Clinical Study On The Curative Effects Of Refractory External Humeral Epicondylitis Treated By Needling Warming Moxibustion On Cervical Jiaji Point Combined With Tuina

ObjectiveThis study adopted randomized controlled trials to compare the curative effects of local tuina with needling warming moxibustion on cervical Jiaji point combined with tuina for the treatment of refractory external humeral epicondylitis.And than it analyzed the advantages and characteristics of needling warming moxibustion on cervical Jiaji point combined with tuina in order to provide new ideas and perspectives for the t.reatment of the refractory disease and provide t.heoret.ieal and practical basis for the promotion of comprehensive clinical treatmentMethodsThis clinical study adopted randomized controlled research method.According to the purpose of the study and the criteria of the subjects(diagnostic criteria,inclusion criteria,exclusion criteria,and rejection criteria),this study assign 70 patients who met the criteria to the treatment and control group by random number table.There were 35 patients in the treatment group and 35 patients in the control group.The treatment group was treated with needling warming moxibustion on cervical Jiaji point combined with tuina and the control group wan treated with local massage.Both of them were treated once every other day,5 times for 1 course,2 courses in total,and the total treatment time was 20 days.The curative effect indicators were Changhai pain scale score,grip index,ADL score of the affected limb,and functional activity score of improved elbow joint HSS score.It obtained the index data before and after treatment and the follow-up for 3 months through the observation and record and there was a comparison of curat.ive eff’ects.Fi nally,considering the statistical results of the data and the clinical efficacy of the two groups,the whole subject research was discussed and summarized.ResultsThere were no significant differences in gender,age,duration of disease and pre-treatment observations(long-sea pain scale score,grip index,ADL score of the affected limb,and functional activity score of improved elbow HSS score)between the treatment group and the control group(P>0.05).It indicated that the baseline data of the two groups are balanced and the two groups were clinically comparable.In both groups,the scores of Changhai pain scale significantly decreased after treatment and the scores of functional activity of grip strength index,ADL score of limb and improved HSS score of elbow joint were significantly higher than before.There were statistically significant differences before and after treatment(P<0.01).At the same time,except the functional activity scores that improve the HSS score of the elbow joint(P>0.05),the difference before and after treatment of the treatment group was larger than that of the control group.And the difference above was statistically significant(P<0.05),indicating that the short-term overall effect of the treatment group was better than that of the control group.During the follow-up of 3 months,the treatment group lost one interviewee and the control group lost two.In both groups,the scores of Changhai pain scale still keep significantly lower after treatment and the scores of functional activity of grip strength index,ADL score of limb and improved HSS score of elbow joint were keep significantly higher than before.The difference above was statistieally signifieant(P<0.01),indicating t.hat bot.h groups of treatments have long-term effects.Meanwhile,the difference before treatment and follow-up for 3 months of the treatment group was larger than that of the control group.And the difference above was statistically significant(P<0.05),indicating that the long-term effect of the treatment group was better than that of the control group.The lost interviewees were not included in the statistical processing.The total effective rate was 94.3%in the treatment group,91.2%in the follow-up for 3 months of the treatment group,while 82.9%in the control group,and 75.8%in the follow-up for 3 months of the control group.The difference above was statistically significant(P<0.05).Making a comprehensive survey of the curative effects above,it indicated that the shout-term and long-term effect of the treatment group was better than that of the control group.ConelusionOn the refractory external humeral epicondylitis,both of local tuina and needling warming moxibustion on cervical Jiaji point combined with tuina have a certain treatment effect.But the short-term and long-term effects of needling warming moxibustion on cervical Jiaji point combined with tuina,which have positive effects on the treatment and recurrence control,were superior to that of the simple local massage therapy.So the complex treatment which combined far and near,acupuncture and tuina on intractable diseases is worthy of further discussion and promotion.