发散式冲击波痛点结合循经取穴疗法治疗肱骨外上髁炎的临床效果

Clinical effect on the treatment of lateral epicondylitis of humerus by acupoints along the channel and pain points of radial extracorporeal shockwave therapy

目的观察发散式体外冲击波痛点结合循经取穴疗法治疗肱骨外上髁炎的临床效果。方法选取2018年6月至2019年6月北京市第六医院门诊诊断为肱骨外上髁炎的患者61例。完全随机分为观察组(31例)和对照组(30例),观察组采用发散式体外冲击波痛点结合循经取穴疗法治疗,对照组采用发散式体外冲击波痛点疗法治疗,仪器选用比利时Gymna体外冲击波治疗仪;每周1次,3次/疗程,2组均治疗1个疗程。分别于治疗前,疗程结束后即刻,治疗后1、3、6个月比较2组患者的疼痛视觉模拟量表(VAS)评分。结果治疗前2组疼痛VAS评分差异无统计学意义(P>0.05)。疗程结束后即刻,治疗后1、3、6个月2组疼痛VAS评分均较治疗前降低,且疗程结束后即刻,治疗后1、3个月观察组低于对照组[(3.7±1.2)分比(4.5±1.6)分、(2.8±0.9)分比(3.7±1.4)分、(2.4±1.1)分比(3.1±1.3)分],差异均有统计学意义(均P<0.05)。治疗后6个月2组疼痛VAS评分差异无统计学意义(P>0.05)。结论发散式体外冲击波痛点结合循经取穴疗法是治疗肱骨外上髁炎的有效方法,相较于体外冲击波痛点疗法能够有效缩短肱骨外上髁炎的自然病程,效果持续稳定。

Objective To observe the clinical effect on the treatment of lateral epicondylitis of humerus by acupoints along the channel and pain points of radial extracorporeal shockwave therapy(RESWT).Methods From Totally 61 cases patients diagnosed as lateral epicondylitis of humerus admitted to Beijing Sixth Hospital,from June 2018 to June 2019 were selected.They were random divided into the observation groupand control group,with 30 cases in each group.Control group was treated by RESWT only on pain-points method and observation group was treated by RESWT on the method of pain-points combinated with acupoints along the channel.All the patients were treated 1 course(1 time/week,3 times/course),both groups were treated for one course.Visual analogue scale(VAS)scores of pain was recorded at the time of before treatment,immediately after treatment,1,3 and 6 months after treatment.Results There was no significant difference in pain VAS scores between the two groups before and 6 months after treatment(both P>0.05).The pain VAS scores in the two groups 1,3 and 6 months after treatment were lower than those before treatment,and in the observation group were lower than those in the control group 6 months after treatment[(3.7±1.2)vs(4.5±1.6),(2.8±0.9)vs(3.7±1.4),(2.4±1.1)vs(3.1±1.3)],the difference were statistically significant(all P<0.05).Conclusion Divergent extracorporeal shock wave pain points combined with acupoint selection therapy is an effective method for the treatment of lateral epicondylitis of humerus.Compared with extracorporeal shock wave pain point therapy,it can effectively shorten the natural course of lateral epicondylitis of the humerus,and the effect continues to be stable.