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发散式体外冲击波治疗肱骨外上髁炎
Comparison of therapeutic effect of radial extracorporeal shock wave therapy and local injection in patients with lateral epicondylitis
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DOI:
作者:
顾卫东
ZHANG Ji TONG Mingliang GU Weidong
作者单位:
1. 复旦大学附属闵行医院 2. 复旦大学附属华东医院
1. Minhang Hospital, Fudan University 2. Huadong Hospital, Fudan University
关键词:
肱骨外上髁炎;发散式冲击波;局部注射
lateral epicondylitis; radial extracorporeal shock wave therapy; local injection
摘要:
目的:比较发散式体外冲击波和传统的局部注射治疗在肱骨外上髁炎中的疗效。方法:肱骨外上髁炎患者随机分为冲击波组(n=23)和局部注射组(n=20)。冲击波组采用发散式体外冲击波治疗。局部注射组在肱骨外上髁注射消炎镇痛液3~5ml。采用视觉模拟评分量表(visual analog scale,VAS)评估治疗前、治疗后1月、6月和1年时的疼痛程度。治疗后1年评定两组的临床疗效。结果:两组治疗后VAS评分较治疗前均有明显降低。局部注射组治疗后1月VAS评分(1.9±1.7)明显低于冲击波组(2.7±1.2)(P<0.05),但局部注射组治疗后1年(4.0±1.9)时VAS评分高于冲击波组(2.8±1.6)(P<0.05)。治疗后1年,冲击波组显效率为87%,明显高于局部注射组的50%(P<0.05)。结论:两种治疗方法的近期疗效都较好,但发散式体外冲击波的远期疗效好于传统的局部注射治疗。
[Abstract] Objective: To compare the therapeutic effect of radial extracorporeal shock wave therapy and local injection in patients with lateral epicondylitis. Methods: Patients with lateral epicondylitis were randomly divided into shock wave group (n=23) or local injection group (n=20). Patients in the shock wave group received radial extracorporeal shock wave therapy, while patients in the local injection group received injection of steroids in external condyle of humerus. Pain severity before treatment and 1 month, 6 months and 1 year after treatment was assessed by using visual analog scale (VAS). The therapentic effect at 1 year after treatment was compared between the two groups. Results: VAS scores after treatment both in the shock wave group and the local injection group were significantly reduced as compared to that before treatment. VAS score at 1 month after treatment in the local injection group (1.9±1.7) was lower than that in the shock wave group (2.7±1.2). However, VAS score at 1 year (4.0±1.9) after treatment in the local injection group were much higher than that in the shock wave group (2.8±1.6). The significant efficiency at 1 year after treatment in the shock wave group (87%) was significantly better than that in the local injection group (50%). Conclusions: Local injection therapy obtains good short-term effect. However, the long-term effect of radial extracorporeal shock wave therapy is better than local injection therapy.
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