肱骨外上髁炎的缪刺肘灵穴与局部常规针刺疗效比较  

Comparison of effect of contralateral puncture at Zhouling point and the local lesion conventional puncture therapy on lateral epicondylitis

作　　者：陈延[1] 龚媛媛[1] Chen Yan;Gong Yuanyuan

机构地区：[1]常德职业技术学院,湖南常德415000

出　　处：《中医临床研究》2021年第9期89-91,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:观察缪刺肘灵穴与局部常规针刺治疗肱骨外上髁炎临床疗效。方法:肱骨外上髁炎患者60例随机数字表法分为两组,分别接受缪刺肘灵穴与局部常规针刺治疗。缪刺组取肘灵穴,常规组取阿是、曲池、肘髎、手三里、手五里穴。两组均留针30 min,期间每5 min行针1次。每日1次,5 d为1个疗程。缪刺组每隔1 d在肘灵穴用无菌注射器迅速点刺3~5刺,放血1~3 mL。第一疗程结束后休息1~2 d,再治疗1个疗程,共2个疗程。在治疗前、第一疗程结束及第二疗程结束后,分别采用视觉模拟评分法(Visual Analogue Scale,VAS)和Mayo肘关节功能评定表,对每一位患者进行疼痛评分和肘关节功能测定。在第二疗程结束后55~60 d进行随访。所得出数据进行分析比较。结果:(1)缪刺肘灵穴治疗网球肘能有效缓解患者肘部疼痛、改善患者肘部功能,且第二疗程优于第一疗程,较常规针刺疗效更优(。2)缪刺肘灵穴治疗网球肘远期治疗效果较常规针刺疗效更优。结论:缪刺肘灵穴较针刺常规穴位治疗网球肘的临床疗效明显,能有效缓解甚至消除患者肘关节疼痛,改善肘关节功能。且疗效稳定,复发率低,安全性良好,患者易于接受,值得推广。Objective: To observe the clinical curative effect of contralateral puncture at Zhouling point(肘灵穴) and the local lesion conventional puncture therapy treatment on lateral epicondylitis. Methods: 60 patients with external humeral epicondylitis were randomly divided into two groups, who received contralateral puncture at Zhouling point and the local lesion conventional puncture therapy respectively. The contralateral puncture group took Zhouling point while the conventional group took Ashi(阿是), Quchi(曲池),Zhouliao(肘髎), Shousanli(手三里) and Shouwuli(手五里) point. The needles were kept for 30 minutes in both groups, and the needles were performed once every 5 minutes during the period. Once a day, 5 days were for 1 course of treatment. In the contralateral puncture, 3-5 punctures and 1-3 mL bleeding were punctured quickly with a sterile syringe at Zhouling acupoint every other day. After the first course of treatment, a rest for 1-2 days was given, and then another course of treatment was followed, there was a total of two courses. Before treatment, at the end of the first course, and after the second course, the visual analogue scale(VAS) and Mayo Elbow Joint Function Assessment Table were used to measure the pain score and elbow joint function of each patient. Follow-up was conducted 55-60 days after the end of the second course. The obtained data are analyzed and compared. Results:(1) Contralateral puncture at Zhouling point can effectively relieve patients’ pain and improve the function of patients with elbow pain, and the second period of treatment is better than that of the first course of treatment, the curative effect of contralateral puncture at Zhouling point is better.(2) The long-term therapeutic effect of contralateral puncture at Zhouling point is better than that of conventional acupuncture on tennis elbow. Conclusion: Compared with the conventional acupoint acupuncture, contralateral puncture at Zhouling point has obvious clinical efficacy in the treatment of tennis elbow,w

关 键 词：肱骨外上髁炎 缪刺肘灵穴 局部常规针刺 炎证^(+) 

分 类 号：R254[医药卫生—中医内科学]