Clinical Observation On The Treatment Of Lateral Humeral Epicondylitis Of Superficial Needling Combined With Diclofenac Sodium

Objective:To observe the clinical efficacy of superficial needling combined with diclofenac sodium in the treatment of lateral humeral epicondylitis,and to objectively evaluate the clinical efficacy of superficial needling combined with diclofenac sodium in the treatment of lateral humeral epicondylitis,so as to provide more theoretical and clinical basis for the clinical application of superficial needling in the treatment of lateral humeral epicondylitis.Methods:In this study,a randomized controlled research method was used.76 patients who met the inclusion criteria of this subject from Outpatient Department of Acupuncture and Outpatient Department of Orthopedics,Fuzhou City Hospital of Traditional Chinese Medicine from April 2020 to October 2020 were selected and randomly divided into 38 patients in the experimental group(superficial needling combined with diclofenac sodium)and 38 patients in the control group(diclofenac sodium),two groups of patients were treated 2weeks,observe and compare the changes in Visual analog scale(VAS),Mayo elbow performance score(MEPS),Pain Free grip strength(PFG)and adverse events of the experimental group and the control group before and after treatment and 3 months after treatment.After treatment,the patients were evaluated for efficacy,and SPSS25.0 was used for statistical analysis of the two groups of data.Result:1.There were 76 qualified cases of lateral humeral epicondylitis in this study,and and 5cases shed,including 2 cases in the experimental group,3 cases in the control group.There were 71 cases of patients in the final actual completion,including 36 cases in the experimental group and 35 cases in the control group.2.Comparison of baseline results:statistical analysis of the two groups of patients in terms of gender,affected limbs,age,course of disease,VAS score,Mayo score and PFG before the treatment,the difference was not statistically significant(P > 0.05),which proved that there was comparability between the two groups.3.The results of the VAS showed that the VAS scores of the two groups after treatment were lower than those before treatment,that indicates the two groups can improve pain.The difference between the two groups was statistically significant(P < 0.05),that indicates the improvement of pain in the experimental group was better than that in the control group.4.The results of the MEPS showed that the MEPS scores of the two groups after treatment were higher than those before treatment,that indicates the two groups can improve elbow function.The difference between the two groups was statistically significant(P < 0.05),that indicates the recovery of elbow function in the experimental group was better than that in the control group.5.The results of the PFG showed that the PFG of the two groups after treatment were higher than those before treatment,that indicates the two groups can improve the grip strength.The difference between the two groups was statistically significant(P < 0.05),that indicates the improvement of grip strength in the experimental group was better than that in the control group.6.Long term efficacy showed that the vas,MEPS and PFG were compared between the two groups after 3 months of follow-up,and the difference was statistically significant(P < 0.05),that indicates the long-term efficacy of the experimental group was better than that of the control group.7.Clinical efficacy comparison showed that the total effective rate of the experimental group was 91.66%,and that of the control group was 80.00%,the difference between the two groups was statistically significant(P < 0.05).Conclusion:1.Superficial needling combined with diclofenac sodium and oral diclofenac sodium alone can relieve the pain,improve the function and grip strength of lateral humeral epicondylitis.2.The curative effect of superficial needling combined with diclofenac sodium is better than that of oral diclofenac sodium alone.