胡金鲁 谢辉 常小荣 曹佳男 邓加勤 孙伟

〔摘要〕 目的 观察并评价局部针刺运动对肱骨外上髁炎的康复效应，探讨其有效性与可行性。方法 将60例来自郴州市第一人民医院康复科的肱骨外上髁炎患者随机分为观察组和对照组，每组30例。观察组采用局部针刺运动治疗，对照组采用常规针刺治疗。两组治疗均30 min/次，1 次/d，5 次/周，共治疗2周。分别在治疗前后统计数据，观察两组的视觉模拟评分 （visual analogue scale， VAS）、Mayo肘关节功能评分，比较两组的疗效差异。结果 两组总有效率差异无统计学意义（P>0.05），但观察组治愈率、愈显率高于对照组（P<0.01）。治疗后，两组患者较治疗前的VAS评分降低，Mayo肘关节功能评分升高，差异均有统计学意义（P<0.01）;且观察组VAS评分低于对照组，Mayo肘关节功能评分高于对照组，差异均有统计学意义（P<0.05或P<0.01）。结论 两种治疗方法对肱骨外上髁炎患者均有效，局部针刺运动疗法改善肘关节疼痛及恢复肘关节功能的疗效均优于常规针刺疗法。

〔关键词〕 肱骨外上髁炎;网球肘;局部针刺运动;视觉模拟评分;肘关节功能评分

〔中图分类号〕R245        〔文献标志码〕B       〔文章编号〕doi：10.3969/j.issn.1674-070X.2021.07.015

〔Abstract〕 Objective To observe and evaluate the rehabilitation effect of local acupuncture on external humeral epicondylitis， and to explore its effectiveness and feasibility. Methods 60 patients from the rehabilitation department of Chenzhou First People's Hospital were randomly divided into observation group and control group， 30 cases in each group. The observation group was treated with local acupuncture and the control group was treated with conventional acupuncture. The two groups were treated 30 minute/time， once a day， 5 times a week for 2 weeks. The visual analogue scale （VAS） and Mayo elbow function scores of the two groups were observed before and after treatment， and the efficacy differences between the two groups were compared. Results There was no significant difference in the total effective rate between the two groups （P>0.05）; the cure rate and cure and effective rate of observation group were higher than control group， differences were statistically significant （P<0.01）. After treatment， the two groups had lower VAS scores and increased Mayo elbow function scores compared with before treatment， differences were statistically significant （P<0.01）; the VAS score of observation group was lower than the control group， and the Mayo elbow function score of observation group was higher than the control group， differences were statistically significant （P<0.01 or P<0.05）. Conclusion Both of the two methods are effective for patients with external humeral epicondylitis. The effect of local acupuncture on improving elbow pain and restoring elbow function is better than that of conventional acupuncture.

〔Keywords〕 external humeral epicondylitis; tennis elbow; local acupuncture movement; visual analogue scale; elbow function score

肱骨外上髁炎（lateral epicondylitis， LE）又稱网球肘，是一种累及肘关节肱骨外上髁及局部肌肉、筋膜等软组织的无菌性炎症。该病最常见于网球、乒乓球、羽毛球等运动员，以及家庭妇女、泥工等体力劳动者。流行病学[1-3]显示，国外LE的发病率为0.4%～0.7%[4]，国内LE的发病率为2%左右，右手发病率高于左手，以35～50岁之间的人群多发，起病缓慢，是一种常见病、多发病、易复发性疾病。本病临床上伴有肱骨外上髁及肘关节周围的酸胀痛、压痛等，进行腕背伸、用力抓握、旋转、提重物等动作时可导致疼痛加重，在前臂外侧伸肌上可触及筋膜结点、压痛点，若不及时治疗可导致顽固性疼痛，严重影响上肢抓握、背伸、旋转等功能，甚至导致局部肌肉萎缩等，影响患者的生活质量，降低幸福生活指数[5]。目前……