双针疗法治疗网球肘63例疗效观察

Guo-ping Xie, Jin Qi, Buping Liu, Ri-Sheng Zhong
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引用次数: 1

摘要

目的:网球肘是一种以肱骨外上髁局部疼痛、腕伸肌和前臂旋转功能障碍为主要特征的疾病。它是一种高发的运动损伤性疾病,在人群[1]中发病率为1% ~ 3%,在网球运动员[1]中发病率可高达50%,给网球运动员造成极大困扰,甚至影响其职业生涯。目前的主流治疗方法是使用注射药物和物理疗法,但疗效较差。本文将探讨一种治疗网球肘的新型疗法——双针针刺(冰震)的临床疗效。方法:采用冰震疗法治疗网球肘63例。主要治疗点有曲池、寿三里穴、肱桡肌筋膜触发点、桡腕长伸肌筋膜触发点、肘肌筋膜触发点。冰镇疗法一个疗程包括每周治疗2次,持续2周。观察治疗前后视觉模拟评分(VAS)及临床疗效。结果:治疗后VAS评分为2.46±1.38,低于治疗前的8.37±2.69 (P<0.05)。治疗组总有效率为93.65%。治愈29例,显效23例,有效7例,无效4例。结论:冰镇疗法能有效缓解网球肘疼痛,改善网球肘功能,具有临床推广价值。
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Therapeutic effect of double needle acupuncture therapy for 63 case of tennis elbow
Objective: Tennis elbow is a kind of disease mainly characterized by localized pain in the external epicondylar of humerus and dysfunction of wrist extensor and forearm rotation. It is a high-incidence sports injury disease with an incidence rate of 1% to 3% in the population [1], and its incidence rate can be as high as 50% among tennis players [2], causes great distress to tennis players and even affects their careers. The current mainstream treatment is the use of injectable drugs and physical therapy [2], but poor efficacy. This article will discuss the clinical efficacy of a new type of treatment (double needle acupuncture (Bingzhen) for tennis elbow.Methods: 63 patients with tennis elbow were treated by Bingzhen therapy. There were the main treatment points including Quchi, Shousanlici, brachioradialis myofascial trigger point, musculus extensor carpi radialis longus myofascial trigger point, anconeus myofascial trigger point. A course of Bingzhen therapy included therapy twice a week for 2 weeks. Visual Analogue Scale (VAS) scores and clinical efficacy before and after treatment were observed.Results: VAS score of 2.46±1.38 after treatment was lower than VAS score of 8.37±2.69 before treatment (P<0.05). In the treatment group, the total effective rates of the treatment were 93.65%. 29 cases were cured, 23 cases were markedly effective, 7 cases were effective, and 4 cases were ineffective.Conclusions: Bingzhen therapy can relieve the pain and improve the function of tennis elbow effectively, and has the value of further promotion in clinical practice.
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