CAJ | 학술논문

目的：观察推拿治疗肱骨外上髁炎的疗效。方法：150例分为风寒阻络型、湿热内蕴型及气血亏虚型3组，予相同推拿手法，以肘关节疼痛和功能活动度为主要观察指标对比临床疗效。结果：3组均有远期疗效（P＜0.05）。风寒阻络型和湿热内蕴型镇痛疗效、改善远期总分数及疼痛分数均优于气血亏虚型（P＜0.05）。3组肘关节功能活动改善疗效差异不明显（P＞0.05）。风寒阻络型、湿热内蕴型及气血亏虚型的总有效率分别为87.3%、71.5%和51.3%。结论：推拿治疗风寒阻络型和湿热内蕴型肱骨外上髁炎更有效，而气血亏虚型疗效欠佳。
목적：관찰추나치료굉골외상과염적료효。방법：150례분위풍한조락형、습열내온형급기혈우허형3조，여상동추나수법，이주관절동통화공능활동도위주요관찰지표대비림상료효。결과：3조균유원기료효（P＜0.05）。풍한조락형화습열내온형진통료효、개선원기총분수급동통분수균우우기혈우허형（P＜0.05）。3조주관절공능활동개선료효차이불명현（P＞0.05）。풍한조락형、습열내온형급기혈우허형적총유효솔분별위87.3%、71.5%화51.3%。결론：추나치료풍한조락형화습열내온형굉골외상과염경유효，이기혈우허형료효흠가。
Objective:To observe the therapeutic effect of massage on external humeral epicondylitis. Method:150 cases were divided into 3 groups, wind-cold blocking collateral type,damp-heat type and Qi and blood deficiency type. They were treated with the same manipulation. The clinical therapeutic effect was compared based on the main observation indexes, the elbow joint pain and functional activities. Result:The long-term therapeutic effect existed in the three group (P<0.05).The analgesic effect,improvement of long-term total score and pain score of wind-cold blocking collateral type,damp-heat type were superior to that of Qi and blood deficiency type (P<0.05).There was no significant difference in the improvement of the elbow joint function activity in the three groups (P>0.05).The total effective rate of wind-cold blocking collateral type,damp-heat type and Qi and blood deficiency type was 87.3%,71.5% and 51.3% respectively. Conclusion: Massage is more effective on wind-cold blocking collateral type,damp-heat type of external humeral epicondylitis,with poor effect on deficiency of Qi and blood type.