刘才桂　余启旺　孔维昌

[摘要]目的 探讨远端取穴结合运动疗法治疗肱骨外上踝炎的临床效果。方法 选取我院2016年3月～2017年3月收治的80例肱骨外上踝炎患者作为研究对象，随机分为对照组和观察组，各40例。对照组给予常规针刺法，即围刺加经穴治疗，观察组给予围刺加远端取穴结合运动疗法，治疗3周后，比较两组的肘关节活动度变化状况、SF-MPQ评分以及临床治疗效果。结果 两组治疗后的前臂旋前角度、肘关节屈曲角度均显著大于治疗前，差异有统计学意义（P<0.05）。观察组治疗后的前臂旋前角度、肘关节屈曲角度均显著大于对照组，差异有统计学意义（P<0.05）。观察组治疗后的PRI总分、VAS评分、PPI评分均显著优于对照组，差异有统计学意义（P<0.05）。观察组治疗后的总有效率为97.5%，显著高于对照组的72.5%，差异有统计学意义（P<0.05）。结论 远端取穴结合运动疗法治疗肱骨外上髁炎的临床效果更突出，值得推广。

[关键词]远端取穴；运动疗法；肱骨外上踝炎

[中图分类号] R681.7 [文献标识码] A [文章编号] 1674-4721（2017）08（a）-0063-03

[Abstract]Objective To explore the clinical effect of distal acupoint combined with exercise therapy in the treatment of external humeral epicondylitis.Methods From March 2016 to March 2017，80 patients with external humeral epicondylitis treated in our hospital were selected and randomly divided into the control group and the observation group，40 cases in each group.The control group was treeated with conventional needling，that was encircling needling plus point-selection along the channel.In the observation group，encircling needling plus distal acupoint and exercise therapy was adopted.After 3-week treatment，changes of elbow activity，SF-MPQ score and clinical therapeutic effect were compared in the two groups.Results The angle of forearm pronation and the flexion angle of the elbow of the two groups after treatment was significantly larger than that before treatment，with significant difference （P<0.05）.The angle of forearm pronation and the flexion angle of the elbow in the observation group after treatment was significantly larger than that in the control group，with significant difference （P<0.05）.The total PRI score，the VAS score and PPI score after treatment in the observation group was significantly better than that in the control group，with significant difference （P<0.05）.The total effective rate after treatment in the observation group was 97.5%，which was significantly higher than 72.5% in the control group，with significant difference （P<0.05）.Conclusion Combination of the distal acupoint combined with exercise therapy in the treatment of external humeral epicondylitis can obtain a favorable effect and is worthy of promotion.

[Key words]Distal acupoint；Exercise therapy；External humeral epicondylitis

肱骨外上踝炎是骨傷科常见病，也被称为网球肘[1]，多发于网球运动员、羽毛球运动员以及驾驶员或者作家等肘腕部使用过多的人群，是由于过度劳损或者急性创伤所致的患者运动系统的软组织受损。本病临床治疗方法较多，如关节镜技术、体外冲击波等，这些疗法还常常配合功能锻炼或者肌肉能量技术等。在中医疗法中，围刺治疗和推拿治疗是比较常用的两种，都具有一定的确切效果，但是单独治疗效果不佳[2-3]。本研究对远端取穴结合运动疗法治疗肱骨外上踝炎的临床效果进行研究，现报道如下。

1资料与方法endprint

1.1一般资料

选取我院2016年3月～2017年3月收治的80例肱骨外上踝炎患者，均符合肱骨外上踝炎的诊断标准。将入选患者随机分为对照组和观察组，各40例。对照组中，男23例，女17例；年龄19～69岁，平均（44.7±5.8）岁。观察组中，男24例，女16例；……