浮针疗法结合肌肉能量技术治疗肱骨外上髁炎疗效观察

发布时间：2018-05-27 14:18

本文选题：浮针疗法 + 肌肉能量技术　；参考：《中华中医药学刊》2017年06期

【摘要】：目的:观察浮针疗法(Fu’s subcutanous needling,FSN)结合肌肉能量技术(muscle energy technique,MET)治疗肱骨外上髁炎的临床疗效。方法:将80例患者随机分为浮针组和针灸组,每组40例。浮针组采用FSN结合MET,针灸组采用以阿是穴为主穴的传统针灸疗法。隔日治疗1次,每周治疗3次,共治疗6次。以疼痛视觉模拟评分(visual analogue scale,VAS)、日常生活能力(activities of daily living,ADL)评分为观察指标,对两组患者进行治疗前后的疗效评定。结果:(1)治疗后,两组患者的VAS评分均明显降低而ADL评分增高。(2)与针灸组相比,浮针组患者治疗后的VAS评分降低得更加明显而ADL评分增高得更明显。(3)浮针组愈显率和总有效率分别为67.5%(27/40)和90%(36/40),均明显高于针灸组的35%(14/40)和72.5%(29/40)(P0.05)。(4)治疗后,浮针组痊愈+显效者共计27例,其中治疗3次内愈显19例,占35.71%(19/27),明显高于温针灸组的35.71%(5/14)(P0.05)。结论:FSN结合MET能够有效肱骨外上髁炎患者的缓解疼痛、恢复其日常生活能力,疗效确切,取效速捷,优于传统针灸疗法。
[Abstract]:Objective: to observe the clinical effect of fuchs subcutanous needling FSNs combined with muscle energy technique in the treatment of lateral epicondylitis of humerus. Methods: 80 patients were randomly divided into floating needle group and acupuncture group with 40 cases in each group. The floating acupuncture group was treated with FSN combined with met, while the acupuncture group was treated with traditional acupuncture and moxibustion with Ashi acupoint as the main point. Once every other day, 3 times a week, a total of 6 times. The visual analogue scale and activities of daily activities of ADL were used to evaluate the efficacy of the two groups before and after treatment. Results after the treatment, the VAS scores of the two groups were significantly lower than those of the acupuncture group, while the ADL scores were higher than those of the acupuncture group. After treatment, the VAS scores of patients in the floating acupuncture group decreased more obviously and the ADL score increased more significantly.) the effective rate and the total effective rate of the floating acupuncture group were 67.5% 27 / 40) and 90% 36 / 40% respectively, which were significantly higher than those of the acupuncture group (352.5% 29 / 40 P0.055.40%) and the floating-needle group (27 cases), and the total effective rate of the floating needle group was 27 cases after the treatment, which was significantly higher than that of the acupuncture group (35 / 14 / 40) and 72.5% (40 / 40 P0.055.40). 19 cases (35.71% 19 / 27) were treated for 3 times, which was significantly higher than that in warm acupuncture group (35.71%, 14%, P 0.05). ConclusionFSN combined with MET can effectively relieve pain and recover daily life ability of patients with lateral epicondylitis of humerus. The curative effect is definite, the effect is quick, and it is superior to traditional acupuncture and moxibustion therapy.
【作者单位】：浙江省立同德医院;
【基金】：浙江省中医药科技计划项目(2013ZSP003)
【分类号】：R246.9

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