穴位埋线治疗肱骨外上髁炎20例

Acupoint Catgut-embedding in Treating External Humeral Epicondylitis for 20 Cases

目的研究穴位埋线治疗肱骨外上髁炎的治疗效果。方法将40位患者按照随机数字表法分为2组,治疗组全部采取穴位埋线治疗,对照组采取封闭治疗。埋线选取穴位为曲池,手三里,阿是穴,阳陵泉(对侧),9 d埋线1次,为一个疗程。对照组采用5 ml注射器抽取2%利多卡因1 ml及曲安奈德1 ml,于局部压痛最敏感处注射,7 d治疗1次,为一个疗程。均在2个疗程后对2组患者做疗效评价。观察2组患者临床疗效及治疗前、治疗后及治疗2个月后VAS疼痛程度评分。结果治疗组总有效率为95. 0%,对照组总有效率为65%,P <0. 05,差别有统计学意义,说明治疗组疗效优于对照组。VAS疼痛程度评分,组内治疗前后对比,均P <0. 05,差别有统计学意义,说明2组均有疗效。治疗后,组间比较,P <0. 05,差别有统计学意义,表示治疗组疗效优于对照组。治疗2个月后,组间比较,P <0. 05,说明治疗组较之对照组疗效持续且稳定。结论穴位埋线治疗肱骨外上髁炎,克服了针灸作用时间有限、次数多的缺点,易于被患者接受,安全且疗效可观,宜于推广。

Objective To study the effect of acupoint catgut-embedding in treating external humeral epicondylitis. Methods 40 patients were divided into 2 groups according to the random number table. All the patients in the treatment group were treated with acupoint catgutembedding therapy,while those in the control group were treated with sealant sealing therapy. The acupuncture points selected for catgutembedding were Quchi( LI11),Shousanli( LI10),Ashi point,Yanglingquan( G34)( contralateral acupuncture points),and catgut embedding therapy was provided every 9 days,and 9 days was a course of treatment. For patients in the control group,1ml 2% lidocaine and1 ml triamcinolone acetonide were extracted with 5 ml syringe and injected into the part which was most sensitive to local tenderness. The treatment was given every 7 days,and 7 days was a course of treatment. The efficacy of the two therapies was evaluated for both groups after2 treatment courses. The clinical efficacy of the aforementioned therapies to the patients in the two groups was observed and the Visual Analogue Scale( VAS) of patients before treatment,after treatment and 2 months after treatment were recorded. Results The total effective rate of the treatment group and the control group was 95. 0% and 65. 0% respectively P < 0. 05,and the difference had statistical significance,indicating that the efficacy of the treatment group was better than that of the control group. In terms of VAS score,the comparison between the pre-treatment and the post-treatment of the same group all got the results of P < 0. 05,and the difference was statistically significant,indicating that both therapies had good efficacy. After treatment,the comparison of the same groups showed P <0. 05,and the difference had statistical significance,indicating that the efficacy of acupoint catgut-embedding therapy was better compared with block therapy. 2 months after treatment,the comparison between two groups showed P < 0. 05,indicating that the efficacy of catgutembedding therapy was more persistent and stable than the block therapy. Conclusion The acupoint catgut-embedding in treating external humeral epicondylitis overcomes acupuncture’s shortcomings,i. e.,limited effective time and that patients need to be under acupuncture treatments for too many times. It is easy for patients to accept catgut-embedding therapy,which can be popularized due to its safety and favorable efficacy.