[1]殷京,白罡,刘立永,等.拔戳揉捻手法联合功能锻炼治疗肱骨外上髁炎的临床研究[J].中国中医骨伤科杂志,2024,32(01):31-35+41.[doi:10.20085/j.cnki.issn1005-0205.240106]
　YIN Jing,BAI Gang,LIU Liyong,et al.Efficacy Observation of the Bachuo Rounian Manipulation and Function Exercise on Treatment of External Humeral Epicondylitis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(01):31-35+41.[doi:10.20085/j.cnki.issn1005-0205.240106]
点击复制

拔戳揉捻手法联合功能锻炼治疗肱骨外上髁炎的临床研究()
分享到：

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

卷:
第32卷
期数:
2024年01期
页码:
31-35+41
栏目:
临床研究
出版日期:
2024-01-15

文章信息/Info

Title:
Efficacy Observation of the Bachuo Rounian Manipulation and Function Exercise on Treatment of External Humeral Epicondylitis
文章编号:
1005-0205(2024)01-0031-05
作者:
殷京1; 白罡1; 刘立永1; 池春丽1; 张海云1; 于长岁1; 谷金玉2; 张清2△
1首都医科大学电力教学医院(北京,100073) 2中国中医科学院望京医院
Author(s):
YIN Jing1; BAI Gang1; LIU Liyong1; CHI Chunli1; ZHANG Haiyun1; YU Changsui1; GU Jinyu2; ZHANG Qing2△
1Electric Power Teaching Hospital of Capital Medical University,Beijing 100073,China; 2Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China.
关键词:
拔戳揉捻手法;  功能锻炼;  肱骨外上髁炎;  随机对照试验
Keywords:
Bachuo Rounian manipulation;  function exercise;  external humeral epicondylitis;  randomized controlled trial
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.240106
文献标志码:
A
摘要:
目的:观察拔戳揉捻手法联合功能锻炼治疗肱骨外上髁炎的临床疗效。方法:选取2020年9月至2022年9月就诊的肱骨外上髁炎患者64例,随机分为治疗组与对照组,每组各32例,治疗组用拔戳揉捻手法联合肘关节锻炼治疗,对照组用扶他林外用联合护肘治疗,治疗4周后对比两组患者疗效、疼痛视觉模拟量表(VAS)评分、引发患肘压痛值、美国特种外科医院(HHS)量表及HHS2自评分量表结局指标差异,治疗结束1个月与3个月后随访,观察患者不良反应发生情况。结果:治疗4周后,治疗组临床总有效率为96.9%,对照组总有效率为78.1%。1个月和3个月后随访总有效率分别为93.8%和78.1%,对照组随访总有效率分别为71.9%和53.1%,均优于对照组总有效率,两组差异有统计学意义(P<0.05); 在VAS评分、引发患肘压痛值及HHS量表评分改善方面治疗组均较对照组明显,差异有统计学意义(P<0.05)。研究过程中患者未发生不良反应。结论:拔戳揉捻手法联合功能锻炼治疗肱骨外上髁炎疗效显著,能减少症状中远期复发,缓解患者肘部疼痛,提升患者生活质量,安全性好,可推荐临床应用。
Abstract:
Objective:To observe the clinical efficacy of the Bachuo Rounian manipulation and function exercise on treatment of external humeral epicondylitis.Methods:64 patients with external humeral epicondylitis from September 2020 to September 2022 were included in the study,randomly assign 32 patients to the treatment group and the control group,the treatment group was treated by Bachuo Rounian manipulation combined with elbow joint functional exercise,while the control group was treated by Voltaalin ointment combined with elbow-guard and rest.The clinical efficacy,visual analogue scale(VAS)score,the number of elbow tenderness,Hospital for special surgery(HHS)score scale and HHS2 self-scoring scale were compared between the two groups after 4 weeks of continuous treatment.The follow-up efficacy was performed 1 month and 3 months after the end of treatment,the occurrence of adverse reactions in the whole process of the study was observed.Results:The last effective rate was 96.9% in the treatment group after 4 weeks of treatment,the last effective rate of control group was 78.1%,and the last effective rate of treatment group is 93.8% and 78.1% in the follow-up after 1 and 3 months.Compare with the last effective rate of control group after 1 and 3 months is 71.9% and 53.1%,and the difference was statistically significant.Compared with the control group,the improvement of VAS score,trigger elbow pain value and HHS score in the treatment group was significant.No adverse reactions were found during the study period.Conclusion:The Bachuo Rounian manipulation combined with functional exercise on the treatment of external humeral epicondylitis has significant clinical efficacy,which can effectively reduce the probability of long-term recurrence of symptoms,effectively relieve the elbow pain symptoms of patients,improve the quality of life of patients,and good treatment safety.It can be recommended for clinical use.

参考文献/References:

[1] 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.
[2] 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.
[3] 杨梦琪,赵明宇,张向东.肱骨外上髁炎的外治疗法现状研究[J].中国疗养医学,2021,30(11):1154-1157.
[4] 孙树椿.清宫正骨手法图谱[M].北京:中国中医药出版社,2012:153-156.
[5] 王海洋,黄法森,冯敏山,等.拔戳揉捻法改善肱骨外上髁炎VAS疼痛评分的临床观察[J].天津中医药大学学报,2017,36(4):271-273.
[6] 杨满红,侯晓宙,王平,等.拔戳揉捻手法治疗肱骨外上髁炎35例[J].中国中医骨伤科杂志,2021,29(11):76-78.
[7] 尹航,董博,康武林,等.肱骨外上髁炎中西医治疗进展[J].辽宁中医药大学学报,2022,24(3):132-136.
[8] 国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:189.
[9] 王和鸣.中医骨伤科学[M].北京:中国中医药出版社,2007:270-271.
[10] 王诗忠,张泓.康复评定学[M].北京:人民卫生出版社,2012:73-75.
[11] FIGGIE M P,INGLIS A E,MOW C S,et al.Total elbow arthroplasty for complete ankyosis of the elbow[J].J Bone Joint Surg Am,1989,71(4):513-520.
[12] CUTTS S,GANGOO S,MODI N,et al.Tennis elbow:a clinical review article[J].J Orthop,2019,17:203-207.
[13] MEUNIER M.Lateral epicondylitis/extensor tendon injury[J].Clin Sports Med,2020,39(3):657-660.
[14] WILHELMA A.Tennis elbow:treatment of resistant cases by dervation[J].J Hand Surg Br,1996,21(4):523-533.
[15] 贺涓涓,麦艺颖,钟小娟,等.肌骨超声影像引导高渗葡萄糖与糖皮质激素注射治疗网球肘的对照研究[J].中国康复医学杂志,2020,35(12):1428-1433.
[16] 宁凡友,王冲,王楠,等.中医药综合疗法与关节镜手术治疗顽固性肱骨外上髁炎的疗效比较[J].中国中医骨伤科杂志,2020,28(11):18-21.
[17] Collaborative Group on Hormonal Factors in Breast Cancer.Type and timing of menopausal hormone therapy and breast cancer risk:individual participant meta analysis of the worldwide epidemiological evidence[J].Lancet,2019,394(10204):1159-1168.
[18] 贾云芳,唐学章,王磊.推拿配合针刺治疗肱骨外上髁炎[J].北京中医药大学学报,2000,23(Supp):119.
[19] 吴滨江.中医手法传承与发展的战略思考[J].世界中医药,2012,7(6):524-526.
[20] 孙树椿,孙之镐.临床骨伤科学[M].北京:人民卫生出版社,2010:393-394.
[21] 班林强,秦伟凯,魏光成,等.基于筋束骨理论探讨理筋动髌手法治疗髌股关节炎[J].北京中医药大学学报,2022,45(8):855-859.
[22] 北京中医药大学东直门医院.刘寿山正骨经验学[M].北京:人民卫生出版社,2006:310-313.
[23] 傅瑞阳,顾钟忠,王宝虎,等.旋后牵伸手法与内旋伸肘顿拉手法治疗肱骨外上髁炎的临床对比研究[J].中医正骨,2011,23(1):10-13.
[24] 李新伟,杜嘉,谭克,等.平浮针疗法结合肌肉能量技术治疗肱骨外上髁炎疗效观察[J].中华中医药学刊,2017,35(6):1573-1576.

备注/Memo

备注/Memo:
基金项目:首都特色发展专项(2018-2-4162)
中央级公益性科研院所基本科研业务项目(ZZ-15-XY-PT-12)
首都医科大学电力教学医院科技项目(Y2022007)
△通信作者 E-mail:zhangqinggys@163.com
更新日期/Last Update: 2024-01-15