利用触发点疼痛原理治疗肱骨外上髁炎35例

Treatment of lateral epicondylitis based on the principle of myofacial trigger points pain in 35 cases

目的:观察利用触发点疼痛原理对肱骨外上髁炎进行诊断及改善患者疼痛的效果。方法:选择2001-01/2004-12玉溪市人民医院骨科门诊收治的肱骨外上髁炎患者35例。男24例,女11例,年龄23～65岁。对患者有肌筋膜触发点疼痛的部位反复针刺,每隔7～12天治疗1次。治疗两三次。辅助补充多种维生素和改善周围循环的药物3～6个月。并做肘外侧肌和内侧肌的牵张锻炼。疗程结束,按自拟疼痛评分标准进行疼痛评定,共分为6分,1分为无痛,6分为严重疼痛。结果:35例患者,均进入结果分析。治疗后的平均评分明显低于治疗前[(1.20±0.40),(4.40±1.03)分,t=16.8,P<0.001]。结论:肱骨外上髁肘外侧肌群肌筋膜疼痛综合征是肱骨外上髁炎的主要原因,对受累肌肉进行触发点疼痛治疗可以改善患者疼痛,是一简易有效的方法。

AIM： To observe the effect of the principle of myofacial trigger points pain in diagnosing lateral epicondylitis and ameliorating pain of the patients. METHODS： Thirty-five patients （24 males and 11 females） with lateral epicondylitis aged 23-65 years were selected from the Department of Orthopedics, Yuxi People＇s Hospital from January 2001 to December 2004. The painful sites of myofacial trigger point in the patients were treated with acupuncture repeatedly, once every 7-12 days for two or three times. A stretch therapy of elbow lateral and medial muscles and some medications, such as multi-vitamin and drug for the amelioration of peripheral circulation were also given for 3-6 months. After treatment, the patients were assessed with the self-designed pain scale, the total score was 6 points, 1 as painless, and 6 as severe pain. RESULTS： All the 35 patients were involved in the analysis of results. The average score after treatment was obviously lower than that before treatment [（1.20±0.40）, （4.40±1.03） points, t=16.8, P 〈 0.1301] CONCLUSION： The myofascial trigger points of lateral muscle groups of elbow are the main causes of the lateral epicondylitis. The treatment above to myofacial trigger points pain is an easy and effective method.