|
|
|
| Effect of Electroacupuncture on Mayo Elbow Function Score and Serum Inflammatory Factors in Patients with Elbow Joint Stiffness |
| ZHU Yi, OUYANG Yuanming, LU Pingchen, et al |
| The Sixth People's Hospital Affiliated to Shanghai University of Medicine and Health Sciences,Shanghai 201306,China |
|
|
|
|
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.
|
|
|
|
|
|
[1] Qian Y,Liu W,Wang W,et al.Obesity may be a risk factor for recurrent heterotopic ossification in post-traumatic stiff elbow among children and teenagers[J].Orthop Traumatol Surg Res,2019,105(6):1193~1198.
[2] 王飞燕,孙子洋,范存义.创伤后肘关节僵硬诊治进展[J].国际骨科学杂志,2019,40(3):147~151.
[3] Cancio JM,Rhee P.Therapeutic management of the posttraumatic stiff elbow after open osteocapsular release[J].Tech Hand Up Extrem Surg,2018,22(4):134~136.
[4] 刘芳,陶思攸,曾惠芬,等.针刀松解术对类风湿关节炎肘关节僵硬患者炎性反应递质和氧自由基的影响[J].世界中医药,2019,14(5):1310~1313.
[5] 中国医师协会骨科医师分会上肢创伤专业委员会,中国研究型医院学会关节外科专业委员会肘关节外科研究学组.肘关节僵硬诊断及治疗的专家共识[J].中华创伤骨科杂志,2019,21(9):737~742.
[6] 邓建林,伍翰笙,张意辉,等.多模式镇痛在创伤性肘关节僵硬松解术后康复治疗时应用的效果分析[J].中国骨与关节损伤杂志,2019,34(3):314~316.
[7] 梁辉,林石明,司在武.改良肘关节前内侧入路在尺骨冠状突骨折治疗中的应用[J].临床骨科杂志,2019,22(1):123.
[8] Werthel JD,Schoch B,Adams J,et al.Outcomes after hemiarthroplasty of the elbow for the management of posttraumatic arthritis:minimum 2-year follow-up[J].Am Acad Orthop Surg,2019,27(19):727~735.
[9] 陈颖,张健,郑广昊,等.水中运动疗法联合电针对恢复期脑卒中患者下肢肌力和平衡功能的影响[J].中国康复,2019,34(4):191~194.
[10] 崇青青.中药外敷结合理疗干预在肱骨髁上骨折术后肘关节功能障碍康复训练护理中的应用[J].四川中医,2019,37(5):208~210. |
|
|
|
2020, Vol. 26 
