应用能量多谱勒超声研究体外冲击波及电针灸对顽固性网球肘微循环的影响  

The Research about Effects on Microcirculation to Refractory Tennis Elbow after Extracorporeal Shock Wave Treatment and Electro-acupuncture with Power Doppler Ultrasonograpy

作　　者：徐远红[1] 王俊华[1] 李海峰[1] 王刚[1] 朱小虎[1] 

机构地区：[1]湖北医药学院附属太和医院,湖北十堰442000

出　　处：《中国中医急症》2014年第12期2270-2272,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：湖北省十堰市科技攻关项目(2010-043S)

摘　　要：目的应用能量多谱勒超声研究体外冲击波及电针治疗顽固性网球肘后对肱骨外上髁处微循环的影响。方法 60例顽固性网球肘患者随机分为电针组及冲击波组,同时设30例正常对照组。两组患者在治疗前、治疗结束后2周、4周、3月进行视觉模拟评分(VAS)及微循环指数(MI)评定,正常对照组只进行微循环指数评定。结果冲击波组与电针组治疗后VAS评分在各观察时间点均较治疗前显著减少(P<0.05);冲击波组VAS治疗后2周与电针组无明显差异(P>0.05),治疗后4周及3月明显少于电针组(P<0.05);冲击波组随着时间延长,VAS逐渐下降,但电针组VAS在3个月后却较4周后升高(P<0.05)。冲击波组与电针组治疗前MI与正常对照组相比有明显差异(P<0.05);冲击波组治疗后各观察时间点MI均较治疗前增高(P<0.05),而电针组无明显改变(P>0.05);冲击波组VAS评分与微循环指数相关性分析为正相关(P<0.05)。结论体外冲击波能够明显改善肱骨外上髁处微循环,具有较好的近期及远期疗效;电针灸在微循环改善方面作用不明显,远期疗效较差。Objective：To observe the effects on microcirculation at epicondyle of humerus with Power Doppler ultrasonograpy （PDU） to refractory tennis elbow after extracorporeal shock wave treatment （ESWT） and Electroacupuncture.Methods：60 cases with refractory tennis elbow randomly were divided into Electro-acupuncture group （n =30）,ESWT group （n =30）,and 30 normal cases as normal control group.Visual analog scale （VAS） and microcirculation index （MI） with PDU were measured before and after 2 weeks,4 weeks,3 months after treatments in Electro-acupuncture group and ESWT group,while the normal control group only were assessed by MI with PDU one time.Results：The VAS changed better after treatments at all phases in 2 patient groups,while there was no significant difference in VAS between Electro-acupuncture group and ESWT group at 2 weeks after treatments.ESWT group changed more than Electro-acupuncture group at 4 weeks and 3 months;VAS gradually increased in ESWT group,but slightly less at 3 months to 4 weeks after treatments in Electro-acupuncture group; the MI had significant difference between patient groups and control group.The MI gradually improved in ESWT group and did not significantly chang in Electro-acupuncture group after treatments;a good correlation was shown between VAS and MI in ESWT group.Conclusion：ESWT can improve microcirculation to refractory tennis elbow.Therefore it has a short-term and long-term effects,while Electro-acupuncture has non-significant effects on microcirculation and no good long-term effects.

关 键 词：网球肘 体外冲击波 电针 微循环 多谱勒 

分 类 号：R274.3[医药卫生—中医骨伤科学]