推拿手法治疗网球肘的临床对照研究

The clinical study of manipulation maneuver in the treatment of tennis elbow

目的探讨手法治疗网球肘的临床疗效。方法将96例符合纳入标准的患者随机分为两组,推拿组予手法治疗,对照组予以中药离子导入仪结合电脑中频治疗。通过VAS评分和ADL问卷评分记录患者疼痛感受情况及日常生活活动能力,在治疗前1d、治疗后第10天进行评估,对比所获得分值进行比较,对比临床效果。临床疗效分析运用尼莫地平法分为临床痊愈、显效、有效、无效四级。结果两组治疗措施均有疗效,两组间VAS和ADL评分差异有统计学意义,推拿组更具有优势,在疼痛感受情况(VAS评分和压力测试)及日常生活活动能力上,治疗前后推拿组和对照组均能有效改善症状。结论本研究结果表明,手法治疗网球肘有止痛、改善关节功能的作用。

Objective To explore the clinical efficacy of manipulation in the treatment of tennis elbow. Methods 96 cases were randomly divided into two groups,who met the inclusion criteria. The treatment group was treated with manipulation, and the control group was treated with traditional Chinese medicine ion introduction instrument combined with computer intermediate frequency treatment. The patient＇s pain perception and activities of daily living were recorded and assessed on VAS score and ADL questionnaire before treatment first day and after treatment tenth day. The scores and the clinical effects of two groups were compared. Through the Nimodipine method, the clinical efficacy was divided into four levels： clinical recovery, markedly effective, effective and ineffective. Results The treatment measures of two groups had curative effect. The curative effects of the two groups were different by VAS and ADL score. Manual group had more advantages. In the pain perception（VAS score and stress test） and the ability of daily living activities, the massage group and the control group were able to effectively improve the symptoms. Conclusion The results of this study showed that manipulation maneuver in the treatment of tennis elbow can relieve pain, and improve joint function.