富血小板血浆联合康复训练治疗肱骨外上髁炎  

Efficacy of Platelet-Rich Plasma Combined with Rehabilitation Training on Lateral Epicondylitis

作　　者：周志航 郑广程 刘元梅 ZHOU Zhihang;ZHENG Guangcheng;LIU Yuanmei(Qingzhou Hospital of Traditional Chinese Medicine,Qingzhou 262500,Shandong China)

机构地区：[1]山东青州市中医院,山东青州262500

出　　处：《中国中医骨伤科杂志》2021年第2期37-40,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:探讨自体富血小板血浆(PRP)局部注射联合康复训练治疗肱骨外上髁炎的临床疗效。方法:选取2016年1月至2019年1月收治的肱骨外上髁炎患者48例,随机分为治疗组和对照组(各24例),治疗组采用PRP局部注射,对照组采用糖皮质激素(使用同等剂量的醋酸泼尼松龙注射液和利多卡因)局部注射,两组患者均在术后进行康复训练治疗,分别在治疗前、治疗后1个月、3个月及12个月,对两组患者进行疼痛视觉模拟量表(VAS)评分、Mayo肘关节功能(MEPS)评分及上肢功能障碍(DASH)评分,同时观察不良反应及并发症。结果:两组VAS,MEPS和DASH评分比较,治疗前差异无统计学意义(P>0.05);治疗后1个月两组评分均较治疗前明显改善,对照组优于治疗组,差异有统计学意义(P<0.05);治疗后3个月两组评分均较治疗前明显改善,但组间比较差异无统计学意义(P>0.05);治疗后12个月两组评分均较治疗前明显改善,治疗组优于对照组,差异有统计学意义(P<0.05)。结论:自体富血小板血浆局部注射联合康复训练治疗肱骨外上髁炎,能减轻患者疼痛,改善患肘关节功能,安全性较高,较糖皮质激素组远期效果更好,值得临床推广应用。Objective:To investigate the effect of platelet-rich plasma(PRP) combined with rehabilitation training on lateral epicondylitis.Methods:48 patients with the lateral epicondylitis were divided into treatment group(n=24) and control group(n=24) by random number table method from January 2016 to January 2019.The treatment group was given PRP,and the control group was given glucocorticoid(prednisolone acetate and lidocaine).All the patients were given the same rehabilitation training after treatment.The visual analogue scale(VAS),Mayo elbow performance score(MEPS),and disabilities of the arm shoulder and hand(DASH)score were compared between the two groups before treatment and 1 st,3 rd,12 th month after treatment,and adverse reactions and complications were observed at the same time.Results:There was no significantly different between VAS,MEPS and DASH before treatment(P>0.05).After 1 month,the patient in the two groups were better than before treatment,but patients in the control group were better than those in the treatment group(P<0.05).After 3 months treatment,there was no significantly different between VAS,MEPS and DASH,but the patients in the two groups were better than before treatment(P>0.05).After 12 months,the patients in the two groups were better than before treatment,but the patients in the treatment group were better than those in the control group(P<0.05).Conclusion:PRP combined with rehabilitation training can relieve pain,imoprove the function of elbow joint,have good safety,the long-term effect of the PRP is better than that of the glucocorticoid,it is worth promoting in the clinic.

关 键 词：富血小板血浆 康复训练 糖皮质激素 肱骨外上髁炎 疗效 

分 类 号：R686[医药卫生—骨科学]