肌肉能量技术结合中医定向透药疗法治疗肱骨外上髁炎的临床观察

Clinical observation on treatment of external humeral epicondylitis by muscle energy technique combined with traditional Chinese medicine directional penetration therapy

目的观察肌肉能量技术结合中医定向透药疗法治疗肱骨外上髁炎的临床疗效。方法将100例肱骨外上髁炎患者随机分成治疗组和对照组,每组50例。治疗组予肌肉能量技术结合中医定向透药疗法治疗,对照组予中医定向透药疗法治疗。两组疗程均为14 d,观察比较疼痛VAS评分、上肢功能评分(DASH)及超声下患侧肘关节伸肌总腱最大厚度的变化情况。结果本试验期间无病例脱落。治疗前后组内比较,两组VAS评分、DASH总分、患侧肘关节伸肌总腱最大厚度均差异有统计学意义(P<0.05);组间治疗后比较,治疗组VAS评分、DASH总分、患侧肘关节伸肌总腱最大厚度改善明显优于对照组(P<0.05)。结论肌肉能量技术结合中医定向透药疗法能更加有效地减轻肱骨外上髁炎患者的疼痛症状,改善患者上肢功能,是一种比较可行的中西医结合方法。

Objective To observe the clinical effect of muscle energy technique(MET) combined with directional penetration therapy of traditional Chinese medicine(TCM) on treatment of external humeral epicondylitis(EHE). Method A total of 100 patients with external humeral epicondylitis were randomly divided into the treatment group(n=50) and the control group(n=50). The treatment group was administered with TCM directional penetration therapy combined with MET, while the control group was administered with TCM directional penetration therapy alone. The course of treatment was 14 days in both groups. We observed and compared the change of pain visual analogue scale(VAS) scores, disability of arm-shoulder-hand(DASH) scores, and the maximum thickness of common extensor tendon of elbow joint on the affected side under ultrasound. Results There was no drop-out case during the trial. There were significant differences in VAS scores, DASH total scores and the maximum thickness of common extensor tendon of affected elbow joint before and after treatment in both groups(P<0.05);after treatment, the improvement of VAS scores, DASH total scores and the maximum thickness of common extensor tendon of the affected side of the elbow joint in the treatment group was significantly better than that in the control group(P<0.05). Conclusion MET combined with TCM directional penetration therapy is a feasible method of integrated traditional Chinese and western medicine therapy, which can relieve the pain of patients with EHE and improve the upper limb function of patients more effectively.