发散式体外冲击波疗法与外用酮洛芬凝胶治疗肱骨外上髁炎的对比研究  

Comparative study of radial extracorporeal shock wave therapy and topical ketoprofen gel in the treatment of lateral epicondylitis

作　　者：娄靖[1] 刘水涛[2] 史展[1] 杨军[1] 邢更彦[1] 

机构地区：[1]中国武警总医院骨科,北京100039 [2]武警后勤学院附属医院骨科,天津300162

出　　处：《中国医学前沿杂志（电子版）》2017年第2期7-11,共5页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

基　　金：国家自然科学基金项目(31172169)

摘　　要：目的对比发散式体外冲击波疗法与外用酮洛芬凝胶治疗肱骨外上髁炎的疗效。方法选取2016年3月至2016年6月中国武警总医院收治的40例肱骨外上髁炎患者为研究对象,采用随机数表法将所有患者分为冲击波组和酮洛芬组,每组各20例。通过评估两组患者治疗前、治疗结束后即刻、治疗后2个月的视觉模拟评分法(visual analogue scale,VAS)评分、美国特种外科医院(the hospital for special surgery,HSS)评分及Verhaar疗效评价系统评分,对比两种治疗方法的临床效果。结果治疗结束后即刻和治疗后2个月,两组患者的VAS评分均低于治疗前(P<0.05),HSS评分均高于治疗前(P<0.05),且冲击波组患者上述指标改善程度均优于酮洛芬组(P<0.05)。治疗结束后即刻对患者进行评价,冲击波组患者Verhaar疗效评价系统评分优良率可达85%,明显高于酮洛芬组(40%);治疗后2个月,酮洛芬组患者Verhaar疗效评价系统评分优良率有所下降(30%),冲击波组略有升高(90%)。结论发散式体外冲击波疗法与外用酮洛芬凝胶治疗肱骨外上髁炎的近期疗效均较好,但发散式体外冲击波治疗的远期疗效优于外用酮洛芬凝胶,且患者无不良反应发生,值得临床推广应用。Objective To compare the efficacy of radial extracorporeal shock wave therapy with topical ketoprofen gel in the treatment of lateral epicondylitis. Method 40 patients with lateral epicondylitis from March 2016 to June 2016 in General Hospital of Chinese People＇s Armed Police Forces were randomly divided into two groups： shock wave group and ketoprofen group, 20 cases in each group. Visual analogue scale （VAS）, hospital for special surgery scoring system （HSS） and Verhaar efficacy evaluation system score were compared before and immediately after treatment, two months after treatment, and the curative effect of the two methods was compared. Result Immediately after treatment and two months after treatment, the VAS scores of the two groups were lower than before treatment （P 〈 0.05）, HSS scores were higher than before treatment （P 〈 0.05）, the improvement of the above indexes in shock wave group was better than that in ketoprofen group （P 〈 0.05）. The excellent rate of Verhaar score was 85% in shock wave group, which was significantly higher than that in ketoprofen group （40%） after the end of treatment immediately. 2 months after treatment, the excellent rate of Verhaar score decreased in ketoprofen group （30%） and slightly increased in shock wave group （90%）. Conclusion The short-term efficacy of radial extracorporeal shock wave therapy and topical ketoprofen gel in the treatment of lateral epicondylitis are better. However, the long-term efficacy of radial extracorporeal shock wave therapy is superior to topical ketoprofen gel, and no adverse reactions, it is worth promoting.

关 键 词：发散式体外冲击波 酮洛芬凝胶 肱骨外上髁炎 

分 类 号：R681.7[医药卫生—骨科学]