超声波联合动态关节松动术在肱骨外上髁炎患者中的应用效果

Application effect of ultrasound combined with mobilization with movement in the treatment of lateral epicondylitis

目的观察超声波联合动态关节松动术治疗肱骨外上髁炎的疗效,并与单纯超声波治疗进行对比。方法选取2021年3月至2023年3月在泉州市第一医院骨科和康复医学科门诊收治的诊断为肱骨外上髁炎的患者50例作为研究对象,采用随机数字表法将其分为对照组(n=25)和治疗组(n=25)。对照组采用常规超声波治疗,治疗组在对照组的基础上联合动态关节松动术干预。两组均持续治疗2周。比较两组患者的疼痛视觉模拟评分(VAS)、无痛握力测试(PFG)和网球肘自我评分表(PRTEE)情况。结果治疗前,两组患者的VAS评分、PRTEE评分和PFG值比较,差异无统计学意义(P>0.05)。治疗后,治疗组患者的VAS评分和PRTEE评分均低于对照组,差异有统计学意义(P<0.05)。治疗组患者治疗后的PFG值高于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者的VAS评分和PRTEE评分均低于本组治疗前,PFG值均高于本组治疗前,差异有统计学意义(P<0.05)。结论单独使用超声波或超声波联合动态关节松动术治疗肱骨外上髁炎都能改善患者的VAS评分、PRTEE评分和PFG值,但超声波联合动态关节松动术的疗效明显优于单独超声波治疗,适合临床推广使用。

Objective To observe the therapeutic effect of ultrasound combined with mobilization with movement on lateral epicondylitis and compare it with ultrasound alone.Methods Fifty patients diagnosed with lateral epicondylitis admitted to the Department of Orthopedics and Rehabilitation Medicine of Quanzhou First Hospital from March 2021 to March 2023 were selected as the study objects,and they were divided into control group(n=25)and treatment group(n=25)by random number table method.The control group was treated with conventional ultrasound,and the treatment group was combined with mobilization with movement on the basis of the control group.Both groups were treated for 2 weeks.Pain visual analogue scale(VAS),pain-free grip strength test(PFG)and the patient-rated tennis elbow evaluation(PRTEE)were compared between the two groups.Results Before treatment,there was no significant difference in VAS score,PRTEE score and PFG value between the two groups(P>0.05).After treatment,the VAS score and PRTEE score of the treatment group were lower than those of the control group,and the differences were statistically significant(P<0.05),the PFG value in the treatment group was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,VAS score and PRTEE score of the two groups were lower than before treatment,PFG value was higher than before treatment,the differences were statistically significant(P<0.05).Conclusion The treatment of lateral epicondylitis with ultrasound alone or combined mobilization with movement can improve the VAS score,PRTEE score and PFG score of patients,but the efficacy of ultrasound combined mobilization with movement is significantly better than that of ultrasound alone,which is suitable for clinical promotion.