滞针围刺结合针刺手法治疗肱骨外上髁炎临床观察  

Clinical Observation on Sticking of Needle and Encircling needling Combined with Acupuncture Manipulation for External Humeral Epicondylitis

作　　者：华慧 HUA Hui

机构地区：[1]杭州市富阳中医骨伤医院,浙江杭州311400

出　　处：《新中医》2018年第11期196-198,共3页New Chinese Medicine

摘　　要：目的:观察滞针围刺结合针刺手法对肱骨外上髁炎疼痛及其功能的改善效果。方法:将60例符合纳入标准的肱骨外髁炎患者按随机数字表法分为2组各30例。对照组予口服塞来昔布胶囊及外涂扶他林软膏治疗;治疗组予滞针围刺结合针刺手法治疗。比较2组患者治疗结束时及治疗后3月疼痛视觉模拟评分法(VAS)评分、Verhaar网球肘疗效评分。结果:治疗结束时,治疗组VAS评分明显低于对照组,差异有统计学意义(P <0.05);2组Verhaar网球肘评分疗效比较,差异有统计学意义(P <0.05)。治疗后3月,治疗组VAS评分明显低于对照组,差异有统计学意义(P <0.05);2组Verhaar网球肘评分疗效比较,差异有统计学意义(P <0.05)。结论:滞针围刺结合针刺手法能够有效缓解肱骨外上髁炎引起的疼痛,改善功能,且长期疗效稳定。Objective： To observe the effect of the therapy of sticking of needle and encircling needling combined with acupuncture manipulation on the improvement of pain and function of external humeral epicondylitis. Methods： Divided 60 cases of patients with external humeral epicondylitis who met the inclusion criteria into two groups according to the random number table method, 30 cases in each group. The control group was treated with oral celecoxib capsules and external application of voltaren ointment, whiJe the treatment group was treated with the therapy of sticking of needle and encircling needling combined with acupuncture manipulation. Compared the scores of visual analogue scale（VAS） and scores of Verhaar tennis elbow at the end of treatment and three months after treatment in the two groups. Results： At the end of treatment, the VAS score in the treatment group was obviously lower than that in the control group, the difference being significant（P 〈 0.05）; compared the score of Verhaar tennis elbow between the two groups, the difference was significant（P 〈 0.05）. Three months after treatment, the VAS score in the treatment group was obviously lower than that in the control group, the difference being significant（P 〈 0.05）; compared the score of Verhaar tennis elbow between the two groups, the difference was significant（P 〈 0.05）. Conclusion： The therapy of sticking of needle and encircling needling combined with acupuncture manipulation can effectively relieve the pain caused by external humeral epicondylitis, improve the function, and the long- term effect is stable.

关 键 词：肱骨外上髁炎 滞针 围刺 疼痛 视觉模拟评分法(VAS) Verhaar网球肘评分 

分 类 号：R684.3[医药卫生—骨科学]