自制带刃针治疗肱骨外上髁炎156例疗效观察

【作者】 宋琬北；

【导师】 项平；

【作者基本信息】 南京中医药大学 ， 中医康复医学， 2001， 博士

【摘要】 本论文包括临床研究、讨论和附录三部分。 临床研究部分包括以下内容：①肱骨外上髁炎的病因病机、临床特点、诊断标准、疗效评定标准；②观察了自制带刃针治疗肱骨外上髁炎156例的疗效，并设针刀组48例为对照，结果显示：自制带刃针组治愈147例（94％），好转9例（6％），总有效率100％；针刀组治愈44例（92％），好转2例（4％），无效2例（4％），总有效率96％。两者比较，P＞0.05，说明自制带刃针疗效肯定，值得推广应用。 讨论部分分析了带刃针的理论基础、治病机理、自制带刃针的优点。 另外，附录一系统研究了与肱骨外上髁炎相关的解剖结构和功能；附录二肱骨外上髁炎的各种治疗方法，包括注射治疗、手法治疗、中药外敷治疗、中药内服治疗、灸治、各种针具针法治疗、针灸结合治疗、手术治疗及其它治疗方法；附录三研究了小针刀临床应用概况，系统论述了多科疾病以及带刃针的治疗，包括骨伤科疾病：颈椎综合症、肩关节周围炎、冈上肌肌腱炎、肱骨外上髁炎、桡骨茎突狭窄性腱鞘炎、屈指肌腱鞘狭窄性腱鞘炎、腱鞘囊肿、腕管综合征、胸椎小关节紊乱、棘上韧带损伤、强直性脊柱炎、第三腰椎横突综合征、腰椎间盘突出症、腰椎管狭窄症、腰椎小关节紊乱、肌筋膜炎、犁状肌综合征、膝关节骨性关节炎、膝侧副韧带损伤、髌骨软化症、胫骨结节骨软骨炎、附骨窦综合病征、跟骨骨刺；神经科疾病：头痛、三叉神经痛、枕神经痛、坐骨神经痛、臀上皮神经损伤；内科疾病： 南京中医药人学博十学位论文 发热、哮喘、阳凄；皮肤、外科、肛肠科疾病：痤疮、疗疮、 传染性软疣、痔疮、肛门窿痒、肛裂。更多还原

【Abstract】 The paper consists of clinical studies about external humeral epicondylitis and discussions on it and addenda. The clinical study analysed the pathogeny of external humeral epicondylitis,the symptoms and diagnostic criterion and differential diagnose,compared effect of self-made blade-needle on external humeral epicondylitis with that of small needle scalpel ,the results showed that 147 cases of 156 were cured, 9 of 156 were improved by the self-made blade-needle ,the total effective rate was 100%. 44 cases of 48 were cured, 2 of 48 were improved by the small needle scalpel, the total effective rate was 96%.It indicates that the effect of the self-made blade-needle on tennis elbow is excellent, and the self-made blade-needle is worth using widely. The part of discussions analised the basic theory,mecha-ntsm of treatments and the benefits of self-made-blade-needle. There were three addenda.The first addendum analised the relative anatomic construction.The second addendum previewed the treatments of external humeral epicondylitis.The third was about application of small needle scalpel to diseases of skeleton system (including cervical spondy-lopathy, scapulohumeral periarthritis, tendinitis, external humeral epicondylitis, disorder of small joints of thoracic vertebra, disorder of small joints of lumbar vertebra, tenosynovitis stenosans, prolapse of lumbar intervertebral, acute or chronic sprain of lumbar muscle and fascia, injury of the lateral collateral ligament of the knee joint, patella rchondromalicia syndrome, osgoodschlatter syn-drome), to diseases of the nerve system(including headache, fothergill’s syndrome, sciatica), to internal diseases(including fever, asthma, impotency),to surgical diseases (including furuncle), to dermatoses(including acne, infectious rnolluscum),to diseases of the rectum and anus(including hemorrhoid, anusitis, anal fissure).更多还原