远端取穴结合运动疗法治疗肱骨外上髁炎的临床研究

目的 :评价远端取穴结合运动疗法治疗肱骨外上髁炎的近期及远期疗效。方法 :将符合纳入标准的66例肱骨外上髁炎患者按随机信封法为观察组和对照组各33例,观察组采用围刺加远端取穴结合运动疗法,对照组采用围刺加经穴治疗。观察两组治疗前、治疗后1周的肘关节活动度改变、简化麦吉尔疼痛问卷(SF-MPQ)评分、病患网球肘评价(PRTEE)评分变化情况,并分别于治疗后1周、治疗后3个月进行临床疗效评价。结果:两组治疗后肘关节活动度、SF-MPQ问卷评分及PRTEE量表评分与治疗前比较均明显改善,差异有高度统计学意义(P0.01);观察组治疗后1周的肘关节活动度、SF-MPQ问卷评分及PRTEE量表评分显著优于对照组,差异有统计学意义(P0.05);观察组治疗后1周和治疗后3个月的临床疗效均明显优于对照组,差异有统计学意义(P0.05)。结论:远端取穴结合运动疗法治疗肱骨外上髁炎的近期及远期疗效均显著优于常规针刺疗法;远端取穴结合运动疗法总有效率高、治愈率高。

Observation on Distal Acu-Points Combined with Kinesiotherapy Treating External Humeral Epicondylitis

Objective:To evaluate the short-term and long-term efficacy of distal acu-points combined with kinesiotherapy on treating external humeral epicondylitis. Methods :Sixty-six patients with humeral epicondylitis meeting with the inclusion criteria were divided into observation group and control group randomly,with 33 cases in each group. The observation group was given surrounding acupuncture with the distal acu-points and kinesiotherapy,while the control group was given surrounding acupuncture therapy with conventional points.We compared the elbow joint activities,the scores of short-form Mc Gill pain questionnaire(SF-MPQ),and patient-rated tennis elbow evaluation(PRTEE) scores before the treatment with those 1 week after treatment.Furthermore,the clinical efficacy 1 week after the therapy and that three months after was evaluated. Re-sults:After the treatment,the elbow joint activities,SF-MPQ scores and PRTEE scores were improved obviously,with obvious statistical differences(P<0.01);after the treatments,the elbow joint activity,SF-MPQ scores and PRTEE scores in the observation group was better than those in the control group,with statistical differ ence(P<0.05);the clinical efficacy in the observation group was better than that in the control group 1week and 3 months after the treatment,with statistical difference(P<0.05). Conclusions:The short-term and long-term efficacy of distal acu-points combined with kinesiotherapy treating external humeral epicondylitis was better than routine acupuncture,with higher cure rates and total effective rates.