Abstract：Objective: To investigate the effect of electroacupuncture on Mayo Elbow function score and serum inflammatory factors in patients with elbow joint stiffness.Methods: From January 2018 to October 2019,300 patients after arthrolysis of elbow stiffness were selected and divided into the control group (150 cases) and the observation group (150 cases) according to the random number table method.The cases in the control group were given routine rehabilitation training treatment;and the cases in the observation group were given electric acupuncture treatment after arthrolysis of elbow stiffness on the basis of the control group.Before and after treatment,the levels of inflammatory factors [Interleukin-6(IL-6),Interleukin-1(IL-1),Tumor Necrosis Factor-α(TNF-α)] were measured by enzyme linked immunosorbent assay(ELISA).The Mayo Elbow function score,effects and side effects were compared between two groups.Results: The treatment efficiency of the observation group was higher than that of the control group (100.00% vs 96.00%) (χ2=6.122,P=0.013).There was no difference in elbow pain,range of motion,stability,activity ability and Mayo total score between the two groups before treatment.There is no statistical significance (22.47±4.28 vs 22.53±4.31,t=0.121,P=0.904),(8.96±2.15 vs 9.03±2.17,t=0.281,P=0.779),(5.14±1.08 vs 5.09±1.01,t=0.414,P=0.679),(17.69±4.25 vs 17.71±4.26,t=0.041,P=0.968),(54.26±8.32 vs 54.36±8.37,t=0.104,P=0.917).Compared with the control group,the observation group's elbow pain,range of activity,activity capacity and Mayo total score were higher after treatment (39.96±7.28 vs 34.31±6.95,t=6.875,P<0.001),(17.98±4.03 vs 13.86±3.52,t=9.430,P<0.001),(25.63±4.52 vs 22.03±4.31,t=7.060,P<0.001),(93.59±17.79 vs 80.05±16.69,t=6.798,P<0.001),but there was no difference in stability scores between the two groups (9.98±2.16 vs 9.85±2.07,t = 0.532,P=0.595);There was no statistically significant difference in preoperative level comparison[(11.82±2.41) ng/L vs (11.76±2.39) ng/L,t=0.217,P=0.829],[(137.83±21.41) ng/L vs (139.47±19.52) ng/L,t=0.693,P=0.489],[(47.83±11.10) ng/L vs (48.02±10.69) ng/L,t=0.151,P=0.880],while after treatment,compared with the control group,the levels of IL-6,IL-1 and TNF-α in the observation group were lower than those in the control group[ (9.52±1.03) ng/L vs (10.48±1.49) ng/L,t=6.491,P<0.001],[ (60.31±12.48) ng/L vs (97.19±11.81) ng/L,t=27.281,P<0.001],[ (7.88±1.36) ng/L vs (23.84±4.65) ng/L,t=40.346,P<0.001];there was no significant difference in the incidence of adverse reactions between the observation group and the control group (2.00% vs 6.67%) (χ2=2.895,P=0.089).Conclusion: The application of electroacupuncture intervention can significantly improve the Mayo function score of elbow joint,reduce the postoperative inflammatory response,and has a better clinical effect on the functional rehabilitation after arthrolysis of elbow joint stiffness,and has a better safety,which is worthy of clinical promotion.
朱轶, 欧阳元明, 陆平辰, 蒋静涵, 口锁堂, 吴耀持. 电针对肘关节僵硬松解术后患者Mayo功能评分和血清炎性因子的影响[J]. 河北医学, 2020, 26(11): 1927-1932.
ZHU Yi, OUYANG Yuanming, LU Pingchen, et al. Effect of Electroacupuncture on Mayo Elbow Function Score and Serum Inflammatory Factors in Patients with Elbow Joint Stiffness. HeBei Med, 2020, 26(11): 1927-1932.
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2020, Vol. 26 
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