黄立 朱慧君 邓剑勇

【摘 要】 目的：观察腕踝针埋针治疗肱骨外上髁炎的临床疗效。方法：随机选取50例符合研究标准的肱骨外上髁炎患者，使用随机数字法将患者随机分为对照组及观察组，每组各25例。对照组采用口服塞来昔布联合外贴双氯芬酸钠贴;观察组采用腕踝针埋针法;比较两组治疗前及2周后VAS、Mayo肘关节功能评分差异。结果：两组治疗前VAS、Mayo评分无统计学意义（P>0.05）;两组治疗后的VAS评分降低，观察组优于对照组（P<0.05）;Mayo肘关节功能评分治疗后提高，观察组优于对照组（P<0.05）。结论：应用腕踝针埋针治疗肱骨外上髁炎有效，且疗效优于口服塞来昔布及关节局部止痛贴治疗。

【关键词】 肱骨外上髁炎;腕踝针;埋针;临床疗效

Abstract：Objective To observe the clinical effect of Wrist-ankle acupuncture by imbedding in the treatment of external humeral epicondylitis. Methods 50 patients with external humeral epicondylitis who met the research criteria were randomly selected. The patients were randomly divided into the control group and observation group by the random number method， with 25 cases in each group. The control group received oral celecoxib，external application of diclofenac sodium for analgesia;The observation group， Wrist-ankle acupuncture imbedding method was used. VAS and Mayo elbow function score were compared between the two groups before and 2 weeks after treatment. Results VAS and Mayo score before treatment， was not statistically significant between the two groups（P>0.05）. VAS scores of the two groups were reduced after treatment， and the observation group was better than the control group（P<0.05）. The Mayo elbow joint function score after treatment was improved， and the observation group was better than the control group（P<0.05）. Conclusion Wrist-ankle acupuncture by imbedding in the treatment of external humeral epicondylitis was effective， and better than oral celecoxib with external application of diclofenac sodium for analgesia.

Keywords：External Humeral Epicondylitis; Wrist-ankle Acupuncture; Imbedding Needling; Clinical Effect

肱骨外上髁炎，俗稱“网球肘”，因最早发现于网球运动员而得此名，后来研究发现，需要反复使用上肢活动的工作者亦常发此病。针灸治疗肱骨外上髁炎针刺方法多种多样，且疗效肯定，其中腕踝针疗法广泛用于各类关节疼痛疾病。孙朝辉[1]应用腕踝针治疗肱骨外上髁炎72例，研究表明腕踝针在肱骨外上髁炎治疗中的有效性。笔者在临床研究中运用腕踝针埋针治疗肱骨外上髁炎，取得较好疗效，现报道如下。

1 资料与方法

1.1 一般资料 选取2018年3月至2019年3月瑞金市人民医院骨科、康复科及中医科符合研究纳入标准的肱骨外上髁炎门诊患者50例。按随机数字表法将所有患者随机分为对照组及观察组，每组各25例。对照组年龄42～49岁，平均年龄（45.1±1.32）岁，病程3～11d，平均病程（7.1±1.3）d;观察组年龄40～49岁，平均年龄（44.6±1.38）岁，病程3～11d，平均病程（7.5±1.4）d。两组在性别、年龄、病程、患肢位置等一般资料比较，差异无统计学意义（P>0.05），具有可比性。具体见表1。

1.2 诊断标准 参照……