中药洗剂配合体外冲击波治疗肱骨外上髁炎的临床研究

Herb Lotion Combined with Extracorporeal Shock Wave Therapy in theTreatment of Lateral Epicondylitis

目的:探索有效的、适用的治疗肱骨外上髁炎的中西结合方法.方法:对138例肱骨外上髁炎的病人进行临床病例随机分组,分为:体外冲击波治疗组;冲击波及中药洗剂治疗组.使用临床疗效判断标准和VAS疼痛评分(视觉模拟评分)评定2组治疗效果.结果:所有患者平均随访3.7个月,采用临床疗效判定:体外冲击波治疗组的临床有效率为73.91%,冲击波结合中药洗剂治疗组的临床有效率为89.86%,2组进行校正x 2检验(x 2=5.910,P<0.05).比较2组患者首次治疗前及末次随访时的视觉模拟疼痛评分 (t =3.782 ,P<0.05),差别有显著意义.结论:体外冲击波联合中药洗剂熏洗治疗肱骨外上髁炎,较单一使用体外冲击波治疗效果更优.

Objective: To explore effective and applicable methods of Chinese and western in the treatment of lateral epicondylitis.Methods: 138 cases of lateral epicondylitis patients was divided two random groups: extracorporeal shock wave treatment group;Impact affected Chinese medicine lotion in treatment group.Use of the clinical curative effect judgment standard and VAS (Visual Analogue Scale)scores to evaluate the effect of two groups of treatment.Results: The average follow-up of 3.7 months, Efficiency of extracorporeal shock wave treatment group was 73.91%, Efficiency of shock wave combined with traditional Chinese medicine lotion for treating group was 89.86%, two groups of corrected x 2 test(x 2 =5.91, P<0.05), extracorporeal shock wave combined with traditional Chinese medicine treatment group clinical efficiency was superior to the simple use of extracorporeal shock first time and at the time of the last follow-up visual analog pain score (VAS) score, VAS score and comparing the two groups before and after the treatment by t test(P<0.05).Conclusion: Using the method of traditional Chinese medicine lotion combined with extracorporeal shock wave, can be more effective in the treatment of lateral epicondylitis