“起止面学说”在针刀治疗肱骨外上髁炎中的临床效果研究
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R246.9

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佛山市卫生健康局医学科研立项课题[佛卫函〔2020〕188号]


Study on Clinical Effect of “Origin- Insertion Area Theory” for Lateral Epicondylitis of Humerus by Acupotomy
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    摘要:

    目的:观察“起止面学说”在针刀治疗肱骨外上髁炎中的临床应用效果。方法:将60 例肱骨外上 髁炎患者按随机数字表法分为观察组与对照组各30 例。观察组采用针刀治疗,对照组采用封闭治疗。比较 2 组治疗前后肘关节疼痛视觉模拟评分法(VAS) 评分、Mayo 肘关节功能评分系统评分(Mayo 评分),比较 2 组临床疗效。结果:治疗前,2 组肘关节疼痛VAS 评分比较,差异无统计学意义(P>0.05);治疗后,2 组 VAS 评分均降低(P<0.05),且观察组低于对照组(P<0.05)。治疗前,2 组Mayo 评分比较,差异无统计学 意义(P>0.05);治疗后,2 组Mayo 评分均升高(P<0.05),且观察组高于对照组(P<0.05)。治疗后2 周随 访,观察组总有效率100%,对照组总有效率93.33%,2 组比较,差异无统计学意义(P>0.05);治疗后3 个 月随访,观察组总有效率96.67%,高于对照组76.67%(P<0.05)。结论:“起止面学说”在针刀治疗肱骨外上 髁炎中的临床应用效果颇佳,可有效减轻疼痛,改善肘关节功能,且远期疗效较好。

    Abstract:

    Abstract:Objective:To observe the clinical effect of “origin-insertion area theory” in the treatment of lateral epicondylitis of humerus by acupotomy. Methods: A total of 60 cases of patients with lateral epicondylitis of humerus were divided into the observation group and the control group according to the random number table method, with 30 cases in each group. The observation group was treated with acupotomy,and the control group was treated with block therapy. Visual Analogue Scale (VAS) scores and Mayo Elbow- Performance (Mayo scores) before and after treatment as well as the clinical effects were compared between the two groups. Results:Before treatment,there was no significant difference being found in the comparison of VAS scores of elbow pain between the two groups (P>0.05). After treatment, VAS scores in the two groups were decreased (P<0.05),and the score in the observation group was lower than that in the control group (P<0.05). Before treatment,there was no significant difference being found in the comparison of Mayo scores between the two groups (P>0.05). After treatment,Mayo scores in the two groups were increased (P<0.05),and the score in the observation group was higher than that in the control group (P<0.05). During the two-week follow-up after treatment,the total effective rate was 100% in the observation group and 93.33% in the control group, there being no significant difference between the two groups (P>0.05). During the three-month follow-up after treatment,the total effective rate was 96.67% in the observation group,higher than that of 76.67% in the control group (P<0.05). Conclusion: The clinical application of “origin-insertion area theory” in the treatment of lateral epicondylitis of humerus by acupotomy has a quite good effect,which can effectively reduce pain and improve elbow joint function, with a good long-term curative effect.

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叶莹仪,袁世民,温子阳.“起止面学说”在针刀治疗肱骨外上髁炎中的临床效果研究[J].新中医,2023,55(13):104-108

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  • 在线发布日期: 2023-07-14
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