| With the change of the nature of work and the gradual increase of life pressure, people increasingly like to use exercise to relieve pressure,and the movement injury of the outer humerus condyllitis has gradually increased the dynamics.In recent years, with the increase of the incidence of external humerus condyllitis,clinical treatment and medical research on the continuous improvement of the study of external humerus condyllitis,people on the disease characteristics of external humerus condyllitis, disease and illness more in-depth understanding.Although the clinical treatment of tennis elbow has been continuously improved,but often the external humerus condyllitis is prone to relapse,clinical treatment is difficult,and even the formation of stubborn tennis elbow.The treatment of modern medicine mainly uses hormone closure therapy,oral or topical painkiller local braking to quickly control symptoms,and even surgical treatment,but there are side effects and relapse is not easy to accept by patients.The most safe and effective treatment of external humerus condyllitis is still a problem that clinicians must consider.Objective:To evaluate the efficacy and safety of the treatment method from the perspective of evidence-based medicine by comparing the treatment group with the elbow joint training and the control group with the elbow brake.To provide a strong scientific basis for future clinical promotion.Methods:this subject recruited clinical cases,from March 2018 to March 2019, the Chinese Academy of traditional Chinese medicine,Beijing hospital orthopaedic clinic patients,including 60 patients with external humerus condyllitis who met the criteria and signed an informed consent form to join the clinical observation study. The subjects were randomly grouped into treatment and control groups.Record the basic information of patients before and after treatment such as:age,gender,basic information about the record of external condyllitis of the humerus,such as:the duration of the patient's treatment,the total points of clinical symptoms and signs,the record of the patient's muscle tension,VAS score,and the treatment period is 2 weeks,Before and after the treatment of the two groups,the improvement of each indicator was compared and analyzed,and the differences between the two groups were analyzed by statistical methods.Patients in the treatment group(poking and twisting techniques+elbow exercises)were seated.First,the medical assistance is located next to the patient's side arm,holding the patient's arm to continue traction;The surgeon is in front of the patient,holding the patient's wrist and elbow,and the thumb is pressed at the point of the common outer condyle.First of all,the two men cooperated with each other to pull the side elbow of the patient and shake it back and forth.At the same time,the surgeon's thumb pointed to apply the kneading method at the pain of the external humerus.Then,the elbow joint is buckled;Then,the doctor assisted the two men to jointly pull out the elbow joint,and at the same time,the surgeon's thumb point was pressed against the distal upper condyle point of the sacrum;Then,the arm is shaken before the rotation,and the operator's thumb is gently rubbed at the point of pain,and the elbow joint is straightened and the thumb is pressed several times.Finally,the surgeon used a relaxation technique to relax the side elbow joint and rubbed the thumb several times at the epicondylar point outside the humerus.The entire technique time is 5-10 minutes,the technique is once every other day,and 7 times is a course of treatment.The patient's elbow exercise therapy is as follows:(1)Single arm cutting elbow starting:standing,feet separated from shoulder width,hands holding the waist Utility:The right hand opens the fist and inserts the palm to the front of the left shoulder,the palm to the left,and the right arm forces the elbow joint to straighten and cut it down to the right.(2)Bend the elbow basket to rise:stand,both hands naturally droop.The skill:the right hand clenches the fist,gradually bends the elbow to the limit,and hooks the fist and then slowly straightens it.3.Left and right arches:standing,feet separated from shoulder width,hands naturally drooping.Utility:Both sides of the hands slowly lift up,outreach elbow,Palm forward,fingers curved in front of the eye,elbow tip slightly lower than the shoulder,two hands slowly force to separate to the left and right,chest also fit in front of the bow,When separated,the upper arm does not move.(4)Immortals shake fans:Standing,feet separated from shoulder width,right hand clench.Quzhoucheng 90°,forearm position,upper arm close to chest.The technique:The wrist drives the forearm inward to the maximum,maintains the inner spin force for a moment,and then causes the forearm to spin out,as in the previous method,so repeatedly,such as shaking the fan.Patients with side elbow joint exercises 2 times a day,1 group each morning and evening,15 times each roup.continuous practice for 4 weeks.Results:60 patients were admitted to the group,11 men and 19 women in the treatment group.In the control group,there were 8 cases of male and 21 cases of female.Statistics on the course of 60 patients,the shortest 2 days,the duration of the disease for the longest 60 days;The age statistics are between 28 and 60 years old.Comparing the two groups of basic data,the two groups had good balance in terms of gender,age,and syndromes,and the difference between the two groups was significant.After statistical analysis,there was no statistical difference and there was comparability.Comparison of the total points of symptoms and signs of elbow joint before treatment between two groups:23.25±5.63 before treatment group;Before the control group treated 22.64±6.85,the two groups treated the total points of symptoms and signs of the anterior elbow joint.After T test,T=0.139,P=0.652,P<0.05;There was no significant difference between the two groups.The symptom points of 4.26 ± 4.56 in the treatment group after treatment of two groups of patients;Control group symptom score 10.32±9.38.statistical analysis T=-3.950.P=0.000,P<0.05 statistically significant.The results showed that the patients with elbow joint symptoms and signs score were better than the control group.Comparison between the two groups of patients before treatment;Treatment group:1 case light,15 cases,weight 14 cases;Control group:1 case was light,17 cases were medium and 12 cases were heavy.The condition of the two groups of patients was examined by rank test,Z=-1.832,P=0.075;There was no significant difference between the two groups,indicating that the two groups were comparable.Treatment group:clinical control of 19 cases,effective 11 cases,invalid 0 cases,the total effective rate of 100%;Control group:clinical control of 18 cases,effective,9 cases,invalid,3 cases,total effective 90%.Conclusion:the results of this study showed that the treatment group and the control group had different effects in improving signs,relieving pain and relieving muscle tension.The patients were better than the control group in improving syndromes,relieving muscle tension and relieving pain(VAS).It shows that the method of rubbing and rubbing can reflect the practical clinical effect,and has the characteristics of simple,easy,cheap and clinical,and is worthy of clinical promotion. |
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