首页|拔戳揉捻手法联合功能锻炼治疗肱骨外上髁炎的临床研究

拔戳揉捻手法联合功能锻炼治疗肱骨外上髁炎的临床研究

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目的:观察拔戳揉捻手法联合功能锻炼治疗肱骨外上髁炎的临床疗效。方法:选取2020年9月至2022年9月就诊的肱骨外上髁炎患者64例,随机分为治疗组与对照组,每组各32例,治疗组用拔戳揉捻手法联合肘关节锻炼治疗,对照组用扶他林外用联合护肘治疗,治疗4周后对比两组患者疗效、疼痛视觉模拟量表(VAS)评分、引发患肘压痛值、美国特种外科医院(HHS)量表及HHS2自评分量表结局指标差异,治疗结束1个月与3个月后随访,观察患者不良反应发生情况。结果:治疗4周后,治疗组临床总有效率为96。9%,对照组总有效率为78。1%。1个月和3个月后随访总有效率分别为93。8%和78。1%,对照组随访总有效率分别为71。9%和53。1%,均优于对照组总有效率,两组差异有统计学意义(P<0。05);在VAS评分、引发患肘压痛值及HHS量表评分改善方面治疗组均较对照组明显,差异有统计学意义(P<0。05)。研究过程中患者未发生不良反应。结论:拔戳揉捻手法联合功能锻炼治疗肱骨外上髁炎疗效显著,能减少症状中远期复发,缓解患者肘部疼痛,提升患者生活质量,安全性好,可推荐临床应用。
Efficacy Observation of the Bachuo Rounian Manipulation and Function Exercise on Treatment of External Humeral Epicondylitis
Objective:To observe the clinical efficacy of the Bachuo Rounian manipulation and function exercise on treat-ment of external humeral epicondylitis.Methods:64 patients with external humeral epicondylitis from September 2020 to September 2022 were included in the study,randomly assign 32 patients to the treatment group and the control group,the treatment group was treated by Bachuo Rounian manipulation combined with elbow joint functional exercise,while the control group was treated by Voltaalin ointment combined with elbow-guard and rest.The clinical efficacy,visual analogue scale(VAS)score,the number of elbow tenderness,Hospital for special surgery(HHS)score scale and HHS2 self-scoring scale were compared between the two groups after 4 weeks of continuous treatment.The follow-up efficacy was performed 1 month and 3 months after the end of treatment,the occurrence of adverse reactions in the whole process of the study was observed.Results:The last effective rate was 96.9%in the treatment group after 4 weeks of treatment,the last effective rate of control group was 78.1%,and the last effective rate of treatment group is 93.8%and 78.1%in the follow-up after 1 and 3 months.Compare with the last effec-tive rate of control group after 1 and 3 months is 71.9%and 53.1%,and the difference was statistically significant.Com-pared with the control group,the improvement of VAS score,trigger elbow pain value and HHS score in the treat-ment group was significant.No adverse reactions were found during the study period.Conclusion:The Bachuo Rounian manipulation combined with functional exercise on the treatment of external humeral epicondylitis has significant clinical efficacy,which can effectively reduce the probability of long-term recurrence of symptoms,effectively relieve the elbow pain symptoms of patients,improve the quality of life of patients,and good treatment safety.It can be recommended for clinical use.

Bachuo Rounian manipulationfunction exerciseexternal humeral epicondylitisrandomized controlled trial

殷京、白罡、刘立永、池春丽、张海云、于长岁、谷金玉、张清

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首都医科大学电力教学医院(北京,100073)

中国中医科学院望京医院

拔戳揉捻手法 功能锻炼 肱骨外上髁炎 随机对照试验

首都特色发展专项中央级公益性科研院所基本科研业务项目首都医科大学电力教学医院科技项目

2018-2-4162ZZ-15-XY-PT-12Y2022007

2024

中国中医骨伤科杂志
中华中医药学会,湖北省中医药研究院

中国中医骨伤科杂志

CSTPCD
影响因子:0.732
ISSN:1005-0205
年,卷(期):2024.32(1)
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