“关刺法”治疗肱骨外上髁炎临床研究  

Clinical Study of Joint Needling in Treating Lateral Epicondylitis

作　　者：刘露露 张昆 韩兴军[3] 曲宝平 于慧娟[1] LIU Lulu;ZHANG Kun;HAN Xingjun;QU Baoping;YU Huijuan(Shandong University of Traditional Chinese Medicine, Jinan 250355, China;Shandong Medical College, Jinan 250002, China;The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250001, China;The Second Hospital of Shandong University, Jinan 250033, China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东医学高等专科学校济南校区,山东济南250002 [3]山东中医药大学第二附属医院,山东济南250001 [4]山东大学第二医院,山东济南250033

出　　处：《针灸临床杂志》2021年第2期40-43,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：山东中医药管理局山东省中医药科技发展计划项目,编号:2019-1063、2017-013、2019-0059;山东中医药大学治未病科研创新团队基金,编号:220318。

摘　　要：目的:观察关刺法治疗肱骨外上髁炎的疗效。方法:将60例肱骨外上髁炎的受试者随机分为关刺组(30例)与常规组(30例)。关刺组针刺肱骨外上髁附近的压痛点1~2处,短暂留针,取针后医生与受试者配合进行对抗运动;常规组取阿是穴、曲池、肘髎和阳陵泉等穴,得气后行泻法;两组受试者隔日治疗1次,一疗程3次,每个疗程结束休息1天,共2个疗程。采用视觉模拟评分法(VAS)、Mayo肘关节功能评分标准(MEPS)和改良肘关节评分系统(HSS)进行评分,观察第1次治疗后的即时止痛效果及疗程结束后临床疗效。结果:第1次治疗完全结束后两组患者的VAS评分均明显降低(P<0.01),但关刺组第1次治疗后VAS评分降低更明显;治疗结束后两组的MEPS均降低,关刺组降低更突出;HSS较治疗前均升高,关刺组升高更明显;关刺组总有效率93.33%(28/30),常规组总有效率80.00%(24/30),关刺法与常规针刺对肱骨外上髁炎的临床疗效相当(P>0.05)。结论:关刺法与常规针刺对肱骨外上髁炎均有较好疗效,关刺法效果更突出,另外关刺法对肱骨外上髁炎的即时止痛效果优于常规针刺法。Objective:To observe the curative effect of joint needling in the treatment of lateral epicondylitis.Methods:60 cases of lateral epicondylitis were randomly divided into the control group and the study group,with 30 cases in each group.The control group was treated with conventional acupuncture,and the points chosen were Ashi points,Quchi(LI11),Zhouliao(LI12)and Yanglingquan(GB34).The study group was treated with joint needling,one or two tender points near the lateral epicondyle of humerus were chosen,and the needles were retained for a short period of time,and countermovement was carried out between the doctor and the patients after needle removal.The two groups were treated once every other day for two courses,3 times were taken as one course of treatment,and there was one day interval between the two courses.The scores of VAS,MEPS and HSS,the immediate analgesic effect after the first treatment and the clinical efficacy were observed and compared between the two groups.Results:VAS scores were significantly decreased after the first treatment and at the end of the treatment in the two groups compared to those before the treatment(P<0.01);the decreases were more significant in the study group after the first treatment.At the end of the treatment,the scores of MEPS were decreased,and the scores of HSS were increased in the two groups;of which the improvements were more prominent in the study group.The total effective rate was 93.33%(28/30)in the study group,and it was 80.00%(24/30)in the control group;there was no statistical difference in clinical efficacy between the two groups(P>0.05).Conclusion:Both joint needling and conventional acupuncture have a good curative effect on lateral epicondylitis,but joint needling has a more prominent effect.In addition,joint needling has better immediate analgesic effect than conventional acupuncture in the treatment of lateral epicondylitis.

关 键 词：肱骨外上髁炎 关刺法 针刺疗法 新五刺 

分 类 号：R246.2[医药卫生—针灸推拿学]