局部针刺运动对肱骨外上髁炎康复效应的临床观察

Clinical Observation of Local Acupuncture Movement on the Rehabilitation Effect of External Humeral Epicondylitis

目的观察并评价局部针刺运动对肱骨外上髁炎的康复效应,探讨其有效性与可行性。方法将60例来自郴州市第一人民医院康复科的肱骨外上髁炎患者随机分为观察组和对照组,每组30例。观察组采用局部针刺运动治疗,对照组采用常规针刺治疗。两组治疗均30 min/次,1次/d,5次/周,共治疗2周。分别在治疗前后统计数据,观察两组的视觉模拟评分(visual analogue scale,VAS)、Mayo肘关节功能评分,比较两组的疗效差异。结果两组总有效率差异无统计学意义(P>0.05),但观察组治愈率、愈显率高于对照组(P<0.01)。治疗后,两组患者较治疗前的VAS评分降低,Mayo肘关节功能评分升高,差异均有统计学意义(P<0.01);且观察组VAS评分低于对照组,Mayo肘关节功能评分高于对照组,差异均有统计学意义(P<0.05或P<0.01)。结论两种治疗方法对肱骨外上髁炎患者均有效,局部针刺运动疗法改善肘关节疼痛及恢复肘关节功能的疗效均优于常规针刺疗法。

Objective To observe and evaluate the rehabilitation effect of local acupuncture on external humeral epicondylitis,and to explore its effectiveness and feasibility.Methods 60 patients from the rehabilitation department of Chenzhou First People's Hospital were randomly divided into observation group and control group,30 cases in each group.The observation group was treated with local acupuncture and the control group was treated with conventional acupuncture.The two groups were treated 30 minute/time,once a day,5 times a week for 2 weeks.The visual analogue scale(VAS)and Mayo elbow function scores of the two groups were observed before and after treatment,and the efficacy differences between the two groups were compared.Results There was no significant difference in the total effective rate between the two groups(P>0.05);the cure rate and cure and effective rate of observation group were higher than control group,differences were statistically significant(P<0.01).After treatment,the two groups had lower VAS scores and increased Mayo elbow function scores compared with before treatment,differences were statistically significant(P<0.01);the VAS score of observation group was lower than the control group, and the Mayo elbow function score of observation group was higher than the control group, differences were statistically significant (P<0.01 or P<0.05). Conclusion Both of the two methods are effective for patients with external humeral epicondylitis. The effect of local acupuncture on improving elbow pain and restoring elbow function is better than that of conventional acupuncture.