摘要
目的探讨小针刀联合复方倍他米松注射液封闭治疗肱骨外上髁炎的疗效及对患肢肘关节功能的影响。方法选取2021年12月—2023年1月我院门诊收治的74例肱骨外上髁炎患者为研究对象,根据治疗方式不同分为观察组和对照组,各37例。对照组患者采用复方倍他米松注射液封闭治疗,观察组在对照组基础上联合小针刀治疗。观察两组患者治疗效果、安全性和短期复发率,比较不同时间患者疼痛程度和患肢肘关节功能情况。结果观察组治疗总有效率为91.89%,高于对照组的72.97%,短期复发率为13.51%,低于对照组的35.14%,组间差异有统计学意义(P<0.05);治疗后3 d,观察组疼痛视觉模拟评分高于对照组,差异无统计学意义(P>0.05);治疗后6 d,观察组VAS评分低于对照组,差异有统计学意义(P<0.05);治疗后1周,观察组Mayo肘关节功能各项评分均高于对照组,组间差异有统计学意义(P<0.05);观察组不良事件发生率为2.70%,对照组未出现不良事件,两组均未见不良反应,两组比较差异无统计学意义(P>0.05)。结论小针刀联合复方倍他米松注射液封闭治疗肱骨外上髁炎可提高临床效果,降低短期复发率,减轻患者疼痛,同时可提高患者患肢的肘关节功能,且安全性佳。
Objective To investigate the effect of small needle knife combined with compound betamethasone injection in the treatment of humeral lateral epicondylitis and its influence on elbow joint function.Methods 74 patients with lateral humeral epicondylitis admitted to the outpatient department of our hospital from December 2021 to January 2023 were selected as the research objects.According to different treatment methods,they were divided into an observation group and a control group,with 37 cases in each group.The control group was treated with compound betamethasone injection,and the observation group was treated with small needle knife on the basis of the control group.The treatment effect,safety and shortterm recurrence rate of the two groups were observed,and the pain degree and elbow joint function of the affected limb at different times were compared.Results The total effective rate of the observation group was 91.89%,which was higher than 72.97%of the control group,and the short-term recurrence rate was 13.51%,which was lower than 35.14%of the control group,the difference between the two groups was statistically significant(P<0.05);3 days after treatment,the Visual Analogue pain Score of the observation group was higher than that of the control group,and the difference was not statistically significant(P>0.05);6 days after treatment,the VAS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05);1 week after treatment,the Mayo elbow joint function scores of the observation group were higher than those of the control group,and the differences between the two groups were statistically significant(P<0.05);the incidence of adverse events in the observation group was 2.70%,and no adverse events occurred in the control group.There was no significant difference in the incidence of adverse events between the two groups(P>0.05).Conclusion Small needle knife combined with compound betamethasone injection in the treatment of lateral humeral epicondy
作者
王忠良
WANG Zhongliang(Department of General Practice,Xiaohongmen Community Health Service Center,Chaoyang District,Beijing,100023,China)
出处
《反射疗法与康复医学》
2023年第17期58-61,共4页
Reflexology And Rehabilitation Medicine
关键词
肱骨外上髁炎
小针刀
复方倍他米松注射液
肘关节功能
Lateral epicondylitis
Small needle knife
Compound betamethasone injection
Elbow joint function
