| 张盘德,彭小文,容小川,尹 杰.体外冲击波治疗网球肘的镇痛效果研究[J].中国康复医学杂志,2013,28(1):32~35 |
| 体外冲击波治疗网球肘的镇痛效果研究 点此下载全文 |
| 张盘德 彭小文 容小川 尹 杰 |
| 佛山市第一人民医院康复科，佛山，528000 |
| 基金项目：2010年佛山市科技发展专项资金项目（201008025） |
| DOI： |
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| 摘要
目的：探讨体外冲击波治疗网球肘的即刻镇痛效应及累积效应。
方法：使用国产电磁式体外冲击波治疗机治疗45例网球肘患者，5日1次，共3次。分别在每次治疗前、治疗后、疗程结束后1周，采用现时疼痛状况（PPI）、视觉模拟量表（VAS）、Mills征评定进行疗效评价。
结果：3次治疗后即刻均比治疗前疼痛程度显著降低，差异有显著性意义（P＜0.001）。在治疗间歇期，疼痛较上次治疗后即刻增加，差异有显著性意义（P＜0.001），但均比上次治疗前的疼痛程度低（P＜0.001），疗程结束后疼痛程度显著减轻，由治疗前的（2.29±0.76）分降到治疗后的（0.74±0.52）分。治疗后VAS评分比上次评定均有显著改善，由治疗前的（5.06±1.51）分降到治疗后的（1.99±1.82）分。治疗前Mills征阳性率为95.6%，3次治疗后阳性率分别为86.7%、64.4%、33.3%，差异有显著性意义（P＜0.001）。
结论：体外冲击波治疗网球肘具有显著的即刻镇痛效果，多次治疗后的镇痛作用有累积效应。 |
| 关键词：体外冲击波 网球肘 镇痛 现时疼痛状况 累积效应 |
| The analgesia effect of extracorporeal shock wave therapy for tennis elbow Download Fulltext |
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| The First People's Hospital of Foshan, Guangdong, 528000 |
| Fund Project: |
| Abstract: |
| Abstract
Objective: To study the analgesia effect of extracorporeal shock wave therapy (ESWT) in tennis elbow.
Method: Forty-five patients with persistent tennis elbow received 3 times ESWT with 5 days intervals. The analgesia effect was assessed by present pain intensity (PPI), visual analogue scale (VAS) and Mills sign at the same day before and after treatment, and 1 week later of the last time treatment.
Result: The analgesia effect after each treatment was obviously excellent than that before each treatment(P＜0.001). At the intermission the pain increased, the PPI scores before next treatment were higher than that of former post-treatment (P＜0.001), but were lower than that of former pre-treatment (P＜0.001). At 1 week follow-up, the PPI scores and VAS scores decreased from (2.29±0.76) to (0.74±0.52) and (5.06±1.51) to (1.99±1.82) respectively, the positive rate of Mills sign decreased from 95.6% to 33.3%.
Conclusion: ESWT has significantly immediate analgesia effect and accumulation effect of repeated treatment for tennis elbow. |
| Keywords:extracorporeal shock wave therapy tennis elbow analgesia present pain intensity accumulation effect |
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