[1]曹楠阳,潘攀,王培歌,等.不同能量体外冲击波治疗肱骨外上髁炎的疗效观察[J].中国中医骨伤科杂志,2025,33(11):14-17+23.[doi:10.20085/j.cnki.issn1005-0205.251103]
　CAO Nanyang,PAN Pan,WANG Peige,et al.Observation on the Therapeutic Effect of Different Energy Extracorporeal Shock Waves in the Treatment of Lateral Epicondylitis of the Humerus[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(11):14-17+23.[doi:10.20085/j.cnki.issn1005-0205.251103]
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不同能量体外冲击波治疗肱骨外上髁炎的疗效观察()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年11期
页码:
14-17+23
栏目:
临床研究
出版日期:
2025-11-15

文章信息/Info

Title:
Observation on the Therapeutic Effect of Different Energy Extracorporeal Shock Waves in the Treatment of Lateral Epicondylitis of the Humerus
文章编号:
1005-0205(2025)11-0014-04
作者:
曹楠阳1; 潘攀1; 王培歌2; 刘明献3; 赵咏芳2△
1海军军医大学附属第二医院(上海,200003)
2上海中医药大学附属曙光医院
3上海市第五人民医院
Author(s):
CAO Nanyang1; PAN Pan1; WANG Peige2; LIU Mingxian3; ZHAO Yongfang2△
1The Second Affiliated Hospital of Naval Medical University,Shanghai 200003,China; 2Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China; 3Shanghai Fifth People's Hospital,Shanghai 200240,China.
关键词:
肱骨外上髁炎;  体外冲击波;  能量;  疗效
Keywords:
external humerus epicondylitis;  extracorporeal shock wave;  energy;  therapeutic effect
分类号:
R681.7
DOI:
10.20085/j.cnki.issn1005-0205.251103
文献标志码:
A
摘要:
目的:设置低能量、中能量、中高能量、高能量四组能量参数,采用循经取穴法探讨体外冲击波治疗肱骨外上髁炎的最优能量参数。方法:2022年10月至2024年12月收治的160例肱骨外上髁炎患者,通过随机数字表法分为低能量组、中能量组、中高能量组、高能量组四组(各40例),均治疗4周。入组后和治疗结束后1个月,采用视觉模拟量表(VAS)评分、肘关节活动功能评价并接受肌骨超声检测进行评估。结果:低能量组、中能量组、中高能量组、高能量组有效率分别为69.2%,90.0%,80.0%和71.8%,经组间比较统计学检验,四组患者间疗效差异有统计学意义。结论:四组患者体外冲击波穴位治疗肱骨外上髁炎均有镇痛效果,中能量体外冲击波效果最优。
Abstract:
Objective:To explore the optimal energy parameters of extracorporeal shock wave therapy for lateral epicondylitis of the humerus by using the meridian-based acupoint selection method with 4 groups of energy parameters,namely low,medium,medium-high and high.Methods:From October 2022 to December 2024,160 patients with lateral epicondylitis of the humerus were divided into 4 groups by random number table method,with 40 cases in each group.The 160 patients was divided into 4 groups:the low-energy group(with one case of dropout),the medium-energy group,the medium-high energy group,and the high-energy group(with one case of dropout).All 4 groups were treated for 4 weeks.After enrollment and one month after the end of treatment,the visual analogue scale(VAS)score,elbow joint movement function evaluation,and musculoskeletal ultrasound detection were used for assessment.Results:The effective rate was 69.2% in the low-energy group,90.0% in the medium-energy group,80.0% in the medium-high energy group,and 71.8% in the high energy group.Through statistical tests of intergroup comparison,the therapeutic effects among the 4 groups were statistically significant.Conclusion:All 4 groups of extracorporeal shock wave acupoint therapy for lateral epicondylitis of the humerus have analgesic effects,and the medium-energy extracorporeal shock wave has the best effect.

参考文献/References:

[1] SHARMA G K,PATIL A,KAUR P,et al.Comparison of efficacy of ultrasound-guided platelet rich plasma injection versus dry needling in lateral epicondylitis:a randomised controlled trial[J].Journal of Ultrasound,2024,27(2):315-321.
[2] 崔华静,秦毅.肌骨超声定位体外冲击波联合皮针治疗顽固性肱骨外上髁炎的效果及预后观察[J].中国医疗器械信息,2024,30(14):148-150.
[3] 梁豪君,贾海光,朱俊宇,等.中国骨肌疾病体外冲击波疗法指南(2023年版)[J].中国医学前沿杂志(电子版),2023,15(9):1-20.
[4] 曹楠阳,王翔,郭海玲,等.揿针联合体外冲击波治疗顽固性肱骨外上髁炎的临床疗效观察[J].中国中医骨伤科杂志,2020,28(3):15-18.
[5] USTABA 瘙 塁 IOGLU F,GÜNAY B,SAMANC C,et al.Assessment of common extensor tendon vascularization using superb microvascular imaging:a potential tool in the evaluation of extracorporeal shock wave therapy and therapeutic ultrasound effectiveness in lateral epicondylitis[J].Acta Radiologica,2023,64(10):2828-2835.
[6] 李非铭,方海博,郑欢欢,等.超声引导下针刺联合体外冲击波治疗肱骨外上髁炎的临床研究[J].针灸临床杂志,2023,39(10):18-22.
[7] 张锦为,张其明,单莎瑞,等.基于肌骨超声定位下体外冲击波联合磁振热治疗肱骨外上髁炎患者的临床效果[J].反射疗法与康复医学,2024,5(6):30-33.
[8] GUPTA A,MIGLIORINI F,BARDAZZI T,et al.Autologous peripheral blood-derived orthobiologics for the management of elbow disorders:a review of current clinical evidence[J].Pain and Therapy,2025,14(2):497-511.
[9] 于俊海,许睿.离心收缩训练联合ESWT对网球肘患者的疗效及预后评估[J].解放军预防医学杂志,2019,37(2):32-34.
[10] 任安龙,童哲瑶,吴国林.发散式冲击波在肱骨外上髁炎患者中的临床疗效及对炎症因子的影响研究[J].临床检验杂志(电子版),2019,8(4):252-253.
[11] 高俊虎,王博,田园,等.火针配合康复训练对网球肘的疗效及对炎症因子的影响[J].针灸临床杂志,2020,36(3):20-24.
[12] SAEKI M,YONEDA H,YAMAMOTO M.Lateral elbow magnetic resonance imaging findings in patients without pain complaints[J].JPRAS Open,2024,41:159-165.
[13] IKEDA K,OGAWA T,IKUMI A,et al.Individual evaluation of the common extensor tendon and lateral collateral ligament improves the severity diagnostic accuracy of magnetic resonance imaging for lateral epicondylitis[J].Diagnostics,2022,12(8):1871.
[14] LI X,ZHAO Y,ZHANG Z J,et al.Correlations of magnetic resonance imaging classifications with preoperative functions among patients with refractory lateral epicondylitis[J].BMC Musculoskeletal Disorders,2022,23(1):690.
[15] 胡雯雯.中医治疗肱骨外上髁炎的研究进展[J].湖南中医杂志,2020,36(1):149-151.
[16] 周雨桐,索文栋,倪青.“通法”在痛风治疗中的应用[J].环球中医药,2021,14(12):2216-2218.
[17] 梅耀文,田永衍.基于《内经》理论的“通法”探析[J].中医药通报,2020,19(4):13-15.
[18] ZHANG X Y,MA Y W.Global trends in research on extracorporeal shock wave therapy(ESWT)from 2000 to 2021[J].BMC Musculoskeletal Disorders,2023,24(1):312.
[19] MAJIDI L,KHATERI S,NIKBAKHT N,et al.The effect of extracorporeal shock-wave therapy on pain in patients with various tendinopathies:a systematic review and meta-analysis of randomized control trials[J].BMC Sports Science,Medicine and Rehabilitation,2024,16(1):93.
[20] LIU K,ZHANG Q Y,CHEN L L,et al.Efficacy and safety of extracorporeal shockwave therapy in chronic low back pain:a systematic review and meta-analysis of 632 patients[J].Journal of Orthopaedic Surgery and Research,2023,18(1):455.
[21] LI J,LI J,LI D,et al.The efficacy of extracorporeal shock wave combined with platelet rich plasma in the treatment of knee osteoarthritis with meniscus injury:a retrospective analysis[J].Pakistan Journal of Medical Sciences,2023,40(3):(3Part-Ⅱ):382-387.
(收稿日期:2025-06-16)

备注/Memo

备注/Memo:
基金项目:上海市卫生健康委员会中医药科研项目(2022QN38)
国家自然科学基金资助项目(82174404,81774342)
上海市科委“科技创新行动计划”医学创新研究专项(21Y31920200)
上海市中医药(临床类)重点学科数智筋骨伤病学建设项目(shzyyzdxk-2024103)
上海市卫生健康委员会科研项目(202224Y0216)
上海市卫生健康委员会中医药标准化项目(2025BZ003)
上海市科学技术委员会科研计划项目(17401901900)
上海申康“促进市级医院临床技能与临床创新三年行动计划”项目(SHDC2020CR3090B)
△通信作者 E-mail:zhao_dingding@126.com
更新日期/Last Update: 2025-11-15