富血小板血浆联合复方辣椒贴治疗肱骨内上髁炎60例  

Clinical Efficacy of Platelet Rich Plasma Combined with FufangLajiao Paste in the Treatment of Internal Humeral Epicondylitis

作　　者：朱秋贤 蔡立雄 刘园林 ZHU Qiuxian;CAI Lixiong;LIU Yuanlin(Foshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine,Foshan 528000,Guangdong,China)

机构地区：[1]广州中医药大学附属佛山中医院,广东佛山528000

出　　处：《中国中医骨伤科杂志》2021年第7期65-67,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:观察局部注射自体富血小板血浆(Platelet Rich Plasma,PRP)联合复方辣椒贴治疗肱骨内上髁炎的临床效果。方法:选取2018年2月至2019年12月收治的60例肱骨内上髁炎患者为研究对象,采用PRP结合复方辣椒贴治疗;于治疗前,治疗后1、12个月评定患者视觉模拟疼痛评分(VAS)、Mayo肘关节功能评分、患肢握力及治疗12个月后的治疗有效率。结果:治疗后1个月患者的VAS疼痛评分、Mayo肘关节功能评分、患肢握力与治疗前比较,差异有统计学意义(P<0.05);治疗后12个月患者的VAS疼痛评分、Mayo肘关节功能评分、患肢握力显著优于治疗后1个月,差异有统计学意义(P<0.05);治疗后总有效率为100%,治愈例数为57例。结论:采用PRP结合复方辣椒贴治疗肱骨内上髁炎长短期疗效肯定,能缓解疼痛、恢复肘关节的功能、提高患肢的握力,不良反应少,值得临床推广应用。Objective:To observe the clinical efficacy of local injection of platelet rich plasma(PRP) combined with Fufang Lajiao paste in the treatment of internal humeral epicondylitis. Methods: sixty patients treated with PRP combined with Fufang Lajiao paste for internal humeral epicondylitis in author’s hospital from February 2018 to December 2019 were selected as the research subjects. Visual analogue pain score(VAS), Mayo elbow function score and affected limb grip strength were evaluated before treatment, 1 and 12 months after treatment. The treatment effective rate was evaluated after 12 months of treatment. Results: The VAS, Mayo elbow function score and affected limb grip strength were significantly different from those before treatment 1 month after treatment(P<0.05), the VAS, Mayo elbow function score and affected limb grip strength at 12 months after treatment were significantly better than those at 1 month after treatment(P<0.05). The total effective rate after treatment was 100%, and 57 cases were cured. Conclusion: The application of PRP combined with Fufang Lajiao paste in the treatment of internal humeral epicondylitis has long and short-term efficacy. It can effectively relieve pain, restore elbow function, improve the grip strength of the affected limb, with less adverse reactions, which is worthy of clinical application and promotion.

关 键 词：自体富血小板血浆 肱骨内上髁炎 复方辣椒贴 临床疗效 

分 类 号：R684.3[医药卫生—骨科学]