| 郑英,台杰,刘俊娥.温针灸联合体外冲击波治疗肱骨外上髁炎的临床效果分析[J].安徽医药,2023,27(1):121-124. |
| 温针灸联合体外冲击波治疗肱骨外上髁炎的临床效果分析 |
| Analysis of the clinical effect of warm needling moxibustion combined with extracorporeal shock wave in the treatment of external humeral epicondylitis |
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| DOI：10.3969/j.issn.1009-6469.2023.01.027 |
| 中文关键词: 网球肘 高能量冲击波 温针灸 疼痛 肘关节功能 白细胞介素 -1β C-反应蛋白 肿瘤坏死因子 -α |
| 英文关键词: Tennis elbow High-energy shock waves Warm acupuncture Pain Elbow joint function Interleukin-1β C-reactive protein Tumor necrosis factor-α |
| 基金项目:山东省医药卫生科技计划项目( 201907088L) |
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| 中文摘要: |
| 目的分析温针灸联合体外冲击波疗法(ESWT)治疗肱骨外上髁炎(EHE)的临床效果。方法 2018年 7月至 2021年 1月对聊城市第二人民医院收治的 EHE病人开展前瞻性研究，利用优效性检验样本量估算样本量。将纳入的 128例对象按随机数字表法划分至两组内。完成临床试验 123例，其中单一组 61例，实施 ESWT治疗；联合组 62例实施温针灸联合 ESWT治疗。治疗 4周后评估两组疗效，于治疗前、治疗 4周后评定两组疼痛、肘关节功能，并采血检测血清白细胞介素 -1β(IL-1β)、 C-反应蛋白(CRP)、肿瘤坏死因子 -α(TNF-α)等炎性因子水平。结果联合组治疗总有效率为 93.55%，明显较单一组的 75.41%高(P<0.05)；治疗后，两组 SF-McGill评分及血清 IL-1β、CRP、TNF-α水平均明显降低(均 P<0.05)，且联合组 SF-McGill评分(9.84±2.76)分、血清 IL-1β水平( 32.51±3.20)ng/L、CRP水平( 9.15±2.76)mg/L、TNF-α水平( 23.79±3.84)ng/L均明显较单一组( 15.51±3.24)分、(41.05±4.32)ng/L、(15.07±3.24)mg/L、(36.71±4.13)ng/L低(均 P<0.05)；治疗后，两组 Mayo肘关节功能评分系统(MEPS)均明显增高(均 P <0.05)且联合组 MEPS评分(84.23±8.16)分明显较单一组的(72.06±7.14)分高(P<0.05)。结论 ESWT联合温针灸较单纯应用ESWT治疗，EHE效果更佳，可更为有效地减轻病人炎症反应，缓解疼痛症状，改善肘关节活动度。 |
| 英文摘要: |
| Objective To analyze the clinical effect of warm needling moxibustion combined with extracorporeal shock wave therapy(ESWT) in the treatment of external humeral epicondylitis (EHE).Methods The subjects of the study were EHE patients admitted toThe Second People′s Hospital of Liaocheng City, from July 2018 to January 2021 were prospectively study, and the sample size of the superiority test was used to estimate the sample size. 128 cases were included. The included subjects were randomly assigned into twogroups according to the random number table method. 123 cases were completed clinical trials, of which 61 cases in the single group re·ceived ESWT treatment; 62 cases in the combined group received warm acupuncture combined with ESWT treatment. After 4 weeks oftreatment, the curative effects of the two groups were evaluated, before and after 4 weeks of treatment, the pain and elbow joint functionof the two groups were evaluated, and blood was collected to detect the levels of inflammatory factors such as serum interleukin-1β (IL1β), C-reactive protein (CRP), and tumors necrosis factor-α (TNF-α). Results The total effective rate in combination group was 93.55%, which was significantly higher than 75.41% in single group (P<0.05); after treatment, SF-McGill score and serum IL-1β, CRP and TNF-α levels in two groups were significantly decreased (all P<0.05), and the sF-McGill score (9.84±2.76) points, serum IL-1β level (32.51±3.20) ng/L, CRP level (9.15±2.76) mg/L and TNF-α level (23.79±3.84) ng/L of the combined group were significantly higher thanthose in the single group (15.51±3.24) points, (41.05±4.32) ng/L, (15.07±3.24) mg/L, (36.71±4.13) ng/L (all P<0.05); after treatment, the Mayo elbow joint function scoring system (MEPS) of the two groups was significantly increased (all P<0.05), and the MEPS score (84.23±8.16) points of the combined group was significantly higher than that of the single group (72.06±7.14) points (P<0.05).Conclusion ESWT combined with warm acupuncture is more effective than ESWT alone in the treatment of EHE, which can more effectively reduce patients′ inflammatory response, relieve pain symptoms and improve the range of motion of the elbow joint. |
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