摘要
目的观察五步松筋正骨手法联合截血膏治疗网球肘的临床疗效。方法将我院96例网球肘患者随机分为治疗组与对照组各48例。对照组应用扶他林治疗,治疗组应用五步松筋正骨手法联合截血膏治疗。治疗后比较两组中医症候疗效及视觉模拟评分(VAS)、压力疼痛感觉阈(PPT)、无痛握力(PFG)、前臂腕伸肌肌力、Mayo肘关节功能(Mayo)、日常生活能力(ADL)评分,比较治疗后1个月复发率、优良率。结果治疗后,治疗组临床总有效率显著高于对照组(P<0.05);两组前臂内、外旋VAS评分低于治疗前治疗组前臂内、外旋VAS评分低于对照组(P<0.05);两组PPT、PFG高于治疗前治疗组PPT、PFG高于对照组(P<0.05);两组前臂腕伸肌肌力、Mayo、ADL评分高于治疗前,治疗组前臂腕伸肌肌力、Mayo、ADL评分高于对照组(P<0.05)。治疗后1个月治疗组复发率显著低于对照组(P<0.05)治疗组优良率显著高于对照组(P<0.05)。结论五步松筋正骨手法联合截血膏治疗网球肘,明显提高临床疗效,降低疼痛,提高压力疼痛感觉阈、握力、肌力,改善肘关节功能和生活能力,降低复发率,提高优良率。
Objective To observe the clinical efficacy of five-step muscle relaxation and bone setting technique combined with Jiexue Cream in treatment of tennis elbow.Methods A total of 96 patients with tennis elbow were randomly divided into treatment group and control group,with 48 cases in each group.Control group was treated with voltarin,and treatment group was treated with five-step muscle relaxation and bone setting technique combined with Jiexue Cream.The efficacy of TCM syndromes,Visual Analogue Scale(VAS),pressure and pain sensory threshold(PPT),painless grip strength(PFG),forearm wrist extensor muscle strength,Mayo elbow function(Mayo)and ability of daily living(ADL)scores of the two groups were compared after treatment;the recurrence rate and excellent and good rate of the two groups at one month after treatment were compared.Results After treatment,the total clinical effective rate of treatment group was significantly higher than that of control group(P<0.05);the VAS scores in both groups were lower than those before treatment,and were lower in treatment group than those in control group(P<0.05);the PPT and PFG of both groups were higher than those before treatment,and were higher in treatment group than those in control group(P<0.05);the scores of forearm wrist extensor muscle strength,Mayo,and ADL in both groups were higher than those before treatment,and were higher in treatment group than those in control group(P<0.05).One month after treatment,the recurrence rate of treatment group was significantly lower than that of control group(P<0.05);the excellent rate of treatment group was significantly higher than that of control group(P<0.05).Conclusion fivestep muscle relaxation and bone setting technique combined with Jiexue Cream significantly enhances clinical efficacy,reduceds pain,improves pressure pain sensation threshold,grip strength,and muscle strength,improves elbow joint function and living ability,reduces recurrence rate,and increases excellent rate in treatment of tennis elbow.
作者
李冬
LI Dong(Wuhan Hospital of TCM,Wuhan 430014)
出处
《湖北中医药大学学报》
2024年第4期81-83,共3页
Journal of Hubei University of Chinese Medicine
基金
武汉市卫生健康委医学科研项目(项目编号:WZ20D09)。
关键词
网球肘
五步松筋正骨手法
截血膏
临床疗效
Tennis elbow
Five-step muscle relaxation and bone setting technique
Jiexue Cream
Clinical efficacy
