“颈肘同治”治疗顽固性肱骨外上髁炎临床疗效分析  

Clinical Analysis of “Simultaneous Treatment of Neck and Elbow” in the Treatment of Obstinate Lateral Epicondylitis of humerus

作　　者：杨梦琪 张向东 寇赵淅 赵明宇 YANG Mengqi;ZHANG Xiangdong;KOU Zhaoxi;ZHAO Mingyu(Henan University of Traditional Chinese Medicine,Henan Zhengzhou 450046,China;Luoyang Orthopedic Hospital of Henan Province,Orthopedic Hospital of Henan Province,Henan Zhengzhou 450016,China)

机构地区：[1]河南中医药大学,河南郑州450046 [2]河南省洛阳正骨医院,河南省骨科医院,河南郑州450016

出　　处：《中医药临床杂志》2022年第12期2376-2379,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：2019年度河南省中医药拔尖人才培养项目专项(2019ZYBJ23);2019年河南省中医药科学研究专项(2019ZY2092)。

摘　　要：目的:观察基于筋滞骨错理论运用颈肘同治法治疗顽固性肱骨外上髁炎的临床疗效。方法:选取符合标准的顽固性肱骨外上髁炎患者42例,采用随机数字表法将其分为观察组和对照组,各21例。观察组采用肘部推拿手法治疗联合颈肘温针灸;对照组采用肘部推拿手法。观察2组治疗2周前后的疼痛评分,肘关节功能评分及临床疗效。结果:观察组患者的疼痛视觉模拟评分(visual analogue scale,VAS)明显低于对照组(P<0.05);Mayo肘关节功能评分明显高于对照组(P<0.05);观察组有效率100%,对照组有效率80.95%,2组比较差异具有统计学意义(P<0.05)。结论:基于“筋滞骨错”理论运用肘关节推拿联合颈肘温针灸治疗顽固性肱骨外上髁炎在改善患者疼痛症状及提高肘关节功能活动方面疗效明显。Objective: To observe the clinical effect of treating intractable lateral humeral epicondylitis based on the theory of tendon stagnation and bone malocclusion. Methods: A total of 42 patients with refractory lateral epicondylitis were selected and divided into an observation group and a control group by random number table method, 21 cases in each. The observation group was treated with elbow massage manipulation combined with neck and elbow warm acupuncture;the control group was treated with elbow massage manipulation. The pain scores, elbow joint function scores and clinical efficacy were observed in the two groups before and after 2 weeks of treatment. Results: The pain visual analogue scale(VAS) of the observation group was significantly lower than that of the control group(P<0.05);the Mayo elbow joint function score was significantly higher than that of the control group(P<0.05);the effective rate of the observation group was 100%, the effective rate in the control group was 80.95%, and the difference between the two groups was statistically significant(P<0.05). Conclusion: Based on the theory of “stagnation of tendons and bones”, the use of elbow massage combined with neck and elbow warm acupuncture in the treatment of refractory lateral epicondylitis is effective in improving pain symptoms and improving elbow joint function and activity.

关 键 词：颈肘同治 顽固性肱骨外上髁炎 网球肘 温针灸 推拿 筋滞骨错 

分 类 号：R274.3[医药卫生—中医骨伤科学]