浅刺之下，深效可期：浮针治疗肱骨外上髁炎的研究进展

Superficial Needling for Deep Effects: Research Progress and Prospects of Scalp Acupuncture in the Treatment of Lateral Epicondylitis of the Humerus

摘要: 肱骨外上髁炎是骨伤科临床常见病，以肘外侧疼痛和前臂功能障碍为主要表现，严重影响患者的日常工作与生活质量。浮针疗法是一种扫散皮下松解筋膜，改善血供阻断疼痛通路的新型治疗技术，近年来在该病的临床治疗中逐渐推广应用，并展现出独特的疗效优势与应用价值。文献回顾表明，浮针治疗该病的总有效率普遍在90%以上，多项随机对照试验和Meta分析证实其疗效优于传统针灸、局部封闭等常规疗法。本文系统梳理了浮针治疗肱骨外上髁炎的研究历程与现状，从作用机制、临床研究证据和安全性评价三个维度展开论述。

Abstract: Lateral epicondylitis of the humerus is a common disease in orthopedics and traumatology, mainly characterized by pain on the lateral side of the elbow and dysfunction of the forearm, which seriously affects the daily work and quality of life of patients. Floating needle therapy is a novel treatment technique that involves sweeping and dispersing subcutaneously to relax the fascia, improve blood supply and block the pain pathway. In recent years, it has been gradually promoted and applied in the clinical treatment of this disease and has shown unique therapeutic advantages and application value. Literature review indicates that the total effective rate of floating needle therapy for this disease is generally above 90%, and multiple randomized controlled trials and meta-analyses have confirmed that its efficacy is superior to that of traditional acupuncture, local block and other conventional therapies. This article systematically reviews the research process and current status of floating needle therapy for lateral epicondylitis of the humerus, and discusses it from four dimensions: mechanism of action, clinical research evidence, optimization of technical parameters and safety evaluation.