[1]刘芊芊,曾文洁,蒋学余,等.阴阳同治小针刀疗法对肱骨外上髁炎疗效研究[J].陕西中医,2026,(8):1119-1124.[doi:DOI:10.3969/j.issn.1000-7369.2026.08.020]
　LIU Qianqian,ZENG Wenjie,JIANG Xueyu,et al.Efficacy study of Yinyang simultaneous small needle-knife therapy for lateral epicondylitis[J].,2026,(8):1119-1124.[doi:DOI:10.3969/j.issn.1000-7369.2026.08.020]
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阴阳同治小针刀疗法对肱骨外上髁炎疗效研究

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2026年8期
页码:
1119-1124
栏目:
针灸经络
出版日期:
2026-08-05

文章信息/Info

Title:
Efficacy study of Yinyang simultaneous small needle-knife therapy for lateral epicondylitis
作者:
刘芊芊1; 曾文洁2; 蒋学余2; 杨松2; 周魁明2
（1.湖南中医药大学，湖南 长沙 410000；2.湖南中医药大学附属岳阳医院，湖南 岳阳 414000）
Author(s):
LIU Qianqian1; ZENG Wenjie2; JIANG Xueyu2; YANG Song2; ZHOU Kuiming2
（1.Hunan University of Chinese Medicine,Changsha 410000,China；2.Hunan University of Chinese Medicine Affiliated Yueyang Hospital,Yueyang 414000,China）
关键词:
肱骨外上髁炎; 小针刀疗法; 阴阳同治; 阴阳平衡; 神经交互抑制理论; 炎症因子; 经筋理论
Keywords:
Lateral epicondylitis; Small needle-knife therapy; Simultaneous Yinyang treatment; Yinyang balance; Neural interactive inhibition theory; Inflammatory factor; Jingjin theory
分类号:
R 68
DOI:
DOI:10.3969/j.issn.1000-7369.2026.08.020
文献标志码:
A
摘要:
目的：基于神经交互抑制理论与经筋“阴阳平衡”思想，探讨“阴阳同治”小针刀疗法治疗肱骨外上髁炎的临床疗效。方法：将60例肱骨外上髁炎患者采用随机数字表法分为观察组（n=30）与对照组（n=30）。两组均治疗3次，1次/周，共治疗3周。比较两组治疗前后及随访时的视觉模拟评分（VAS）、改良美国特种外科医院（HSS）评分、Mayo肘关节功能评分（MEPS），检测血清P物质（SP）、多巴胺（DA）、β-内啡肽（β-EP）水平，并评价临床总有效率。结果：观察组临床疗效总有效率为90.00%，对照组总有效率为76.67%，两组临床疗效比较，观察组优于对照组，差异有统计学意义(P＜0.05)。观察组VAS评分由（6.83±1.15）分降至（1.47±0.61）分，对照组由（6.77±1.24）分降至（2.83±0.94）分，两组治疗后及随访时VAS评分均低于治疗前（P＜0.05），HSS、MEPS评分均高于治疗前（P＜0.05）。治疗后及随访时观察组VAS评分均低于对照组（P＜0.05），HSS、MEPS评分均高于对照组（P＜0.05）。治疗后，两组血清SP、DA水平均较治疗前下降，β-EP水平较治疗前上升（P＜0.05），且观察组血清SP、DA水平下降及β-EP水平上升幅度更明显（P＜0.05）。研究期间两组均未出现严重不良反应。结论：“阴阳同治”小针刀疗法治疗肱骨外上髁炎的总有效率优于常规小针刀疗法，可有效缓解疼痛，改善肘关节功能，调节血清疼痛相关因子水平，且安全性较好。
Abstract:
Objective:Based on theory of neural interaction inhibition and concept of Yinyang balance in meridians.This study investigates clinical efficacy of Yinyang dual regulation micro-needle knife therapy for lateral epicondylitis.Methods:Sixty patients with lateral epicondylitis were randomly divided into observation group (n=30) and control group (n=30) using random number table.Both groups received three treatments,once per week over three weeks.Visual analog scale(VAS),modified hospital for special surgery(HSS) score,and mayo elbow performance score(MEPS) were compared before and after treatment as well as during follow-up.Serum levels of substance P(SP),dopamine(DA),and β-endorphin (β-EP) were measured.Overall clinical effective rates were evaluated.Results:The overall effective rate in the observation group was 90.00%,compared to 76.67% in the control group，difference statistically significant (P＜0.05).VAS scores decreased from (6.83±1.15) to (1.47±0.61) in the observation group and from (6.77±1.24) to (2.83±0.94) in the control group.Post-treatment and follow-up VAS scores were significantly lower than pre-treatment values in both groups (P＜0.05),while HSS and MEPS scores were significantly higher (P＜0.05).At post-treatment and follow-up,the observation group had lower VAS scores and higher HSS and MEPS scores than those in the control group(P＜0.05).After treatment,serum SP and DA levels decreased and β-EP levels increased in both groups compared to baseline (P＜0.05),with more pronounced changes observed in the observation group (P＜0.05).No serious adverse reactions occurred during the study period.Conclusion:Yinyang dual regulation micro-needle knife therapy demonstrated superior overall effectiveness compared to conventional micro-needle knife therapy for lateral epicondylitis,effectively alleviating pain,improving elbow function,regulating serum pain-related factors,and exhibiting better safety.

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备注/Memo

备注/Memo:
国家科学技术部重点研发计划项目（2018YFC1707806）；湖南省自然科学基金资助项目（2024JJ7603,2026JJ80272）；湖南省研究生科研创新项目（CX20251221)；湖南省卫生健康科研课题(20256999)；湖南省岳阳市基础研究指导性计划项目（2022JCZD038）；湖南中医药大学校院联合项目(2023XYLH066)
更新日期/Last Update: 2026-08-13