揿针针刺局部压痛点治疗肱骨外上髁炎的疗效观察

目的] 观察揿针疗法针刺局部压痛点治疗肱骨外上髁炎的临床疗效。方法] 选取肱骨外上髁炎患者60例，随机分为毫针针刺组30例及揿针组30例，分别给予毫针针刺及揿针治疗，1周治疗2次。于治疗前及治疗2周后采用视觉模拟评分法（VAS）及四级加权评分法进行疗效评价。结果] 治疗后2组VAS评分、四级加权评分均较治疗前降低（P<0.01），且揿针组VAS评分、四级加权评分均低于毫针针刺组（P<0.05）。毫针针刺组总有效率为73.3%，揿针组为96.7%，两组比较差异具有统计学意义（P<0.05）。结论] 揿针针刺局部压痛点治疗肱骨外上髁炎疗效显著，可以明显减轻肘关节疼痛，改善肘关节功能运动，疗效优于毫针针刺法。

Observation on the effect of needle-embedding therapy on local tenderness point for external humeral epicondylitis

Objective] To observe the clinical effect of needle-embedding therapy on local tenderness point in the treatment of external humeral epicondylitis.Methods] The 60 patients with external epicondylitis of humerus were randomly divided into the filiform acupuncture group (30 cases) and needle-embedding therapygroup (30 cases). They were treated with filiform acupuncture and screw acupuncture,twice a week. Visual analogue scale (VAS) and four-level weighted scale were used to evaluate the efficacy before and after 2 weeks of treatment.Results] After treatment,VAS score and grade 4 weighted score in both groups were lower than those before treatment (P<0.01),and VAS score and grade 4 weighted score in the needle-embedding therapygroup were lower than those in the filiform acupuncture group(P<0.05). The total effective rate was 73.3% in the acupuncture group and 96.7% in the needle-embedding therapygroup (P<0.05).Conclusion] The effect of needle-embedding therapyon local tenderness point on external epicondylitis of humerus is significant,which can obviously relieve elbow pain and improve elbow functional movement,and the effect is better than that of needle acupuncture.