整体模式在郑氏手法治疗肱骨外上髁炎中的临床应用  

Clinical Application of Holistic Model in Zheng′s Manipulation in Treatment of Lateral Epicondylitis of Humerus

作　　者：李胜吾[1] 刘剑伟[1] LI Shengwu;LIU Jianwei(Sichuan Orthopedic Hospital,Chengdu 610041,Sichuan,China)

机构地区：[1]四川省骨科医院,四川成都610041

出　　处：《辽宁中医杂志》2024年第3期170-173,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：四川省干部保健课题项目(川干研2019-608)。

摘　　要：目的观察郑氏手法治疗肱骨外上髁炎的治疗效果。方法将2021年8月—2022年1月该院筋伤科门诊收治的60例肱骨外上髁炎病人按照纳入顺序用随机数字表随机分类法随机分成两组,每组30例,治疗组30例病人予郑氏手法治疗,对照组30例病人予局部封闭治疗,两组疗程均是2周。疗程结束后评估两组总体疗效,治疗前后视觉模拟评分法(visual analog scale,VAS)评分,治疗前后Mayo肘关节功能评分,治疗前后美国特种外科医院(Hospital for Special Surgery,HSS)肘关节功能评分,治疗前后肘关节局部压痛阈值。结果治疗组的总有效率为88.89%(24/27),优于对照组总有效率81.48%(22/27)(P<0.05);两组治疗后VAS评分均降低,两组差异无统计学意义(P>0.05);两组治疗后Mayo肘关节评分和HSS肘关节评分均增高,治疗组评分明显高于封闭组(P<0.05);两组治疗后Mayo肘关节评分和HSS肘关节评分均增高,治疗组评分明显高于封闭组(P<0.05);两组治疗后肘关节局部压痛阈值较治疗前均有提升,治疗组肘关节局部压痛阈值明显高于封闭组(P<0.05)。结论郑氏手法治疗肱骨外上髁炎疗效优于局部封闭治疗,值得临床推广应用。Objective To observe the therapeutic effect of Zheng′s manipulation on lateral epicondylitis of humerus.Methods Sixty cases of humeral epicondylitis meeting the inclusion criteria were randomly divided into two groups.Thirty cases in the treatment group were treated with Zheng′s manipulation and thirty cases in the control group were treated with local blocking.The course of treatment of both groups was 2 weeks.After the course of treatment,the overall efficacy of the two groups was evaluated,including visual analog scale(VAS)score before and after treatment,Mayo elbow function score before and after treatment,Hospital for Special Surgery(HSS)elbow function score before and after treatment,and elbow local tenderness threshold before and after treatment.Results The total effective rate of the treatment group was 88.89%(24/27).The total effective rate of the treatment group was better than that of the control group which was 81.48%(22/27)(P<0.05).The VAS score of the two groups decreased after the treatment and there was no significant difference between the two groups(P>0.05).After the treatment,Mayo elbow score and HSS elbow score increased in both groups and the scores of the treatment group were significantly higher than those of the control group(P<0.05).The local tenderness threshold of elbow joint in the treatment group was significantly higher than that in the control group(P<0.05).Conclusion Zheng′s manipulation is better than local blocking in the treatment of lateral epicondylitis of humerus and is worthy of clinical application.

关 键 词：整体模式 郑氏手法 肱骨外上髁炎 临床应用 

分 类 号：R274[医药卫生—中医骨伤科学]