经筋毫针刺法结合动态关节松动术治疗肱骨外上髁炎的疗效观察

Clinical Observation on the Treatment of External Humerus Epicondylitis by Transfascial Needle Puncture Combined with Mobilization with Movement

目的观察经筋毫针刺法结合动态关节松动术治疗肱骨外上髁炎的临床疗效。方法选取符合纳入标准的60例肱骨外上髁炎患者作为试验对象,按照随机数字表法分为试验组和对照组各30例。对照组采用肘关节动态关节松动术治疗,试验组在对照组的基础上加行经筋毫针刺法。观察比较两组患者治疗前后VAS评分与MEPS评分的差异,并对其总体临床疗效进行评价。结果与治疗前相比,4周治疗结束后两组患者的VAS评分均明显降低(P<0.05)、MEPS评分均有明显提高(P<0.05),且两种评分结果试验组均优于对照组(P<0.05);试验组临床有效率为96.67%(29/30),对照组为80%(24/30),疗效差异具有统计学意义(P<0.05)。结论经筋毫针刺法结合动态关节松动术改善肱骨外上髁炎患者肘关节疼痛、活动受限的效果更显著,可有效提高患者肘关节活动功能及生活质量,具有临床推广优势。

Objective To observe the clinical effect of transtendon puncture combined with dynamic joint loosening in the treatment of external humeral epicondylitis.Method Sixty patients with external humeral epicondylitis who met the inclusion criteria were selected as the test subjects,and were divided into experimental group and control group according to the random number table method,with 30 patients in each group.The control group was treated with elbow dynamic joint loosening,and the experimental group was treated with rib needle puncture based on the control group.The difference of VAS score and MEPS score between the two groups before and after treatment was observed and compared,and the overall clinical efficacy was evaluated.Results Compared with before treatment,VAS score was significantly decreased(P<0.05)and MEPS score was significantly increased(P<0.05)in 2 groups after 4 weeks of treatment,and experimental group was better than control group(P<0.05).The clinical effective rate of the experimental group was 96.67%(29/30),and that of the control group was 80%(24/30),with statistical significance(P<0.05).Conclusion Transtendon puncture combined with dynamic joint loosening has a more significant effect on improving elbow pain and mobility limitation in patients with external epicondylitis of the humerus,which can effectively improve elbow mobility and quality of life,and has the advantages of clinical promotion.