体外冲击波与超声波治疗肱骨外上髁炎的疗效对比 - 中国康复医学杂志.pdf

Chinese Journal of Rehabilitation Medicine, Jul.2013, Vol.28,No.7 ·临床研究· 体外冲击波与超声波治疗肱骨外上髁炎的 疗效对比研究 1 1,2 1 1 樊 涛 黄国志 曹 安 钟锡波 摘要 目的：比较体外冲击波（ESW）与超声波（US）治疗肱骨外上髁炎的临床治疗效果。 方法：选择60例肱骨外上髁炎患者进行本临床研究，随机分为ESW治疗组30例和US治疗组30例；分别进行ESW 治疗与US治疗，观察其临床治疗效果。 结果：ESW组有效率（96.67%）明显高于US组（76.67%）（P ＜0.05）；ESW组治疗后视觉模拟评分（VAS）较US组明显 降低（P ＜0.01），ESW组治疗前后VAS评分差值（改善程度）较US组明显增大（P ＜0.01）；ESW组治疗后ADL评分较 US组明显增高（P ＜0.01），ESW组治疗前后日常生活活动（ADL）评分差值（改善程度）较US组明显增大（P ＜0.01）。 结论：ESW治疗肱骨外上髁炎较US治疗肱骨外上髁炎的疗效好。 关键词 体外冲击波；超声波；肱骨外上髁炎 中图分类号：R681.7,R454 文献标识码：A 文章编号：1001-1242（2013）-07-0628-04 Comparative study of curative effect of extracorporeal shock wave and ultrasound treatment on humerus external epicondylitis/FAN Tao, HUANG Guozhi, CAO An, et al.//Chinese Journal of Rehabilitation Medi⁃ cine ，2013 ，28(7): 628—631 Abstract Objective: To compare the clinical treatment effect of extracorporeal shock wave （ESW ）with ultrasound （US ） on humerus external epicondylitis. Method: Sixty patients with humerus external epicondylitis participated in this study, and were randomly select- ed into ESW group and US group (30 subjects in each group).The two groups then received ESW treatment or US treatment respectively.The clinical treatment effects were observed. Result: The effective rate of ESW group was (96.67%) which was significantly higher than that of US group (76.67%) (P ＜0.05); After-treatment visual analogue scale （VAS ）score of ESW group was obviously lower than that of US group (P ＜0.01); The gap between VAS score of prior treatment and post-treatment of ESW group increased obviously than that of US group (P ＜0.01); After-treatment activities of daily living （ADL ）score of ESW group was obviously higher than that of US group (P ＜0.01); The gap between ADL score of prior treat