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| Effect of modified Danggui Sini Decoction combined with warm triple needling on lateral epicondylitis of humerus and its effect on pain mediators and short-term prognosis |
| Hits 609 Download times 271 Received:July 13, 2022 |
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| DOI
10.11656/j.issn.1672-1519.2022.11.11 |
| Key Words
lateral epicondylitis of humerus;modified Danggui Sini Decoction;warm triple needling;pain mediators;prognosis |
| Author Name | Affiliation | | JIN Zheng | Rehabilitation Physiotherapy Department of Traditional Chinese Medicine, The 81st Army Hospital of the PLA, Zhangjiakou 075000, China | | ZHAO Jinlin | Rehabilitation Physiotherapy Department of Traditional Chinese Medicine, The 81st Army Hospital of the PLA, Zhangjiakou 075000, China | | ZHU Lei | Rehabilitation Physiotherapy Department of Traditional Chinese Medicine, The 81st Army Hospital of the PLA, Zhangjiakou 075000, China | | LI Yunqing | Rehabilitation Physiotherapy Department of Traditional Chinese Medicine, The 81st Army Hospital of the PLA, Zhangjiakou 075000, China | | ZHANG Wei | Rehabilitation Physiotherapy Department of Traditional Chinese Medicine, The 81st Army Hospital of the PLA, Zhangjiakou 075000, China |
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| Abstract
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| [Objective] To investigate the clinical effect of modified Danggui Sini Decoction combined with warm triple needling in the treatment of lateral epicondylitis(LE) of humerus with wind cold obstructing collaterals.[Methods] The 84 patients with LE were randomly divided into study group (42 cases) and control group (42 cases). The control group were treated with warm triple neadlong and the study group were treated with modified Danggui Sini Decoction combined with warm triple needling. The visual analogue of pain (VAS),Mayo Elbow function score (MEPs),painless grip strength (PFG) and tenderness threshold (PPT) were compared between the two groups before and after treatment,and the serum substance P (SP),bradykinin,prostaglandin E2 (PGE2) and β-Endorphins (β-ET) level were compared. After the course of treatment,the two groups were followed up for 6 months,Verhaar tennis elbow efficacy evaluation system was used to evaluate the short-term prognosis of the two groups,and the clinical efficacy in 6 months of the two groups was compared.[Results] The VAS score of pain of the study group was lower than that of the control group (P<0.01),the MEPs score,PFG and PPT were higher than those of the control group(P<0.01),and the levels of serum SP,bradykinin and PGE2 were lower than those of the control group,the level of β-ET was higher than that of the control group(P<0.01),and the clinical effect in 6 months was better than that of the control group (P<0.05).[Conclusion] Modified Danggui Sini Decoction combined with warm triple needling can effectively regulate the release of pain mediators,relieve pain,improve the level of elbow function,improve the short-term prognosis,and it has a significant therapeutic effect on LE with wind cold obstructing collaterals. |
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