针灸治疗肱骨外上髁炎63例疗效观察

肱骨外上髁炎又叫网球肘,是前臂伸肌群起始点的慢性损伤,属于劳损性、退行性病变和无菌性炎症变化.近年来,笔者采用齐刺加温针灸方法治疗肱骨外上髁炎患者37例,疗效满意.现报告如下.     

针刀治疗复发性肱骨外上髁炎疗效观察

肱骨外上髁炎是临床上常见的肘部疾病 ,多以非手术治疗为主 ,但疗效不确切 ,复发率高。1998～ 2 0 0 0年 ,我院采用针刀治疗复发性肱骨外上髁炎 5 3例 ,效果满意 ,现报告如下。一般资料 :本组男 3 2例 ,女 2 1例 ;年龄 2 7～ 62岁 ,平均 42 .2岁。左侧 14例 ,右侧 3 9例。病程 6～ 3 2个月 ,平均 18个月。全部病例均曾采用封闭治疗 3 9次 ,平均 4.5次 ,采用针灸、理疗、药物外敷等方法治疗者 2 2例。临床表现 :患者患肘外侧疼痛 ,用力握拳、伸腕时加重 ,不能持物。肱骨外上髁处局限性压痛 ,Mill征 ( )。肘关节 X线检查多无明显改变。治疗…     

解痉拈痛针法治疗肱骨外上髁炎的疗效

肱骨外上髁炎,俗称网球肘,以肘关节外侧疼痛为主,当用力握拳及前臂作旋前伸肘动作(如绞毛巾、炒菜、扫地等)时加重,在肘外侧存在明显压痛点,但外观却无异常改变。肱骨外上髁炎属中医筋痹、伤筋范畴,中医认为该病由肘部外伤或长期劳损、或外感风寒湿邪致使局部气血凝滞、络脉瘀阻而发病。     

阻滞加小针刀治疗肱骨外上髁炎52例报告

1999年～2001年，笔者应用镇痛液阻滞加小针刀剥离治疗肱骨外上髁炎52例，疗效满意。现报告如下。     

舒筋洗方治疗肱骨外上髁炎、腱鞘炎45例

舒筋洗方为笔者自拟方，１年来在临床中单以此方治疗肱骨外上髁炎、狭窄性腱鞘炎４５例，收效良好，介绍如下。临床资料：４５例中，男２１例，女２４例；其中肱骨外上髁炎１９例，桡骨茎突狭窄性腱鞘炎２６例；病程最长者２个月，最短者７天。方药组成及用法：伸筋草、透...     

筋骨针松解术联合走罐疗法治疗肱骨外上髁炎效果观察

目的 观察筋骨针松解术联合走罐疗法治疗肱骨外上髁炎（俗称网球肘）的效果。方法 网球肘患者144例,随机分为筋骨针组、走罐组、拔罐组、联合组,每组36例,分别采用筋骨针疗法、走罐疗法、拔罐疗法、筋骨针联合走罐疗法治疗,四组均于每周二、周五各治疗1次,连续治疗4周。采用视觉模拟评分（VAS）评估肘关节疼痛情况,采用Mayo肘关节功能评分（MEPS）评价肘关节功能,测定无痛握力（PFG）;进行疗效评估并计算总有效率;观察并发症发生情况。结果 各组治疗后VAS降低,其中联合组最低,走罐组和筋骨针组低于拔罐组（P均<0.05）。各组治疗后MEPS、PFG升高,其中联合组最高,走罐组高于拔罐组（P均<0.05）。联合组治疗总有效率高于筋骨针组、走罐组、拔罐组（P均<0.05）。各组并发症发生率差异无统计学意义（P均>0.05）。结论 筋骨针联合走罐疗法治疗网球肘可有效减轻肘关节疼痛,恢复肘关节功能和握力,效果优于筋骨针、走罐、拔罐疗法单独应用,并发症发生率低。     

小针刀配合康宁克通局封治疗肱骨外上髁为78例

自 1992年以来 ,我们采用小针刀配合康宁克通注射液局部封闭治疗肱骨外上髁炎 78例 ,获得满意疗效。现总结如下。临床资料 :本组 78例中 ,男 5 7例 ,女 2 1例 ;年龄 18～ 6 7岁 ;病程 2个月～ 6年。病变位于右肘 6 6例 ,左肘 12例 ,78例均经 X线检查排除骨质增生及骨折。治疗方法 :1小针刀疗法 (汉章针刀 ) :患者端坐 ,将肘关节屈曲 90°平放于治疗桌面上。常规消毒肱骨外上髁处 ,使小针刀刀口线和伸腕肌纤维走向平行 ,刺入肱骨外上髁皮下 ,使针体和桌面垂直 ,先用纵行疏通剥离法后再用切开剥离法 ,觉得锐边已刮平 ,然后使针身与桌面呈 45…     

屈腕肌、前臂旋前肌能量技术对肱骨内上髁炎患者的疗效

<正>肱骨内上髁炎是临床老年患者常见的运动损伤性疾病,高尔夫球运动时肘关节存在明显的外展应力,而肘内侧有牵拉应力,加之腕屈肌的突然收缩而致前臂屈肌止点劳损,故又称为高尔夫球肘。工作中凡是能使前臂外旋和屈腕运动的工种都易发生此病。对于肱骨内上髁炎的临床治疗目标是使屈腕肌、前臂旋前肌达到比受伤前更大的力量。临床上对于需要保守治疗的患者,多采用休息、药物、手法治疗、超声波、电刺激等治疗方法,临床上短期效果虽好,但长期疗效均不满意〔1〕。本文观察常规治疗中结合肌肉能量技术(MET)治疗肱骨内上髁炎     

儿童陈旧性肱骨髁上骨折21例治疗体会

1999年7月～2006年7月，我们共手术治疗儿童肱骨髁上骨折123例，其中21例于伤后3周以上才施行手术，效果满意。现将治疗体会介绍如下。     

32P磷酸铬胶体局部注射治疗顽固性肱骨外上髁炎25例疗效观察

2007年4月～2011年6月,我们采用32P磷酸铬胶体局部注射治疗顽固性肱骨外上髁炎患者25例,取得较满意疗效。现报告如下。临床资料:25例患者中,男16例、女9例,年龄30～51岁、平均38岁,病程4～24个月、平均15个月。其中农民8例,工人5例,家庭主妇3例,打字     

针灸治疗抑郁随机对照试验的临床文献系统评价

目的对针灸治疗抑郁随机对照试验临床文献进行系统评价,为抑郁的针灸治疗提供循证医学证据。方法采用循证医学方法,利用Review Manage4.2.7软件对1989年1月至2009年9月发表的针灸治疗抑郁的随机对照试验文献调研,筛选出符合纳入标准的235个临床试验,采用描述性分析,对其进行系统评价。结果近年来,针灸治疗抑郁的研究已受到人们较多的关注,相关文献发表篇数呈逐年上升趋势,但研究质量普遍不高。结论重视和加强针灸综合疗法及抑郁状态的大样本研究,提高临床随机对照研究的质量,规范治疗时间,进行随访记录,探索出可行的针灸盲法是急待解决的问题。     

The effect of ultrasound therapy on lateral epicondylitis: A meta-analysis

Objective:Lateral epicondylitis is a common musculoskeletal disorder, and ultrasound therapy is one of the most used treatments in the clinic. The effect remains uncertain, and the present paper aims to figure it out with a meta-analysis.Methods:The Pubmed, Cochrane library, and Embase databases were searched for relevant studies published before Jure 1, 2021. Continuous variables were compared by calculating the standard difference of the means, whereas categorical dichotomous variables were assessed using relative risks. A random-effects model was used if the heterogeneity statistic was significant; otherwise, a fixed-effects model was used.Results:Thirteen studies were included in the quantitative analysis, including 442 participants (287 ultrasonic treated patients and 155 controls). The VAS scale decreased markedly after ultrasound therapy (P = .027). However, no statistically significant difference could be found between ultrasound therapy and the control groups at all post-treatment time points. Similarly, no benefits could be found when comparing the pre- and post-treatment grip strength with ultrasonic therapy (P = .324). Moreover, though ultrasound treatment always continues for a long time, the present study demonstrated there were no additional benefits when comparing short- and long-term outcomes.Conclusions:The ultrasound therapy is helpful to relieve pain for LE patients, but no such benefit could be found for grip strength. However, it has no significant advantage against other conservative treatments like rest and brace.     

Meta-analysis of possible external triggers of acute myocardial infarction

BACKGROUND: Although it is well known that the acute myocardial infarction can be triggered by events such as physical activity, emotional stress, sexual activity or eating, the observed frequencies of these events preceding the onset of myocardial infarction vary between published reports. METHODS: A meta-analysis of 17 seldom population-based studies that included data on frequency of external triggers or onsets during sleep was performed. In each analysis, the data were combined only from the studies reporting on a particular trigger. RESULTS: Of the 10519 patients, heavy physical activity was recorded before the onset of myocardial infarction in 6.1%, whereas mild-to-moderate physical activity was recorded in 28.6% of 7517 patients. Eating preceded the onset in 8.2% of 4785 patients, various kinds of emotional stress in 6.8% of 2565 (particularly anger in 2.1% of 2283), meteorologic stress in 3.7% of 3371, and sexual activity in 1.1% of 3406 patients. Out of 11778 patients, 20.7% had infarction onset during sleep. Triggers in general (OR = 1.45, 95%CI = 1.21-1.76; p < 0.0001), heavy physical activity (OR = 6.21, 95%CI = 3.77-10.23; p < 0.0001) and eating (OR = 1.70, 95%CI = 1.14-2.53; p = 0.0008) were more likely to precede the infarction onset in men while women were more likely to report emotional stress (OR = 0.66, 95%CI = 0.50-0.86; p = 0.002). CONCLUSIONS: The present meta-analysis defines the occurrence of possible external triggers before the onset of myocardial infarction in general population, but their actual contribution to the very onset is somewhat less frequent. Future investigation should identify other eventual triggers unrecognized as yet, asses the risk of triggering myocardial infarction among patients with defined levels of ischemic heart disease or plaque vulnerability, and further elucidate the pathophysiologic mechanisms of gender differences and beneficial effect of habitual physical activity.     

针灸治疗颈椎病远期疗效的系统评价

目的 评价针灸治疗颈椎病的远期疗效.方法 收集针灸治疗颈椎病远期疗效的随机对照试验文献,对符合纳入标准的文献按改良后的Jadad计分表评价其质量,对纳入的试验作系统评价,同时按远期疗效指标的不同进行分层分析.结果 符合纳入标准的文献共11篇,研究对象1 723例患者.Meta分析结果 显示,针灸治疗组与对照组远期疗效痊愈率相比,OR为3.42,95% CI[2.64,4.43],治疗组痊愈率优于对照组,差异有统计学意义(P<0.000 01).针灸治疗组对比对照组复发率,OR为0.45,95%CI[0.23,0.91],治疗组远期疗效优于对照组,差别有统计学意义(P=0.03);其中干预措施仅为单纯针刺的P=0.02,I2=67%,采用随机效应模型检验,其合并OR为0.52,95%CI[0.19,1.44],差别无统计学意义(P=0.21).结论 针灸治疗颈椎病远期疗效优于对照组,但需要高质量、大样本、更规范疗效指标的研究进一步证明.     

普伐他汀治疗高脂血症疗效的Meta分析

目的评价普伐他汀治疗高脂血症的疗效及安全性。方法检索CENTRAL、Pubmed、EMbase、中国生物医学文献数据库、中文期刊全文数据库、万方数据库,人工检索纳入研究的参考文献以及相关杂志及会议报告,纳入符合标准的普伐他汀治疗高脂血症的随机对照实验和自身前后对照研究,经过质量评估、数据提取,对符合标准的研究进行Meta分析。结果共纳入11项研究,meta分析显示：经普伐他汀治疗后,患者LDL—C明显降低[均数差（MD）：=-1．46,95％可信区间（CI）：-1．87～-1．05,P〈O．01];TC明显降低[MD=-1．32,95％U：-1．44～-1．20,P〈0．01];HDL—C增加（MD=O．44,95％U：0．33～0．55,P〈O．01）,差异均具有显著统计学意义。结论普伐他汀治疗高脂血症有效且安全性较好。