首页|水针刀阳明经、太阴经同治法治疗肱骨外上髁炎的疗效

水针刀阳明经、太阴经同治法治疗肱骨外上髁炎的疗效

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目的 观察水针刀阳明经、太阴经同治法治疗肱骨外上髁炎的疗效.方法 选取2021年11月至2023年1月肱骨外上髁炎83例,随机分为观察组(水针刀阳明经、太阴经同治法)和对照组(单纯"阿是穴"水针刀松解),比较两组治疗前、治疗后3、6、12个月简式MPQ疼痛问卷(SF-MPQ)及Mayo肘关节功能评分及疗效.结果 治疗后3个月观察组MPQ评分、Mayo评分改善优于对照组(P<0.05),且观察组治愈率(92.8%)高于对照组(73.2%)(P<0.05);治疗后6个月对照组MPQ评分、Mayo评分相较于观察组出现明显反弹趋势(P<0.01),观察组治愈率(90.5%)优于对照组(70.7%)(P<0.05);治疗后12个月,观察组MPQ评分、Mayo评分恶化反弹幅度明显低于对照组(P<0.01),观察组总有效率(92.9%)、治愈率(88.1%)高于对照组(73.0%,65.9%)(P<0.05).结论 与单纯"阿是穴"水针刀疗法比较,水针刀阳明经、太阴经同治法治疗肱骨外上髁炎疗效更佳,可持久减轻肘关节疼痛、控制肱骨外上髁炎症状复发趋势,恢复肘关节功能,值得临床推广应用.
Objective To investigate the clinical efficacy of the hydro-acupuncture knife treatment method for lateral epicondylitis of the humerus by combining treatment through the Yangming meridian and the Taiyin meridian.Methods The study selected 83 patients with lateral epicondylitis of the humerus who were admitted to the Department of Orthopedics at Wenzhou Integrated Traditional Chinese and Western Medicine Hospital from November 2021 to January 2023.The patients were randomly assigned to either the observation group or the control group.The observation group received treatment using the hydro-acupuncture knife along the Yangming meridian and the Taiyin meridian,while the control group received treatment only at the"Ashi"point using the hydro-acupuncture knife.Compared the Short Form MPQ Pain Questionnaire(SF-MPQ)and Mayo Elbow Joint Function Score and clinical efficacy between two groups before treatment and at 3,6,and 12 months after treatment.Results At 3 months after treatment,the observation group exhibited greater improvement in MPQ score and Mayo score compared to the control group(P<0.05).Additionally,the cure rate in the observation group(92.8%)was higher than that in the control group(73.2%)(P<0.05).At 6 months after treatment,the control group showed a significant rebound in MPQ score and Mayo score compared to the observation group(P<0.01).Furthermore,the cure rate in the observation group(90.5%)was higher than that in the control group(70.7%)(P<0.05).At 12 months after treatment,the deterioration and rebound magnitude in MPQ score and Mayo score were significantly lower in the observation to the control group(73.0%,65.9%)(P<0.05).Conclusion The hydro-acupuncture knife treatment using the Yangming meridian and the Taiyin meridian combined treatment method demonstrates superior efficacy in treating lateral epicondylitis of the humerus compared to the hydro-acupuncture knife treatment at the"Ashi"point only.This method effectively and sustainably reduces elbow joint pain,controls the recurrence trend of lateral epicondylitis,and restores elbow joint function,making it highly suitable for clinical application and promotion.

Hydro-acupuncture knifeYangming meridian and Taiyin meridianLateral epicondylitis

段金帅、刘泽中、林建南、朱荟同、孙镛奇、郭克淳、王萧枫

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310053 浙江中医药大学第二临床医学院

325200 浙江省瑞安市中医院

325000 浙江省温州市中西医结合医院

水针刀 阳明经、太阴经同治 肱骨外上髁炎

温州市科技计划项目教育部产学合作协同育人项目浙江中医药大学附属医院科研专项

Y202202432021022420252021FSYYZZ30

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(1)
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