针刺激痛点治疗网球肘疗效观察

Clinical Observation on Tennis Elbow by Acupuncture at Myofascial Trigger Points

目的:观察针刺激痛点与传统经穴治疗网球肘的疗效差异,为治疗网球肘提供参考。方法:将95例网球肘患者随机分为对照组47例,治疗组48例。治疗组采取针刺激痛点疗法治疗;对照组采取针刺传统腧穴疗法治疗。每天1次,7 d间歇2 d,1个月为1个疗程。治疗1个疗程后,采用Mayo肘关节功能评分系统(MEPS),观察患者治疗前后的疼痛、关节活动范围、稳定程度、日常功能4项评分的变化。评价两组治疗1个疗程和随访1个月后的疗效。结果:两组治疗后疼痛、关节活动范围、稳定程度、日常功能4项言语评分较治疗前明显提高(P<0.05);治疗组总有效率为97.62%,明显优于对照组的77.50%(P<0.05)。结论:针刺激痛点治疗网球肘具有减轻患者疼痛症状、增大关节活动范围、提高肘关节稳定程度、恢复日常功能的作用。

Objective：To compare the efficacy difference in treatment of tennis elbow between acupuncture at trigger points and traditional acupoint,to provide reference of the treatment for tennis elbow wtih acupuncture at myofascial trigger points（MTr P）. Methods：95 cases of tennis elbow were randomly divided into 47 cases in the control group and 48 cases in the treatment group. The treatment group used acupuncture at myofascial trigger points for tennis elbow;and the control group used acupuncture at acupoint for tennis elbow. The treatment was given once a day and intervalled 2 days after 7 days. One month is a treatment course. The mayo scoring system（MEPS）was adopted to observe the score change of pain,range of motion,stability degree and daily function after 1 courses of treatment. Evaluate the curative effect of two groups after 1 courses of treatment and 1 month of follow-up. Results：The MEPS scores of the two groups in pain,range of motion,the stability degree of daily function,were significantly improved than before（P〈0.05）;The total effective rate was 97.62% in the treatment group,which was better than 77.50%（P〈0.05）in the control group. Conclusion：The treatment of acupuncture at MTr P for tennis elbow can relief the pain in patients,increase the range of joint motion,improve the stability of elbow joint degree and recover daily function of the patients.