海桐皮汤联合体外冲击波治疗肱骨外上髁炎临床疗效观察

发布时间：2018-12-08 12:52

【摘要】：目的：通过对海桐皮汤联合体外冲击波治疗肱骨外上髁炎临床疗效的研究,探讨海桐皮汤联合体外冲击波在缓解患者肘外侧疼痛,改善患者肘部功能等方面疗效,优选临床疗效好、安全性高、简便廉价的复合疗法,并为其临床推广提供理论依据。方法：取2015年4月-2015年11月门诊的肱骨外上髁炎病人90例,随机分为三组：A组(中药熏蒸组)：30例,海桐皮汤熏蒸,每日2次,连续2周；B组(冲击波组)：30例,体外冲击波治疗,每2日1次,连续2周,C组(中药熏蒸联合冲击波组)：30例,海桐皮汤熏蒸,每日2次,体外冲击波,每2日1次,连续2周。治疗周期结束后观察临床疗效、握力、肘部疼痛综合评定和肘关节功能评定。结果：同一时间点组间比较,临床疗效：A、B和C三组总有效率分别82.14%、79.31%和89.29%,三组之间比较有显著统计学差异(P0.05)。握力测量：A、B、C三组冶疗后握力均大于治疗前握力(P0.05),并且A组优于B组(P0.05),C组明显优于A组和B组(P0.05)。SF-McGill量表评分：治疗后三组患者SF-McGill量表总分均较治疗前显著降低(P0.05),并且A组总分低于B组(P0.05),C组总分明显低于A组和B组(P0.05)。肘关节功能评定：治疗后三组患者肘功能评定量表总分均较治疗前显著提高(P0.05),并且A组总分高于B组,C组总分高于A组和B组,但差异无统计学意义(P0.05)。结论：中药熏蒸疗法、冲击波疗法和中药熏蒸联合冲击波治疗肱骨外上髁炎均能够减轻局部疼痛、改善握力及肘关节功能；在临床疗效、缓解局部疼痛及改善握力方面中药熏蒸疗法疗效优于冲击波疗法,而中药熏蒸联合冲击波疗法疗效明显优于单纯中药熏蒸疗法和冲击波疗法。
[Abstract]:Objective: to study the clinical effect of Hetongpi decoction combined with extracorporeal shock wave in the treatment of external epicondylitis of humerus, and to explore the curative effect of Hetongpi decoction combined with extracorporeal shock wave on relieving pain and improving elbow function of patients. Excellent selection of clinical efficacy, high safety, simple and cheap combination therapy, and to provide a theoretical basis for its clinical promotion. Methods: from April 2015 to November 2015, 90 patients with external epicondylitis of humerus were randomly divided into three groups: group A (Chinese medicine fumigation group): 30 cases, Haitongpi decoction fumigation, twice a day for 2 weeks; Group B (shock wave group): 30 cases were treated with extracorporeal shock wave once every 2 days for 2 weeks, group C (Chinese medicine fumigation combined with shock wave group): 30 cases, sea Tongpi decoction fumigation, twice a day, extracorporeal shock wave once every 2 days. Two weeks in a row. The clinical effect, grip strength, elbow pain and elbow function were observed after the treatment period. Results: at the same time point, the total effective rate of group A B and C was 82.14% and 89.29%, respectively. There was significant difference among the three groups (P0.05). Grip strength measurement: after treatment, the grip strength of group A was higher than that of group B (P0.05), and group A was superior to group B (P0.05). Group C was significantly better than group A and group B (P0.05). SF-McGill scale score: after treatment, the total score of SF-McGill scale in three groups was significantly lower than that before treatment (P0.05), and the total score of group A was lower than that of group B (P0.05). The total score of group C was significantly lower than that of group A and group B (P0.05). Elbow function evaluation: after treatment, the total score of elbow function rating scale in three groups was significantly higher than that before treatment (P0.05), and the total score of group A was higher than that of group B, and the total score of group C was higher than that of group A and group B, but the difference was not statistically significant (P0.05). Conclusion: traditional Chinese medicine fumigation, shock wave therapy and combined Chinese medicine fumigation combined shock wave treatment of humeral epicondylitis can alleviate local pain, improve grip strength and elbow joint function. Traditional Chinese medicine fumigation therapy was superior to shock wave therapy in clinical efficacy, local pain relief and grip strength improvement, while traditional Chinese medicine fumigation combined with shock wave therapy was superior to simple traditional Chinese medicine fumigation therapy and shock wave therapy.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

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