针刺颈夹脊穴治疗顽固性网球肘临床疗效观察

目的观察针刺颈夹脊穴配合经验穴、阿是穴、手三里穴、一间穴结合中药熏洗治疗网球肘（肱骨外上髁炎）即时止痛的临床效果。方法将90例患者随机分为治疗组和对照组,每组45例,对照组采用局部取穴结合中药熏洗治疗;治疗组在对照组基础上针刺颈夹脊穴治疗。观察2组即时止痛效果、疼痛视觉模拟评分（VAS）及临床疗效。结果治疗组总有效率为91.1%,对照组总有效率为80.0%,治疗组临床疗效优于对照组（P〈0.05）;治疗组止痛的即时显效率73.3%,优于对照组的51.1%（P〈0.01）;2组治疗后VAS评分均较治疗前减少（P均〈0.01）,且治疗组较对照组VAS评分降低更明显（P〈0.05）。结论针刺颈夹脊穴配合局部取穴结合中药熏洗治疗顽固性网球肘,有较好的即时止痛效果,且疗效更为显著。

Acupuncture Jiaji therapy of intractable tennis elbow clinical curative effect observation

Objective To observe the acupuncture at Cervical Jiaji points combined with experience points, Ashi points, three points, a hand acupuncture combined with Herbal Fumigation in treating tennis elbow（lateral epicondylitis ） immediate analgesic efficacy.Methods 90 patients were randomly divided into treatment group and control group, 45 cases in each group, the two groups were observed immediate analgesic effect, visual analog pain （VAS）score and the clinical efflcacy.Results The effective rate of the treatment group was 91.1%, 80% in the control group,the clinical effect of treatment group was better than that of the control group （P〈0.05）,the treatment group the pain immediately marked effective rate was 73.3%, more than 51.1% of control group （P〈0.01 ）, the two groups after treatment than before treatment VAS score were decreased （P〈0.01）,and the treatment group than in the control group,VAS score was significantly lower （P〈0.05）.Conclusion The treatment group selection for treating tennis elbow has good immediate analgesic effect, effect and remarkable characteristics.