酸注射治疗在疼痛缓解和功能改善方面疗效更好且持久.
Curative Effect of Hyaluronic Acid Injection on Chronic Tennis Elbow
Objective To compare efficacy of hyaluronic acid injection and corticosteroid hormone injection in the treatment of chronic tennis elbow.Methods A retrospective analysis of 80 cases of chronic tennis elbow patients who underwent injection therapy at Henan Provincial Third People's Hospital from January 2021 to December 2022.Based on the different injection drugs,they were divided into two groups:the hyaluronic acid group with 36 cases,and the corticosteroid group with 44 cases.Pain visual analog scale(VAS)and Mayo elbow joint score were used for efficacy evaluation before treatment,1 month after treatment,3 months after treatment,and 1 year after treatment.Results The VAS scores of both groups decreased after treatment.The VAS scores in the hyaluronic acid group were better than those before treatment at 1 month,3 months,and 1 year after treatment(P<0.05).The VAS scores in the corticosteroid group were better than those before treatment at 1 month and 3 months after treatment(P<0.05).In comparison between groups,the VAS scores in the hyaluronic acid group were better than those in the corticosteroid group at 1 month,3 months,and 1 year after treatment(P<0.05).The Mayo scores of both groups increased after treatment.The Mayo scores in the hyaluronic acid group were better than those before treatment at 1 month and 3 months after treatment(P<0.05).The corticosteroid group was better than before treatment at 1 month after treatment(P<0.05).In comparison between groups,the Mayo scores in the hyaluronic acid group were better than those in the corticosteroid group at 1 month,3 months,and 1 year after treatment(P<0.05).Conclusion Local injection of hyaluronic acid and corticosteroid hormones at the pain point has been proven effective in treating chronic tennis elbow.Hyaluronic acid injection therapy is superior and more enduring in pain relief and functional improvement.

tennis elbowhyaluronic acidcorticosteroid hormoneclinical effect

徐冬利、李宽宽、刘强、刘长明、熊小云

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河南省直第三人民医院康复医学科,河南郑州 450006

河南省直第三人民医院椎间盘中心,河南郑州 450006

网球肘 透明质酸 类固醇激素 临床疗效

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(22)