半导体激光并推拿理伤手法治疗网球肘的临床观察

The clinical observations of Tennis Elbow through semi-conductor laser with manipulation massage treatment

目的:观察半导体激光治疗网球肘的临床疗效。方法:于2004年起选择在广州军区广州总医院康复理疗科治疗的网球肘患者109例,采用随机将109例患者随机分为2组,治疗组55例和对照组54例,对照组运用按、揉、捏、拿、滚等手法在患者肘部上下操作,再做适当的肘关节被动活动,约20分钟。治疗组在常规治疗的基础上,予以半导体激光照射治疗。主要照射肘部痛点,治疗10分钟,1次/每天,10次为一个疗程,疗程间隔2天。治疗三个疗程后,采用K.W.Lovett于1916年提出的"手检查法"评定疗效。改善率为100%时为康复,改善率大于60%为显效,25%至60%为有效,小于25%为无效。肘部疼痛的评价内容,使用目测模拟评估法。评定以0分表示无痛,10分表示患者感受最痛、无法忍受。结果:109例网球肘患者均进入结果分析。①经30次治疗后,治疗组总有效率高于对照组(94.6%、66.7%,p<0.01)。②疼痛视觉模拟评估法(VAS)治疗前后比较,在镇痛方面,两组在治疗10次和30次后,疼痛较治疗前均有较为明显缓解(3.05±0.12,0.82±0.22,4.97±0.37;3.97±0.32,2.86±0.49,4.77±0.25),治疗组治疗第30次后较对照组评分明显降低(0.82±0.22,2.86±0.49,p<0.01)。结论:半导体激光照射治疗网球肘可明显提高疗效,并对患者的疼痛症状有明显的改善作用,较常规推拿理伤手法治疗更有效。半导体激光照射对网球肘患者疼痛的康复治疗有明显促进作用。

Objectives：This research is to doserve the clinical effectiveness of TennisElbow through semi- conductor laser treatment. Methods： One- hundred nine patients with TermisElbow , who were treated at the Depamnent of Rehabilitation, General Hospital of Guangzhou Military Command from May 2004 to May 2007,were selected. They were divided into two groups according to random numbers table method, treatment group （ n = 55 ） and control group（n = 54 ）. The patients in control group were treated with forcible du＇usting, pinching, grasping, rolling and pulling etc. on elbow, and the suitable passive activity on elbow for about 20 nrlnutes. The patients in the treatment group were treated with semi - conductor laser therapy based on the routine treatment. The pain point of the elbow was take as main point to treat, retraining last for 10 minutes, once a day, 10 times as a course, and the interval of a course was 2 days. After treating for 3 courses , the effects were evaluated with ＂Manual Muscle test ＂（MMT） made by K · W·Lovett m 1916 . When the improved rate was 100% it was rehabilitation; over 60% it was significant effect; 25% - 60% as efficiency; less than 25% as inefficiency. The evaluative content of elbow - ache was detected with visual analogue scale（ VAS） ,0 point as painless, 10 points as severe pain that could not boar. RESULTS： Totally 109 patients with tennis - elbow were involved in the resuh analysis. （ 1 ）After being treated for 30 time , total efficiency in treatment group was higher than that in the control group （ 94.6% ,66.7 % , p 〈 0.01 ）. （2）Comparison between pre - treatment and post - treatment with VAS： in analgesia aspect, the ache after being treated for 10 times and 30 times had been lighted apparently as compared with before treatment （3.05 ±0.12,0.82 ±0.22,4.97 ± 0.37;3.97 ± 0.32,2.86 ± 0.49,4.77 ±0.25）, and it decreased markedly ＇after treating the 30th time in the treatment group as comared with the control group （0.82 ±0.22,2.86 ± 0.49 p 〈 0. 01 ）. CONCLUSION： The senti - conductor laser therapy can enhance the clinical effects significantly in patients with TennisElbow, and has distinctly ameliorative action on the ache symptom, which is more effective as compared with routine manipulative therapy. The semi - conductor laser therapy has remarkably autoaction on the rehabilitative treatment on ache in patients with TennisElbow.