缪刺肘灵穴治疗肱骨外上髁炎的临床观察

发布时间：2018-05-25 05:40

本文选题：缪刺法 + 肘灵穴　；参考：《湖南中医药大学》2016年硕士论文

【摘要】：目的观察缪刺肘灵穴治疗肱骨外上髁炎的临床疗效。方法收集网球肘病例,60例符合纳入标准的病例,按随机法分为两组：缪刺肘灵组、常规针刺组(以下简称缪刺组、常规组),每组30例。缪刺组取肘灵穴,常规组取阿是穴、曲池、肘髂、手三里、手五里。两组均留针30分钟,期间每5分钟行针1次。每日1次,5日为1疗程。缪刺组每隔一日在肘灵穴用无菌注射器迅速点刺3-5刺,放血1-3m1。第一疗程结束后休息1-2天,再治疗一个疗程,共两个疗程。在治疗前、第一个疗程结束及第二疗程结束后,采用VAS疼痛评分法问卷和Mayo肘关节功能评定表,对每一位患者进行疼痛评分和肘关节功能测定。在第二疗程结束后55-60天进行随访。所得出数据进行分析比较。结果1.治疗后,两组患者的肘关节疼痛VAS评分均明显下降,前后差异具有显著统计学意义(P0.01),且第二疗程优于第一疗程；缪刺组比常规组下降更明显,具有显著统计学意义(P0.01)。2.治疗后,两组患者的肘关节功能Mayo评分均明显上升,前后差异具有显著统计学意义(P0.01),且第二疗程优于第一疗程；缪刺组比常规组上升更明显,具有显著统计学意义(P0.01)。3.治疗后,实验组显效27人,有效2人,无效1人,总有效率96.6%：对照组显效9人,有效18人,无效3人,总有效率90.0%,两组镇痛效果比较,缪刺组优于常规组,具有显著统计学意义(P0.01)。4.第二疗程结束后55-60天进行随访,缪刺组部分复发1人,复发为2人,复发率为10.3%；常规组部分复发的为2人,复发的为3人,复发率为18.5%。就复发率比较缪刺组明显低于常规组,具有统计学意义(P0.05)。5.两组患者在治疗过程中均未出现针刺意外和不良反应,随访中亦无不良反应。结论缪刺肘灵穴较针刺常规穴位治疗网球肘的临床疗效明显,能有效缓解甚至消除患者肘关节疼痛,改善肘关节功能。疗效稳定,复发率低,安全性良好,患者易于接受,值得推广。
[Abstract]:Objective to observe the clinical effect of Cuiling point on external epicondylitis of humerus. Methods A total of 60 cases of tennis elbow were randomly divided into two groups: Muci kongling group, routine acupuncture group (hereinafter referred to as Miao acupuncture group, routine acupuncture group, 30 cases in each group). The acupuncture group took the cubital point, and the routine group took Ashi, qu Chi, elbow iliac, three li of the hand and five li of the hand. The needle was kept for 30 minutes in both groups, and the needle was given once every 5 minutes. Once a day, 5 days as a course of treatment. Every other day, 3-5 points were punctured with sterile syringe at cubbling acupoint, bleeding was 1-3 m 1. Rest 1-2 days after the first course of treatment, another course of treatment, a total of two courses. Before, after the first course of treatment and the end of the second course of treatment, VAS pain score questionnaire and Mayo elbow function evaluation table were used to measure the pain score and elbow function of each patient. The patients were followed up 55-60 days after the second course of treatment. The obtained data are analyzed and compared. Result 1. After treatment, the VAS scores of elbow joint pain in the two groups were significantly decreased, the difference before and after treatment was significant (P 0.01), and the second course of treatment was better than the first course, and that in the acupuncture group was significantly lower than that in the routine group (P 0.01). After treatment, the Mayo score of elbow joint function in the two groups increased significantly, and the difference between the two groups was statistically significant (P 0.01), and the second course was better than the first course, and that in the acupuncture group was significantly higher than that in the routine group (P 0.01). 3. After treatment, 27 patients in the experimental group were effective, 2 were effective, 1 was ineffective, and the total effective rate was 96.6. the total effective rate was 90.0 in the control group, 9 in the control group, 18 in the control group and 3 in the control group. The analgesic effect of the two groups was better than that in the routine group. There was significant statistical significance (P 0.01). 4. 55-60 days after the end of the second course of treatment, partial recurrence occurred in 1 patient and recurrence rate was 10.3 in the Miao acupuncture group, while in the routine group, the partial recurrence rate was 2 patients, the recurrence rate was 18.5 in the routine group. The recurrence rate of Miao acupuncture group was significantly lower than that of the routine group, with statistical significance (P 0.05. 5). There were no acupuncture accidents and adverse reactions in both groups, and there were no adverse reactions during follow-up. Conclusion the clinical curative effect of acupuncture on tennis elbow is more obvious than that of acupuncture. It can effectively relieve and even eliminate the pain of elbow joint and improve the function of elbow joint. The curative effect is stable, the recurrence rate is low, the safety is good, the patient is easy to accept, is worth popularizing.
【学位授予单位】：湖南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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