摘要
目的观察中药泡洗法治疗风寒阻络型肱骨外上髁炎(Lateral epicondylitis,LE)的临床疗效。方法将80例LE患者随机分为实验组和对照组。实验组40例采用中药泡洗法联合护肘制动治疗,对照组40例采用扶他林乳胶剂外涂联合与实验组相同的护肘制动治疗。两组患者均每日治疗1次,7 d为1个疗程。2个疗程治疗后,比较两组治疗后的总有效率、Mayo肘关节功能评分及通过压痛测量仪测量患者前后肘关节引发压痛值的大小变化;治疗结束3个月后通过门诊复诊或者电话的形式进行远期随访,比较两组患者的远期疗效和复发情况。结果治疗结束后,两组患者症状较之前改善,其中实验组有效率为90%,而对照组有效率为72.5%,差异存在统计学意义(P<0.05);肘关节引发压痛值比治疗前增高,Mayo肘关节功能评分值较治疗前升高,差异经检验均存在统计学意义(P<0.05)。随访发现实验组远期疗效为75%,对照组远期有效率为65%,组间差异经分析无统计学意义(P>0.05)。结论中药泡洗法治疗风寒阻络型肱骨外上髁炎疗效显著,值得临床推广使用。
Objective To observe the clinical effect of Chinese medicine soaking and washing method in the treatment of external humeral epicondylitis of wind-cold obstruction type. Methods The 80 LE patients were divided into experimental group and control group according to random method. In experimental group,40 cases was treated with Chinese medicine soaking and washing method combined with elbow braking,while in control group,40 cases was treated with external application of Futalin latex,using the same elbow braking treatment as the experimental group. Two groups of patients were treated once a day,7 days for a course of treatment. After two courses of treatment,the clinical efficacy,Mayo elbow joint function score and the changes of elbow joint trigger tenderness before and after treatment were compared between the two groups. Long-term follow-up was conducted by outpatient consultation or telephone three months after the end of treatment. The long-term efficacy and recurrence of the two groups were compared. Results After the treatment,the symptoms of the two groups were improved. The effective rate of the experimental group was 90%,while that of the control group was 72.5%. The difference was statistically significant(P<0.05). The trigger tenderness value of elbow joint increased and the Mayo elbow joint function score increased compared with that before treatment. The difference was statistically significant after examination(P<0.05). Follow-up results showed that the long-term efficacy of the experimental group was 75%,and that of the control group was 65%. There was no ststistic significant difference between the two groups(P>0.05). Conclusion Chinese medicine soaking and washing method has a remarkable effect on the treatment of external humeral epicondylitis of wind-cold obstruction type,which is worthy of clinical application.
作者
殷京
张清
王卓
王亚杰
侯晓宙
李凯明
曾新雨
YIN JingZHANG Qing;WANG Zhuo;WANG Yajie;HOU Xiaozhou;LI Kaiming;ZENG Xinyu(Wangjing Hospitiil of China Academy of Traditional Chinese Medicine Sciences,Beijing 100102,China;Institute of Basic Theory for Chinese Medicine of Traditional Chinese Medicine Sciences,Beijing 100700,China)
出处
《辽宁中医药大学学报》
CAS
2020年第6期99-103,共5页
Journal of Liaoning University of Traditional Chinese Medicine
基金
首都特色发展专项基金(2018-2-4162)
国家中医药管理局国家中医临床研究基地业务建设科研专项基金(JDZΧ2015273)。
关键词
中药泡洗法
风寒阻络型
肱骨外上髁炎
随机对照研究
Chinese medicine soaking and washing method
wind-cold obstruction type
external humeral epicondylitis
randomized controlled trial
