中药熏洗治疗肱骨外上髁炎临床观察  

Chinese Medicine Fumigation and Washing in the Treatment of External Humeral Epicondylitis

作　　者：马吉智 崔怡瑄 张正则 孟凯[2] MA Jizhi;CUI Yixuan;ZHANG Zhengze;MENG Kai(The First Clinical College,Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250000,China;Department of Traumatology and Orthopedics,Shandong Hospital of Traditional Chinese Medicine,Shandong Province,Jinan 250000,China)

机构地区：[1]山东中医药大学第一临床学院,山东济南250000 [2]山东省中医院创伤骨科,山东济南250000

出　　处：《中国中医药现代远程教育》2023年第22期101-103,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的比较中药外洗止痛方熏洗与糖皮质激素甲泼尼龙(Methylprednisolone,MPS)痛点局部注射治疗肱骨外上髁炎的临床效果。方法选择2019年10月1日—2021年10月1日山东中医药大学附属医院创伤骨科门诊收治并诊断为肱骨外上髁炎的患者80例,并随机分为试验组(中药熏洗)与对照组(MPS局部注射),每组40例。根据复查结果比较2组各阶段视觉模拟量表(Visual analogue scale,VAS)评分、Mayo肘关节功能评分(Mayo elbow performance score,MEPS)和上肢功能障碍评定量表(Disabilities of the arm,shoulder and hand,DASH)评分。结果随访复查期间所有患者均未出现红、肿、热、痛及过敏等不良反应。治疗前2组患者初始评分与一般资料比较,差异无统计学意义(P>0.05),随着治疗进展试验组与对照组MEPS评分均上升,VAS评分、DASH评分均下降。治疗1、2个月时试验组MEPS评分低于对照组,VAS评分、DASH评分高于对照组(P<0.05)。治疗3、4个月时试验组MEPS评分高于对照组,VAS评分、DASH评分低于对照组(P<0.05)。结论中药外洗止痛方熏洗与MPS局部注射均能有效治疗肱骨外上髁炎。MPS局部注射早期治疗效果显著,优于外洗止痛方熏洗;外洗止痛方熏洗长期治疗效果优于MPS局部注射。Objective To compare the clinical efficacy of Chinese medicine Zhitong recipe fumigation and washing and Methylprednisolone(MPS)for local injection of pain points in the treatment of external humeral epicondylitis.Methods From October 1,2019 to October 1,2021,80 cases admitted to the Department of Traumatology and Orthopedics of the Affiliated Hospital of Shandong University of Traditional Chinese Medicine and diagnosed with inflammation of the epicondyle were selected for the experiment,and randomized into experimental group(Chinese medicine fumigation and washing)and control group(MPS local injection),with 40 cases in each group.Based on the results of the review,the two groups were compared with the visual analogue scale(VAS),Mayo elbow performance score(MEPS)and disabilities of the arm,shoulder and hand(DASH)scores at each stage of the two groups.Results No adverse reactions such as redness,swelling,heat,pain and allergy occurred in all patients during follow-up review.There was no significant difference between the initial scores of the two groups before treatment and the general data(P>0.05).With the progress of treatment,MEPS scores of the experimental group and the control group were increased,while VAS scores and DASH scores were decreased.After 1 and 2 months of treatment,MEPS scores of experimental group were lower than those of control group,VAS scores and DASH scores were higher than those of control group(P<0.05).After 3 and 4 months of treatment,MEPS score of experimental group was higher than that of control group,VAS score and DASH score were lower than that of control group(P<0.05).Conclusion Both Zhitong recipe fumigation and washing and the local injection of MPS can effectively treat external humeral epicondylitis.The long-term therapeutic effect of external Zhitong recipe fumigation and washing is better than that of MPS local injection.

关 键 词：肘劳 肱骨外上髁炎 网球肘 中药熏洗 中医外治法 

分 类 号：R274.9[医药卫生—中西医结合]