1.上海中医药大学附属第七人民医院康复治疗科(上海 200137)
2.上海中医药大学康复医学院(上海 201203)
蒋黎明,男,硕士研究生,主管治疗师,主要从事骨伤康复的临床研究工作
冯伟,博士,教授,博士研究生导师;E-mail:fwginger@126.com
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蒋黎明, 于小明, 吴绪波, 等. 肌肉能量技术结合中医定向透药疗法治疗肱骨外上髁炎的临床观察[J]. 上海中医药杂志, 2021,55(6):58-60.
Liming JIANG, Xiaoming YU, Xubo WU, et al. Clinical observation on treatment of external humeral epicondylitis by muscle energy technique combined with traditional Chinese medicine directional penetration therapy[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(6):58-60.
蒋黎明, 于小明, 吴绪波, 等. 肌肉能量技术结合中医定向透药疗法治疗肱骨外上髁炎的临床观察[J]. 上海中医药杂志, 2021,55(6):58-60. DOI: 10.16305/j.1007-1334.2021.1911071.
Liming JIANG, Xiaoming YU, Xubo WU, et al. Clinical observation on treatment of external humeral epicondylitis by muscle energy technique combined with traditional Chinese medicine directional penetration therapy[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(6):58-60. DOI: 10.16305/j.1007-1334.2021.1911071.
目的,2,观察肌肉能量技术结合中医定向透药疗法治疗肱骨外上髁炎的临床疗效。,方法,2,将100例肱骨外上髁炎患者随机分成治疗组和对照组,每组50例。治疗组予肌肉能量技术结合中医定向透药疗法治疗,对照组予中医定向透药疗法治疗。两组疗程均为14 d,观察比较疼痛VAS评分、上肢功能评分(DASH)及超声下患侧肘关节伸肌总腱最大厚度的变化情况。,结果,2,本试验期间无病例脱落。治疗前后组内比较,两组VAS评分、DASH总分、患侧肘关节伸肌总腱最大厚度均差异有统计学意义(,P,<,0.05);组间治疗后比较,治疗组VAS评分、DASH总分、患侧肘关节伸肌总腱最大厚度改善明显优于对照组(,P,<,0.05)。,结论,2,肌肉能量技术结合中医定向透药疗法能更加有效地减轻肱骨外上髁炎患者的疼痛症状,改善患者上肢功能,是一种比较可行的中西医结合方法。
Objective,2,To observe the clinical effect of muscle energy technique (MET) combined with directional penetration therapy of traditional Chinese medicine (TCM) on treatment of external humeral epicondylitis (EHE).,Method,2,A total of 100 patients with external humeral epicondylitis were randomly divided into the treatment group (,n,=50) and the control group (,n,=50). The treatment group was administered with TCM directional penetration therapy combined with MET, while the control group was administered with TCM directional penetration therapy alone. The course of treatment was 14 days in both groups. We observed and compared the change of pain visual analogue scale (VAS) scores, disability of arm-shoulder-hand (DASH) scores, and the maximum thickness of common extensor tendon of elbow joint on the affected side under ultrasound.,Results,2,There was no drop-out case during the trial. There were significant differences in VAS scores, DASH total scores and the maximum thickness of common extensor tendon of affected elbow joint before and after treatment in both groups (,P,<,0.05); after treatment, the improvement of VAS scores, DASH total scores and the maximum thickness of common extensor tendon of the affected side of the elbow joint in the treatment group was significantly better than that in the control group (,P,<,0.05).,Conclusion,2,MET combined with TCM directional penetration therapy is a feasible method of integrated traditional Chinese and western medicine therapy, which can relieve the pain of patients with EHE and improve the upper limb function of patients more effectively.
中医定向透药疗法肌肉能量技术肱骨外上髁炎中西医结合疗法临床研究
traditional Chinese medicine directional penetration therapymuscle energy techniqueexternal humeral epicondylitisintegrated traditional Chinese and western medicine therapyclinical research
代飞,向明. 肱骨外上髁炎病因与发病机制的研究进展[J]. 中华肩肘外科电子杂志,2017, 5(2): 142-144.
赵亮,孔令跃,任逸众,等. 肱骨外上髁炎研究进展[J]. 实用骨科杂志,2017, 23(10): 904-907.
陈年华,张建新,李欣. 肱骨外上髁炎非手术治疗研究进展[J]. 风湿病与关节炎,2017, 6(9): 76-80.
国家中医药管理局. 中医病证诊断疗效标准[M]. 南京:南京大学出版社,1994: 125.
诸飞飞. 体外冲击波联合温针灸与中医定向透药对网球肘的疗效观察[J]. 中国妇幼健康研究,2017, 28(S4): 474-475.
KOH C, SEFFINGER M A. Muscle energy technique improves chronic lateral epicondylitis[J]. J Am Osteopath Assoc, 2016, 116(1): 58-66.
任佳悦,杨燕冰,季晶俊,等. 体外冲击波穴位治疗对肩关节周围炎患者肩部疼痛及血清5-HT、PGE2影响的临床观察[J]. 上海中医药杂志,2019, 53(8): 68-71.
方征宇,熊亮,高春华,等. 体外冲击波联合肌肉能量技术治疗肱骨外上髁炎的临床研究[J]. 中国康复,2016, 31(5): 362-364.
CONNELL D, DATIR A, ALYAS F, et al. Treatment of lateral epicondylitis using skin-derived tenocyte-like cells[J]. Br J Sports Med, 2009, 43(4): 293-298.
侯佳. 高频超声在网球肘诊断中的应用[J]. 中国中西医结合影像学杂志,2015, 13(5): 560-561.
RAZAVIPOUR M, AZAR M S, KARIMINASAB M H, et al. The short term effects of shock-wave therapy for tennis elbow: a clinical trial study[J]. Acta Inform Med, 2018, 26(1): 54-56.
周政东. 三联疗法治疗肱骨外上髁炎[J]. 中医正骨,2019, 31(2): 56-57.
王健,包永欣,相永梅,等.针灸配合手法治疗网球肘的临床研究[J]. 光明中医,2017, 32(17): 2522-2523.
顾秀云,吉裕泉. 合谷刺配合中医定向透药治疗肱骨外上髁炎102例[J]. 实用中医药杂志,2016, 32(1): 25-26.
郑庆祥,曹波. 中医定向透药治疗仪配合中药熏洗治疗肱骨外上髁炎120例[J]. 临床合理用药杂志,2015, 8(11): 179.
FRANKE H, FRYER G, OSTELO R W, et al. Muscle energy technique for non-specific low-back pain[J]. Cochrane Database Syst Rev, 2015, 2(2): Cd009852.
刘宏光,王艳萍,王洪英,等. 针刺结合肌肉能量技术治疗前斜角肌综合征的疗效观察[J]. 中国康复,2018, 33(6): 476-478.
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