基于灶点理论的弧刃针疗法治疗顽固性网球肘的临床疗效  

A clinical study on the treatment of refractory tennis elbow with arc-edge needle therapy based on zaodian theory

作　　者：马雪建 张董喆[2,3] 牛朝阳[2,3] 都帅刚 王武洋 程世龙 肖盈沅 王学昌 MA Xuejian;ZHANG Dongzhe;NIU Chaoyang;DU Shuaigang;WANG Wuyang;CHENG Shilong;XIAO Yingyuan;WANG Xuechang(School of Orthopedics and Traumatology,He′nan University of Chinese Medicine,Zhengzhou 450046,China;不详)

机构地区：[1]河南中医药大学骨伤学院,郑州450046 [2]河南省中医院,郑州450002 [3]河南中医药大学弧刃针疗法研究所,郑州450002

出　　处：《实用医学杂志》2024年第15期2161-2165,共5页The Journal of Practical Medicine

基　　金：河南省科技攻关计划(社会发展领域)项目(编号:172102310322);河南省国家中医临床研究基地科研专项(编号:2024ZY3054,2021JDZX2125);河南省高校科技创新团队支持计划项目(编号:24IRTSTHN040)。

摘　　要：目的探讨基于灶点理论的弧刃针疗法治疗顽固性网球肘的临床疗效。方法收集64例顽固性网球肘患者,采用随机数字表法分为对照组和观察组。其中对照组32例,采用局部痛点注射治疗。观察组32例,采用弧刃针疗法治疗,每周治疗1次,均治疗2次,分别记录并比较两组患者治疗前、治疗后1、2、4及24周随访的疼痛数字评分(numberal rating scale,NRS)、肘关节功能评分(Mayo elbow perfor⁃mance score,MEPS)、肩臂手残障(disabilities of the arm,shoulder and hand,DASH)评分以及24周随访时的疾病的疗效评分(Wangxuechang diease efficacy score,WDES)。结果治疗过程中两组患者均未见不良事件发生。两组患者治疗前的NRS、MEPS及DASH差异均无统计学意义(P>0.05);治疗后各时期,两组NRS、MEPS、DASH及24周随访时的WDES较治疗前均改善,治疗1周后,两组NRS差异无统计学意义(P>0.05),治疗2、4及24周随访时的NRS观察组低于对照组;治疗后1、2、4及24周随访时,观察组DASH评分低于对照组,MEPS评分高于对照组,差异有统计学意义(P<0.05),治疗24周后随访时的WDES,观察组优于对照组,差异有统计学意义(P<0.05)。结论局部痛点注射及弧刃针灶点松解治疗顽固性网球肘早期均能缓解疼痛,改善肘关节功能,而局部痛点注射治疗后远期效果欠佳,观察组治疗效果逐渐提升。Objective To explore the clinical efficacy of arc-edge needle therapy based on Zaodian theory in the treatment of refractory tennis elbow.Methods 64 patients with refractory tennis elbow were collected and randomly divided into a control group and an observation group using a random number table method.Among them,32 cases in the control group were treated with local pain point injection.32 patients in the observation group were treated with arc-edge needle therapy once a week,with two treatments per group.The Number rating scale(NRS)Mayo,elbow joint performance score(MEPS)and Disabilities of the arm,shoulder and hand(DASH)score were recorded and compared between the two groups before treatment and at 1,2,4 and 24 weeks of follow-up after treatment,disease efficacy score(WDES)at 24 weeks of follow-up.Results During the treat⁃ment process,neither group of patients experienced serious adverse reactions.At each stage after treatment,two groups of NRS MEPS,DASH,and WDES at 24 weeks of follow-up all improved compared to before treatment.After one week of treatment,there was no statistically significant difference in NRS scores between the two groups(P>0.05).At follow-up visits at weeks 2,4,and 24,the NRS scores in the observation group were lower than those in the control group.After 1,2,4,and 24 weeks of follow-up after treatment,the DASH score was lower in the observation group than in the control group,and the MEPS score was higher in the observation group than in the control group,with statistically significant differences(P<0.05).After 24 weeks of treatment,the WDES of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Local pain point injection and arc-edge Zaodian release can alleviate pain and improve elbow joint function in the early stage of refractory tennis elbow.However,the long-term effect of local pain point injection treatment is not good,and the treatment effect of the observation group gradually improves.

关 键 词：弧刃针 灶点理论 肱骨外上髁炎 压痛点 

分 类 号：R684[医药卫生—骨科学]