针刀治疗腕管综合征的病例对照研究
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作者Author单位AddressE-Mail
张开勇 ZHANG Kai-yong 上海交通大学附属第一人民医院, 上海 200080 The First People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200080, China  
杨洋 YANG yang 上海交通大学附属第一人民医院, 上海 200080 The First People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200080, China  
徐斯伟 XU Si-wei 上海交通大学附属第一人民医院, 上海 200080 The First People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200080, China  
寿崟 SHOU Yin 上海交通大学附属第一人民医院, 上海 200080 The First People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200080, China  
蒋会茹 JIANG Hui-ru 上海交通大学附属第一人民医院, 上海 200080 The First People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200080, China  
张必萌 ZHANG Bi-meng 上海交通大学附属第一人民医院, 上海 200080 The First People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200080, China pjzhtiger08@aliyun.com 
期刊信息:《中国骨伤》2018年,第31卷,第6期,第497-499页
DOI:10.3969/j.issn.1003-0034.2018.06.002
基金项目:上海市科学技术委员会项目(编号:16401934000)
中文摘要:

目的:研究针刀治疗腕管综合征的疗效。

方法:2014年7月至2016年12月,60例门诊收治的腕管综合征患者分为两组,针刀治疗组(治疗组)和支具药物组(对照组),每组30例。治疗组男8例,女22例;平均年龄(49.38±7.43)岁。对照组男7例,女23例;平均年龄(50.23±8.71)岁。治疗前两组患者的年龄、性别、病程、感觉神经传导速度(SCV)、感觉神经动作电位波幅(SNAP)、运动传导末端潜伏期(DML)差异无统计学意义。治疗组患者采用针刀治疗1~2次;对照组患者口服塞来昔布、维生素B1、维生素B12,并采用支具固定;疗程结束后观察两组患者SCV、SNAP、DML变化。

结果:两组患者治疗后,SCV分别为(48.63±7.33)、(41.24±6.15)m/s,SNAP分别为(9.89±3.71)、(8.22±2.19)m/s,DML分别为(5.11±2.28)、(6.13±2.23)m/s,均较治疗前改善,且治疗组优于对照组。

结论:针刀疗法可以减轻患者症状,具有可行性,适合在临床中推广使用。
【关键词】针刺疗法  针刀  支具  腕管综合征  病例对照研究
 
A case-control study on the treatment of carpal tunnel syndrome with needle Dao
ABSTRACT  

Objective: To study clinical effects of needle Dao for the treatment of carpal tunnel syndrome.

Methods: From July 2014 to December 2016,60 patients with carpal tunnel syndrome were divided into two groups:needle Dao treatment group(treatment group),and brace and medicine treatment group(control group),30 cases in each group. There were 8 males and 22 females in the treatment group,with an average age of (49.38±7.43) years old. There were 7 males and 23 females in the control group,with an average age of (50.23±8.71) years old. There were no statistically significant differences between two groups before treatment in age,sex,course of disease,sensory nerve conduction velocity (SCV),sensory nerve action potential (SNAP),and distal motor latency(DML). The patients in the treatment group were treated with needle Dao for 1 to 2 times,while the patients in the control group were given celecoxib,vitamin B1 and vitamin B12,with the brace fixed. After treatment,the changes of SCV,SNAP and DML in two groups were observed.

Results: After treatment,the SCV were (48.63±7.33) m/s and (41.24±6.15) m/s in treatment group and control group separately,the SNAP were (9.89±3.71) m/s and (8.22±2.19) m/s,and the DML were(5.11±2.28) m/s and (6.13±2.23) m/s. The SCV,SNAP and DML after treatment were better than those before treatment(P<0.05). And the results of SCV,SNAP and DML of patients in the treatment group were better than those of patients in the control group(P<0.001).

Conclusion: Needle Dao can effectively improve the overall treatment efficiency of patients with carpal tunnel syndrome and reduce the symptoms of patients,which is feasible and suitable to use in clinical.
KEY WORDS  Acupotomy therapy  Needle Dao  Brace  Carpal tunnel syndrome  Case-control studies
 
引用本文,请按以下格式著录参考文献:
中文格式:张开勇,杨洋,徐斯伟,寿崟,蒋会茹,张必萌.针刀治疗腕管综合征的病例对照研究[J].中国骨伤,2018,31(6):497~499
英文格式:ZHANG Kai-yong,YANG yang,XU Si-wei,SHOU Yin,JIANG Hui-ru,ZHANG Bi-meng.A case-control study on the treatment of carpal tunnel syndrome with needle Dao[J].zhongguo gu shang / China J Orthop Trauma ,2018,31(6):497~499
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