体外冲击波治疗网球肘的镇痛效果研究 - 中国康复医学杂志.pdf

Chinese Journal of Rehabilitation Medicine, Jan.2013, Vol.28,No.1 ·临床研究· 体外冲击波治疗网球肘的镇痛效果研究* 张盘德 彭小文 容小川 尹 杰1 1 1 1 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 中图分类号：R454,R684.7 文献标识码：A 文章编号：1001-1242（2013）-01-0032-04 The analgesia effect of extracorporeal shock wave therapy for tennis elbow/ZHANG Pande, PENG Xiaow⁃ en, RONG Xiaochuan, et al.//Chinese Journal of Rehabilitation Medicine, 2013, 28(1): 32—35 Abstract Objective: Tostudythe analgesia effect of extracorporeal shockwave therapy (ESWT)intenniselbow. Method: Forty-five patients with persistent tennis elbow received 3 times ESWT with 5 days intervals. The anal- gesia effect was assessed by present pain intensity (PPI), visual analogue scale (VAS) and Mills sign at the same daybeforeandaftertreatment, and 1 week later of the lasttimetreatment. 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 for- mer post-treatment (P ＜0.001), but were lower than that of former pre-treatment (P ＜0.001). At 1 week fol- low-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,thepositive rate of Millssign decreased from 95.6% to 33