揿针联合体外冲击波治疗顽固性肱骨外上髁炎的临床疗效观察

Clinical Observation of Press-needle Combined with Extracorporeal Shock Wave in the Treatment of Intractable External Humeral Epicondylitis

目的:应用激痛点理论,观察揿针联合体外冲击波治疗顽固性肱骨外上髁炎的临床疗效。方法:采用随机对照设计方法,将符合纳入标准的顽固性肱骨外上髁炎患者60例,分为试验组和对照组(每组30例),试验组为揿针联合体外冲击波组,对照组为单纯体外冲击波组。采用视觉模拟评分、Mayo肘关节功能评分表及Barthel指数评分量表作为评估量表,分别在治疗前及治疗后1周、1个月、3个月对两组进行评估。结果:揿针联合体外冲击波组和单纯体外冲击波组,在治疗后1周、1个月、3个月总有效率分别为100%,93.3%,86.7%和96.6%,90.0%,83.3%,经Kruskal-Wallis H检验,3个月后P<0.05,说明3个月后治疗效果差异有统计学意义。结论:揿针联合体外冲击波和单纯体外冲击波均可以改善顽固性肱骨外上髁炎患者疼痛,从长效角度来看,揿针联合体外冲击波效果优于单纯体外冲击波。

Objective:To observe the clinical efficacy of extracorporeal shock wave combined with press-needle in the treatment of intractable external humeral epicondylitis on the basis of shock point theory.Methods:60 cases with intractable external humeral epicondylitis were divided into the experimental group(30 cases)and the control group(30 cases)by the random experimental design.The combination of extracorporeal shock wave with press-needle were performed in the experimental group,and extracorporeal shock wave was given in the control group.Visual analogue score,the Mayo elbow function scale and Barthel index rating scale were used as the evaluation scale.The evaluations were carried out at the pretreatment,1 week,1 month,3 months post-treatment.Results:The total effective rates in the experimental group were100%,93.3%and 86.7%respectively at the 1 week,1 month,3 months post-treatment.Treatment effect statistically improved 3 months after treatment in accordance with the kruskal-wallis Htest(P<0.05).Conclusion:Extracorporeal shock wave combined with press-needle group and pure extracorporeal shock wave group both can improve the pain of refractory external humeral epicondylitis patients.From the perspective of long-term effect,extracorporeal shock wave combined with press-needle group is better than pure extracorporeal shock wave group.