The Journal of Practical Medicine >

2024 , Vol. 40 >Issue 15: 2161 - 2165

DOI: https://doi.org/10.3969/j.issn.1006-5725.2024.15.020

Modernization of Traditional Chinese Medicine

A clinical study on the treatment of refractory tennis elbow with arc-edge needle therapy based on zaodian theory

  • Xuejian MA ,
  • Dongzhe ZHANG ,
  • Chaoyang NIU ,
  • Shuaigang DU ,
  • Wuyang WANG ,
  • Shilong CHENG ,
  • Yingyuan XIAO ,
  • Xuechang. WANG
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  • *.School of Orthopedics and Traumatology，He′nan University of Chinese Medicine，Zhengzhou 450046，China

Received date: 2024-01-29

  Online published: 2024-07-30

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Abstract

Objective To explore the clinical efficacy of arc-edge needle therapy based on Zaodian theory in the treatment of refractory tennis elbow. Methods 64 patients with refractory tennis elbow were collected and randomly divided into a control group and an observation group using a random number table method. Among them， 32 cases in the control group were treated with local pain point injection. 32 patients in the observation group were treated with arc-edge needle therapy once a week， with two treatments per group. The Number rating scale （NRS） Mayo， elbow joint performance score （MEPS） and Disabilities of the arm， shoulder and hand （DASH） score were recorded and compared between the two groups before treatment and at 1， 2， 4 and 24 weeks of follow-up after treatment， disease efficacy score （WDES） at 24 weeks of follow-up. Results During the treatment process，neither group of patients experienced serious adverse reactions.At each stage after treatment， two groups of NRS MEPS， DASH， and WDES at 24 weeks of follow-up all improved compared to before treatment. After one week of treatment， there was no statistically significant difference in NRS scores between the two groups （P > 0.05）. At follow-up visits at weeks 2， 4， and 24， the NRS scores in the observation group were lower than those in the control group.After 1， 2， 4， and 24 weeks of follow-up after treatment， the DASH score was lower in the observation group than in the control group， and the MEPS score was higher in the observation group than in the control group， with statistically significant differences （P < 0.05）. After 24 weeks of treatment， the WDES of the observation group was better than that of the control group， and the difference was statistically significant （P < 0.05）. Conclusion Local pain point injection and arc-edge Zaodian release can alleviate pain and improve elbow joint function in the early stage of refractory tennis elbow. However， the long-term effect of local pain point injection treatment is not good， and the treatment effect of the observation group gradually improves.

Key words： arc-edge needle; Zaodian theory; humeral external epicondylitis; local pain point injection

Cite this article

Xuejian MA , Dongzhe ZHANG , Chaoyang NIU , Shuaigang DU , Wuyang WANG , Shilong CHENG , Yingyuan XIAO , Xuechang. WANG . A clinical study on the treatment of refractory tennis elbow with arc-edge needle therapy based on zaodian theory[J]. The Journal of Practical Medicine, 2024 , 40(15) : 2161 -2165 . DOI: 10.3969/j.issn.1006-5725.2024.15.020

References

1 NIRSCHL R P. The epidemiology and health care burden of tennis elbow：a population based stu udy［J］. Ann Transl Med，2015，3（10）：133.
2 石毓灵，李光耀，梁祖建. 多种针刺疗法治疗肱骨外上髁炎的贝叶斯网状Meta分析［J］. 中国组织工程研究，2020，24（23）：3756-3763. doi:10.3969/j.issn.2095-4344.2729
3 郝政安，冯永亮，李平. 体外冲击波疗法治疗肱骨外上髁炎的Meta分析［J］. 实用医学杂志，2015，31（20）：3405-3408. doi:10.3969/j.issn.1006-5725.2015.20.039
4 陈勇喜，王大伟，农新盛，等. 靶点双极电凝术微创治疗顽固性肱骨外上髁炎［J］. 实用医学杂志，2014，30（2）：332-333. doi:10.3969/j.issn.1006-5725.2014.02.067
5 宋永强，徐敏鸥. 超声引导下松解桡侧腕长伸肌起点治疗顽固性网球肘临床疗效分析8例［J］. 沈阳药科大学学报，2021，38（S2）：121.
6 孙铂林，李尚哲，李旭，等. 关节镜手术治疗顽固性网球肘中缝合锚钉置入位置与临床功能相关性研究［J］. 中国运动医学杂志，2022，41（9）：680-686. doi:10.3969/j.issn.1000-6710.2022.09.003
7 闫国立，徐刚. 全国中医药行业高等教育“十三五”创新教材.医学统计方法学［M］. 北京：中国中医药出版社，2019.
8 张咸伟. 《赫尔辛基宣言》涉及人类受试者医学研究伦理原则的解读［J］. 中华疼痛学杂志，2020，16（2）：96-100. doi:10.3760/cma.j.cn101379-20191025-1910-150
9 国家中医药管理局. 中医病症诊断疗效标准 ［S］. 北京：中国医药科技出版社，2012：50.
10 王学昌. 弧刃针疗法［M］. 北京：清华大学出版社，2022：48-51，66-74.
11 倪博然，赵进喜，黄为钧，等. 基于视觉模拟评分法探究中医临床疗效评价新方法［J］. 中华中医药杂志，2021，36（1）：288-292.
12 SONGUR K， DEMIR Z D， BAYSAN C，et al. Clinical and Ultrasonographic Effectiveness of Two Different Splints Used for the Treatment of Lateral Epicondylitis： A Prospective Randomized Controlled Study［J］. Arch Phys Med Rehabil，2024，105（4）：655-663. doi:10.1016/j.apmr.2023.12.010
13 OGURA K， YAKOUB M A， CHRIST A B， et al. The critical difference in the DASH （Disabilities of the Arm， Shoulder， and Hand） outcome measure after essential upper extremity tumor surgery［J］. J Shoulder Elbow Surg，2021，30（9）：e602-e609. doi:10.1016/j.jse.2020.11.027
14 毕胜. 疼痛康复指南［M］. 北京：人民卫生出版社，2020：148-149.
15 樊碧发，刘延青. 疼痛医生手册［M］. 北京：人民卫生出版社，2017：104-105.
16 胡志俊. 实用针刀临床实践［M］. 上海：上海科学技术出版社，2017：34.
17 孟颖博，王学昌，张董喆，等. 弧刃针45°腱鞘切开松解术治疗拇指指屈肌腱狭窄性腱鞘炎［J］. 中国疼痛医学杂志，2022，28（6）：467-470.
18 马雪建，王武洋，王学昌，等. 弧刃针疗法联合超声引导下注射治疗慢性非撕裂性肩袖损伤疗效观察［J］. 现代中西医结合杂志，2024，33（1）：87-90，98.
19 王学昌，马雪建，王武洋，等. 弧刃针治疗97例中斜角肌综合征回顾性临床研究［J］. 中国中西医结合杂志，2024，44（3）：361-364.
20 王世辉，程杨，朱赟洁，等. 弧刃针刀治疗冻结肩模型兔炎症因子及组织形态的反应［J］. 中国组织工程研究，2022，26（5）：706-711. doi:10.12307/2022.115
21 李芸，傅志俭. 臭氧治疗炎性痛的应用研究［J］. 中国疼痛医学杂志，2016，22（3）：168-171. doi:10.3969/j.issn.1006-9852.2016.03.002
22 KIM Y S， LEE H J， LEE D H，et al. Comparison of high-and low-dose intra-articular triamcinolone acetonide injection for treatment of primary shoulder stiffness：a prospect randomized trial［J］.J Shoulder Elbow Surg，2017，26（2）：209-215. doi:10.1016/j.jse.2016.09.034
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