艾叶散熏洗联合吲哚美辛巴布膏治疗急性期肱骨外上髁炎临床研究

Clinical Research of Mugwort Powder Fumigation and Indometacin Cataplasms on Treating Acute External Humeral Epicondylitis

目的:观察艾叶散熏洗联合吲哚美辛巴布膏在治疗急性期肱骨外上髁炎的临床疗效。方法:将123例住院患者随机分两组,对照组61例使用醋酸曲安奈德25 mg和1%利多卡因4 m L混合液局部封闭注射治疗,1周1次,治疗3个疗程并予石膏托连续制动6周。治疗组62例使用艾叶散(院内制剂,辽药制字Z05010409),患处早晚熏洗。晚间艾叶散熏洗后待皮肤干爽将吲哚美辛巴布膏贴敷于患处治疗,1次/d,12 h/次。连续治疗6周并予石膏托连续制动6周,制动方法同对照组。分别在治疗结束后、治疗结束3个月后(期间未经任何治疗)就患者治疗前后疼痛、压痛、功能、握力4个方面行疗效对比。结果:1治疗后、治疗结束3个月后两组患者疼痛、压痛、功能、握力均较治疗前改善,治疗后治疗组症状改善效果与对照组基本相同。治疗结束3个月后治疗组症状改善效果与对照组基本相同,差异无统计学意义;2治疗后治疗组总体疗效与对照组基本相同,差异无统计学意义(Z=-0.520,P=0.603),治疗结束3个月后治疗组总体疗效与对照组基本相同,差异无统计学意义(Z=-1.183,P=0.237)。结论:艾叶散熏洗联合吲哚美辛巴布膏在治疗急性期肱骨外上髁炎的临床疗效安全、显著。

Objective ： To observe clinical effects of Mugwort Powder fumigation and indomethacin cataplasms on treating acute external humeral epicondylitis treatment. Methods：Randomly divide 123 in- patients into two groups. Patients in control group with 61 in-patients taken 4 mL solution with 25 mg triamcinolone acetonide acetate and lidocaine in concentration of 1% for partial closed injection. The injection taken once a week for three phases. Constant braking with plaster slab were given for 6 weeks. Treatment group with 62 in-patients were given argy wormwood leaf powder fumigation. After skins became dry, indomethacin cataplasms were stuck on affected areas once a day and 12 hours for one time. The treatment lasted for 6 weeks with constant braking with plaster slab as control group. Compared medical effects on pain, tenderness, functions, and grips after treatment and three months after treatment （ no additional treatment was given in the three months ）. Results ： ①Pain, tenderness, functions, and grips of patients in control group and treatment group improved after treatment and three months after treatment. After treatment, effects on treatment group were basically the same as those on control groups. Three months after treatment, effects on treatment group were basically the same as those on control groups and the difference was not of statistical significance. ② Overall medical effects on treatment group area basically the same as those on control group and the difference was not of statistical significance （ Z=-0.520, P=0.603 ）. Three months after treatment, effects on treatment group were basically the same as those on control groups and the difference was not of statistical significance （Z=-1.183, P=0.237 ）. Conclusion： Mugwort Powder fumigation and indometacin cataplasms has evident, complete positive influence in acute external humeral epicondylitis treatment.