反阿是穴与阿是穴治疗肱骨外上髁炎疗效比较

Comparative study on therapeutic effect of Ashi-points and anti-Ashi-points on external humeral epicondylitis

目的:观察反阿是穴与阿是穴治疗肱骨外上髁炎的临床疗效差异。方法:将68例患者随机分为反阿是穴组和阿是穴组,每组34例。反阿是穴组在按压后使局部疼痛缓解或消失处选取穴,阿是穴组在痛点取穴,并于周边围刺三针。隔天治疗1次,10次为一疗程,均治疗2个疗程,分别在疗程结束后当天、第7天、第30天、第6个月及1年后观察疗效。结果:治疗后当天反阿是穴组有效率为100.0%(34/34),阿是穴组有效率73.5%(25/34),两组比较差异有统计学意义(P<0.01),第7天和第30天反阿是穴组有效率分别是94.1%(32/34)、91.2%(31/34),优于阿是穴组的70.6%(24/34)、67.6%(23/34)(均P<0.01),第6个月和1年后反阿是穴组有效率分别为73.5%(25/34)、52.9%(18/34),阿是穴组有效率分别为64.7%(22/34)、61.8%(21/34),组间差异无统计学意义(均P>0.05)。结论:反阿是穴治疗肱骨外上髁炎具有明显的近期效应,反阿是穴与阿是穴具有相似的远期疗效。

Objective To compare the clinical efficacy between Ashi-points and anti Ashi-points for external humeral epicondylitis. Methods Sixty-eight cases were randomly devided into an anti-Ashi-points group（ group A） and an Ashi-points group（ group B） , 34 cases in each group. In the group A, anti-Ashi-points（ points of pain relief or disappearance after local press） were selected for acupuncture; in the group B, Ashi-points （pain spots） were selected for acupuncture and surrounded needling therapy was added . Once other day, 10 treatments made one session, altogether 2 courses. The clinical effects were observed at the ending day, the 7 th day, the 30 th day, the 6 th months and one year after treatment. Results The effective rates at the ending day, the 7 th day, the 30 thdayafter treatment in the group A were 100.0%（34/34）, 94.1%（32/34） and 91.2%（31/34）, which were superior to those of 73.5% （25/34）, 70. 6% （24/34）, 67.6%（23/34） respectively in group B （all P〈0.01）. In the group A, the effective rates at the 6 th months and one year after treatment were 73.5% （25/34） and 52.9%（18/34）; in group B. they were 64.7%（22/34） and 61.8%（21/34） respectively, there were no significant differences hetween the two groups（both P〉0.05）. Conclusion The acupoint selection of anti-Aski-points has a better transient effect on external humeral epicondylitis, but it＇s long-term curative effects is similar to Ashi-points.