摘要
目的对比针刺推拿与西医保守治疗肱骨髁上炎(LE)的效果。方法选取厦门市中医院100例LE患者(2020年2月—2022年3月),随机分成A组、B组。B组接受西医保守治疗,A组接受中医针刺推拿治疗。对比2组疗效。结果治疗后A组视觉模拟量表(VAS)评分较B组低,肘关节Mayo功能评定表(MEPS)、日常生活能力评定量表(ADL)评分及握力指数(GSI)较B组高(P<0.05);A组总有效率96.00%(48/50)高于B组的80.00%(40/50)(P<0.05);治疗后A组屈伸不利,酸痛麻木,得温痛缓、遇寒加重积分较B组低(P<0.05);治疗后A组血清C反应蛋白(CRP)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平较B组低(P<0.05);治疗后A组血清晚期氧化蛋白产物(AOPP)水平较B组低,血红素加氧酶-1(HO-1)、超氧化物歧化酶(SOD)水平较B组高(P<0.05)。结论相较于西医保守治疗LE,中医针刺推拿于提升效果、促进病情改善、减轻疼痛感、提升握力方面更具优势,且更有助于减轻机体炎性反应,缓解机体氧化应激状态,提高肘关节功能及日常生活能力。
Objective To compare the effect of traditional Chinese medicine acupuncture and conservative Western medicine in the treatment of humeral supracondylitis(LE).Methods A total of 100 LE patients(from February 2020 to March 2022)in Xiamen Hospital of Traditional Chinese Medicine were randomly divided into group A and group B.Group B received Western medicine conservative treatment,and group A received traditional Chinese medicine acupuncture therapy.The efficacy of the two groups was compared.Results VAS of group A was lower than that of group B,MEPS,ADL score and GSI were higher than those of group B(P<0.05).The total effective rate of group A was 96.00%(48/50),which was higher than that of group B(80.00%,40/50)(P<0.05).After treatment,group A had adverse flexion and extension,pain and numbness,mild temperature and pain,and the score of cold aggravation was lower than group B(P<0.05).After treatment,the serum levels of CRP,IL-6 and TNF-αin group A were lower than those in group B(P<0.05).After treatment,the serum AOPP level in group A was lower than that in group B,and the serum SOD and HO-1 levels in group A were higher than those in group B(P<0.05).Conclusion Compared with the conservative treatment of Western medicine,the application of traditional Chinese medicine acupuncture therapy has more advantages in improving the curative effect,promoting the improvement of the disease,alleviating pain and improving grip strength,and is more helpful to reduce the body’s inflammatory response,relieve the body’s oxidative stress,and improve elbow joint function and daily living ability.
作者
陈轶强
卢奇昊
熊永强
CHEN Yiqiang;LU Qihao;XIONG Yongqiang(Department of Emergency(Surgery),Xiamen Hospital of Traditional Chinese Medicine,Fujian Province,Xiamen 361000,China)
出处
《中国中医药现代远程教育》
2023年第19期38-41,共4页
Chinese Medicine Modern Distance Education of China
关键词
痹证
肱骨髁上炎
针刺疗法
推拿疗法
中西医结合疗法
arthromyodynia
humeral supracondylitis
acupuncture therapy
massage therapy
therapy of integrated traditional Chinese and Western medicine
