[摘要] 目的 探讨肱骨外上髁炎的病因和经络治疗的远期疗效。方法 5年共治疗426例肱骨外上髁炎病人均做颈椎X线正侧位片检查，并按经络走行检查肘和颈部明显压痛穴位和阳性反应物。随机分为两组：治疗组进行经络穴位注射；对照组采用封闭治疗。追踪6个月后复发率确定远期疗效。结果 X线片证实有85.44%的病例有颈椎骨质病变；肘和颈部同时有明显压痛穴位和阳性反应物者411例，占96.5%。治疗组远期疗效达93.47%，对照组为44.13%，经统计学分析，P<0.01。证实远期疗效治疗组显著优于对照组。结论 肱骨外上髁炎病因与颈椎骨质病变有密切关系。经络治疗远期疗效为佳。

    [关键词] 肱骨外上髁炎；病因；经络

    Discussion of the etiology of external humerus epicondylitis and clinical analysis of meridians therapy

    YIN Juan.Xingcheng Hospital,China Railway Construction Corporation,Xingcheng 125100,China

    [Abstract] Objective To discuss the etiology of external humerus epicondylitis,and the long-dated effect of the meridians therapy.Methods During five years,we have cured 426 patients of external humerus epicondylitis,who all had taken the right-flank side X-ray of the cervical vertebrae,and had checked the obvious tenderness points and positive reaction of their elbows and cervixes through the meridians.Partition these patients into two groups by random.One named the therapy group applied the injection through the meridians points.The other named contrast group applied block therapy.Follow up the recrudescence rate 6 months later to ascertain the long-dated effect.Results The X-ray shows there were 85.44% cases had osseous pathological changes of the cervical vertebrae.And 96.5% involve 411 cases had obvious tenderness points and positive reaction of their elbows and cervixes.The long-dated effect of the therapy group had achieved 93.47%,while the contrast group just 44.13%.The statistics show that P<0.01.These prove that the therapy group is obviously superior of the contrast group in the long-dated effect.Conclusion The etiology of external humerus epicondylitis has nearly relation with the osseous pathological changes of the cervical vertebrae.And the meridians therapy has a better long-dated effect. ......