旋后牵伸法治疗肱骨外上髁炎临床观察

Clinical observation on external humeral epicondylitis treated with back-rotation traction

目的:评价手法治疗肱骨外上髁炎的临床效果,探讨其作用机制和较好的治疗方法。方法:将86例已行针灸、封闭、针刀等治疗的肱骨外上髁炎患者,随机分为常规组42例,男13例,女29例,平均年龄40.8岁;治疗组44例,男16例,女28例,平均年龄41.2岁。常规组在上述治疗结束后不再作进一步的治疗处理,而治疗组则增加旋后牵伸手法治疗。结果:采用Verhaar网球肘疗效评价系统评定治疗后肘关节功能。治疗后7d,常规组优13例,良16例,可4例,差9例;治疗组优38例,良4例,可2例;治疗组疗效明显优于常规组(P<0.01)。6个月后常规组复发38例,治疗组复发10例。结论:在常规的针灸、局封、针刀等治疗后进行手法治疗,对消除创伤性炎症、预防再粘连、促进康复,防止复发诸方面具有积极作用。

Objective：To evaluate the clinical effect of manipulation on external humeral epicondylitis, and to explore the functional mechanism and ideal treatment. Methods： Eighty-six patients who had been treated with acupuncture, obturation and needle-knife were divided into routine group and treatment group randomly. In routine group, there were 42 cases （male 13 ,female 29 ,means 40.8 years） ;and in treatment group there were 44 cases（male 16,female 28 ,means 41.2 years）. There＇s no further treatment for the routine group after the therapy above ,while the treatment group was added with back-rotation traction manipulation. Results ：Taking Verhaar therapy effect appraisal system of tennis-ball elbow to evaluate elbow function. After 7 days of therapy, the results were excellent in 13 cases, good in 16, fair in 4, poor in 9 in the routine group ; and excellent in 38,good in 4 and fair in 2 in treatment group;and the effect in the treatment group were better than that of the routine group （P〈0.010）. Half a year later, in the routine group 38 cases recurrenced and in the treatment group 10 cases recurrenced. Conclusion： Making manipulation after routine acupuncture, local obturation and needle-knife has active meaning to remove trauma inflammation, prevent re-conglutination, promote recovery and prevent recurrence.