超声引导下针刺联合体外冲击波治疗 肱骨外上髁炎的临床研究  

Clinical Study of Ultrasound-Guided Acupuncture Combined with Extracorporeal Shock Wave in Treatment of External Humeral Epicondylitis

作　　者：李非铭 方海博 郑欢欢 任博 贺鹏 邱增泽 舒雅[1] LI Feiming;FANG Haibo;ZHENG Huanhuan;REN Bo;HE Peng;QIU Zengze;SHU Ya(The First Affiliated Hospital of Xi’an Medical University,Xi’an 710077,China)

机构地区：[1]西安医学院第一附属医院,陕西西安710077

出　　处：《针灸临床杂志》2023年第10期18-22,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：陕西省重点研发计划,编号:2019SF-314。

摘　　要：目的:探究超声引导下针刺联合体外冲击波治疗肱骨外上髁炎的临床疗效。方法:选取本院疼痛科2020年2月—2022年3月收治的98例肱骨外上髁炎患者为研究对象。采用随机分组法分为观察组(49例)与对照组(49例)。对照组采用体外冲击波治疗,观察组在此基础上联合使用超声引导下针刺治疗。观察两组患者治疗前后超敏C反应蛋白(hs-CRP)、白介素-17(IL-17)、白介素-8(IL-8)、关节肿胀指数和活动指数水平,观察两组患者治疗前后视觉模拟(VAS)评分、改良肘关节评分系统(HSS)评分和SF-36生活质量评分,并观察两组患者临床疗效。结果:两组患者治疗前hs-CRP、IL-8及IL-17水平差异无统计学意义(P>0.05);治疗后观察组hs-CRP、IL-8与IL-17水平较对照组显著降低,差异具有统计学意义(P<0.05)。两组患者治疗前关节肿胀、活动指数差异无统计学意义(P>0.05);治疗后观察组关节肿胀、活动指数较对照组显著降低,差异具有统计学意义(P<0.05)。两组患者治疗前VAS、HSS评分差异无统计学意义(P>0.05);治疗后观察组VAS评分较对照组显著降低,且HSS评分较对照组显著升高,差异具有统计学意义(P<0.05)。两组患者治疗前SF-36生活质量评分差异无统计学意义(P>0.05);治疗后观察组SF-36评分较对照组明显升高,差异具有统计学意义(P<0.05)。治疗后观察组总有效率为95.92%(47/49),略高于对照组的85.72%(42/49),但两组患者总有效率差异无统计学意义(P>0.05)。结论:超声引导下针刺联合体外冲击波治疗能有效提高肱骨外上髁炎患者临床疗效、降低血清炎症因子水平和消除患者肘关节肿痛,利于肘关节功能恢复,提高患者生活质量。Objective:To explore the clinical efficacy of ultrasound-guided acupuncture combined with extracorporeal shock wave in treatment of external humeral epicondylitis.Methods:98 patients with external humeral epicondylitis were randomly divided into the observation group(n=49)and the control group(n=49).The control group was treated with extracorporeal shock wave;on which basis,the observation group was also treated with ultrasound-guided acupuncture.The levels of hs-CRP,IL-17 and IL-8,joint swelling index,joint activity index,the scores of VAS,HSS and SF-36 were observed before and after the treatment in the two groups.The clinical efficacy was compared between the two groups.Results:There were no statistical differences in the levels of hs-CRP,IL-8 and IL-17 between the two groups before the treatment(P>0.05),which were significantly decreased in the observation group compared with those in the control group after the treatment(P<0.05).There were no statistical differences in the joint swelling index and the joint activity index between the two groups before the treatment(P>0.05),which were remarkably decreased in the observation group compared with those in the control group after the treatment(P<0.05).There were no statistical differences in the scores of VAS and HSS between the two groups before the treatment(P>0.05);the score of VAS was lower and the score of HSS was higher in the observation group than that in the control group after the treatment,respectively(P<0.05).SF-36 presented no statistical difference between the two groups before the treatment(P>0.05),which was higher in the observation group than that in the control group after the treatment(P<0.05).The total effective rate was 95.92%(47/49)in the observation group,which was slightly higher than 85.72%(42/49)in the control group,with no statistical difference(χ2=3.058,P=0.080).Conclusion:Ultrasound-guided acupuncture combined with extracorporeal shock wave can effectively improve clinical efficacy,attenuate inflammation response,alleviate pain,promo

关 键 词：超声引导 针刺 体外冲击波 肱骨外上髁炎 

分 类 号：R246.2[医药卫生—针灸推拿学]