蠲痹汤加味配合腕踝针治疗肱骨外上髁炎临床疗效及对炎症因子的影响  

Effect of Modified Juanbi Decoction Combined with Wrist-Ankle Acupuncture on External Humeral Epicondylitis and Its Influence on Inflammatory Factors

作　　者：林哲 林叶艳 王庆来[1] LIN Zhe;LIN Yeyan;WANG Qinglai(Wenzhou TCM Hospital of Zhejiang Chinese Medical University,Wenzhou Zhejiang 325000,China)

机构地区：[1]浙江中医药大学附属温州市中医院,浙江温州325000

出　　处：《新中医》2024年第24期1-6,共6页New Chinese Medicine

基　　金：温州市科技局基金项目(Y20220534)。

摘　　要：目的:观察蠲痹汤加味配合腕踝针治疗肱骨外上髁炎的临床疗效及对炎症因子的影响。方法:选取2022年12月—2023年10月在浙江中医药大学附属温州市中医院诊治的126例肱骨外上髁炎患者,随机分为对照组和观察组各63例。对照组予腕踝针治疗,观察组予蠲痹汤加味配合腕踝针治疗。比较2组临床疗效,视觉模拟评分法(VAS)评分,Mayo肘关节功能量表(MEPS)评分,无痛握力(PFG)及血清炎症因子[C-反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)]水平。结果:2组均剔除3例,最终纳入统计各60例。治疗后,2组VAS评分均较治疗前降低,MEPS评分、PFG值均较治疗前升高,观察组VAS评分低于对照组,MEPS评分、PFG值高于对照组,差异均有统计学意义(P<0.05)。治疗后,2组血清CRP、TNF-α、IL-1β水平均低于治疗前,观察组CRP、TNF-α、IL-1β水平均低于对照组,差异均有统计学意义(P<0.05)。观察组总有效率93.33%,对照组80.00%,差异有统计学意义(P<0.05)。结论:蠲痹汤加味配合腕踝针治疗肱骨外上髁炎,可降低炎症因子水平,促进疼痛症状缓解,改善肘关节功能,增强患肢握力,有良好的临床疗效。Objective:To observe the clinical effect of Juanbi Decoction combined with wrist-ankle acupuncture on external humeral epicondylitis and its influence on inflammatory factors.Methods:A total of 126 patients with external humeral epicondylitis diagnosed and treated in Wenzhou TCM Hospital of Zhejiang Chinese Medical University from December 2022 to October 2023 were randomly divided into the control group and the observation group,with 63 patients in each group.The control group was treated with wrist-ankle acupuncture,and the observation group was treated with Juanbi Decoction combined with wrist-ankle acupuncture.The clinical effects,scores of Visual Analogue Scale(VAS),Mayo Elbow Performance Scale(MEPS),Pain-Free Grip Strength(PFG)and levels of serum inflammatory factors[Creactive protein(CRP),tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1β)]were compared between the two groups.Results:Three cases were excluded from both groups,and sixty cases were included in the statistics finally.After treatment,the VAS scores were decreased,MEPS scores and PFG value were increased in both groups when compared with those before treatment;the VAS score in the observation group was lower than that in the control group;the MEPS score and PFG value were higher than those in the control group,differences being significant(P<0.05).After treatment,the serum levels of CRP,TNF-α and IL-1β in both groups were lower than those before treatment,and the levels of CRP,TNF-α and IL-1β in the observation group were lower than those in the control group,differences being significant(P<0.05).The total effective rate was 93.33%in the observation group,and 80.00%in the control group,the difference being significant(P<0.05).Conclusion:The therapy of modified Juanbi Decoction combined with wrist-ankle acupuncture can reduce the levels of inflammatory factors,promote the relief of pain,improve elbow joint function,enhance the grip strength of the affected limb,and have good clinical effect on the treatment of external humerus epicondyl

关 键 词：肱骨外上髁炎 腕踝针 蠲痹汤 炎症因子 视觉模拟评分法 Mayo肘关节功能量表 无痛握力 

分 类 号：R658.2[医药卫生—外科学]