温针灸联合体外冲击波治疗肱骨外上髁炎的临床效果分析  

Analysis of the clinical effect of warm needling moxibustion combined with extracorporeal shock wave in the treatment of external humeral epicondylitis

作　　者：郑英[1] 台杰[1] 刘俊娥[1] ZHENG Ying;TAI Jie;LIU June(Department of Rehabilitation Medicine,The Second People's Hospital of Liaocheng,Liaocheng,Shandong 252600,China)

机构地区：[1]聊城市第二人民医院康复医学科,山东聊城252600

出　　处：《安徽医药》2023年第1期121-124,共4页Anhui Medical and Pharmaceutical Journal

基　　金：山东省医药卫生科技计划项目(201907088L)。

摘　　要：目的分析温针灸联合体外冲击波疗法(ESWT)治疗肱骨外上髁炎(EHE)的临床效果。方法2018年7月至2021年1月对聊城市第二人民医院收治的EHE病人开展前瞻性研究,利用优效性检验样本量估算样本量。将纳入的128例对象按随机数字表法划分至两组内。完成临床试验123例,其中单一组61例,实施ESWT治疗;联合组62例实施温针灸联合ESWT治疗。治疗4周后评估两组疗效,于治疗前、治疗4周后评定两组疼痛、肘关节功能,并采血检测血清白细胞介素-1β(IL-1β)、C-反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)等炎性因子水平。结果联合组治疗总有效率为93.55%,明显较单一组的75.41%高(P<0.05);治疗后,两组SF-McGill评分及血清IL-1β、CRP、TNF-α水平均明显降低(均P<0.05),且联合组SF-McGill评分(9.84±2.76)分、血清IL-1β水平(32.51±3.20)ng/L、CRP水平(9.15±2.76)mg/L、TNF-α水平(23.79±3.84)ng/L均明显较单一组(15.51±3.24)分、(41.05±4.32)ng/L、(15.07±3.24)mg/L、(36.71±4.13)ng/L低(均P<0.05);治疗后,两组Mayo肘关节功能评分系统(MEPS)均明显增高(均P<0.05),且联合组MEPS评分(84.23±8.16)分明显较单一组的(72.06±7.14)分高(P<0.05)。结论ESWT联合温针灸较单纯应用ESWT治疗EHE效果更佳,可更为有效地减轻病人炎症反应,缓解疼痛症状,改善肘关节活动度。Objective To analyze the clinical effect of warm needling moxibustion combined with extracorporeal shock wave therapy(ESWT)in the treatment of external humeral epicondylitis(EHE).Methods The subjects of the study were EHE patients admitted to The Second People's Hospital of Liaocheng City,from July 2018 to January 2021 were prospectively study,and the sample size of the superiority test was used to estimate the sample size.128 cases were included.The included subjects were randomly assigned into two groups according to the random number table method.123 cases were completed clinical trials,of which 61 cases in the single group received ESWT treatment;62 cases in the combined group received warm acupuncture combined with ESWT treatment.After 4 weeks of treatment,the curative effects of the two groups were evaluated,before and after 4 weeks of treatment,the pain and elbow joint function of the two groups were evaluated,and blood was collected to detect the levels of inflammatory factors such as serum interleukin-1β(IL1β),C-reactive protein(CRP),and tumors necrosis factor-α(TNF-α).Results The total effective rate in combination group was 93.55%,which was significantly higher than 75.41%in single group(P<0.05);after treatment,SF-McGill score and serum IL-1β,CRP and TNF-αlevels in two groups were significantly decreased(all P<0.05),and the sF-McGill score(9.84±2.76)points,serum IL-1βlevel(32.51±3.20)ng/L,CRP level(9.15±2.76)mg/L and TNF-αlevel(23.79±3.84)ng/L of the combined group were significantly higher than those in the single group(15.51±3.24)points,(41.05±4.32)ng/L,(15.07±3.24)mg/L,(36.71±4.13)ng/L(all P<0.05);after treatment,the Mayo elbow joint function scoring system(MEPS)of the two groups was significantly increased(all P<0.05),and the MEPS score(84.23±8.16)points of the combined group was significantly higher than that of the single group(72.06±7.14)points(P<0.05).Conclusion ES‐WT combined with warm acupuncture is more effective than ESWT alone in the treatment of EHE,which can more effe

关 键 词：网球肘 高能量冲击波 温针灸 疼痛 肘关节功能 白细胞介素-1β C-反应蛋白 肿瘤坏死因子-α 

分 类 号：R681.7[医药卫生—骨科学]