郑氏推拿结合电针治疗手腕部反射性交感神经营养不良综合征
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作者Author单位AddressE-Mail
唐浩琛 TANG Hao-chen 四川省骨科医院筋伤科, 四川 成都 610041 Department of Traumatology, Sichuan Orthopedics Hospital, Chengdu 610041, Sichuan, China 13881963953@163.com 
唐流刚 TANG Liu-gang 四川省骨科医院筋伤科, 四川 成都 610041 Department of Traumatology, Sichuan Orthopedics Hospital, Chengdu 610041, Sichuan, China  
程远东 CHENG Yuan-dong 四川省骨科医院筋伤科, 四川 成都 610041 Department of Traumatology, Sichuan Orthopedics Hospital, Chengdu 610041, Sichuan, China  
刘太 LIU Tai 四川省骨科医院筋伤科, 四川 成都 610041 Department of Traumatology, Sichuan Orthopedics Hospital, Chengdu 610041, Sichuan, China  
王标 WANG Biao 四川省骨科医院筋伤科, 四川 成都 610041 Department of Traumatology, Sichuan Orthopedics Hospital, Chengdu 610041, Sichuan, China  
周娅 ZHOU Ya 四川省骨科医院筋伤科, 四川 成都 610041 Department of Traumatology, Sichuan Orthopedics Hospital, Chengdu 610041, Sichuan, China  
期刊信息:《中国骨伤》2020年,第33卷,第6期,第540-545页
DOI:10.12200/j.issn.1003-0034.2020.06.010
基金项目:四川省骨科医院院内基金(编号:2017-3)
中文摘要:

目的:观察郑氏推拿结合电针治疗手腕部反射性交感神经营养不良综合征的临床疗效。

方法:自2016年10月至2018年9月,选取48例手腕部反射性交感神经营养不良综合征的患者,分为观察组和对照组,观察组24例:男10例,女14例,年龄54~76(61.41±7.90)岁,采用郑氏推拿结合电针治疗;对照组24例,男9例,女15例,年龄52~75(58.71±8.11)岁,采用单纯电针治疗。两组患者均治疗6周。比较两组患者治疗前后临床症状体征,采用疼痛视觉模拟评分(visual analogue scale,VAS),Cooney腕关节综合评分进行疗效评价。

结果:经过6周治疗后,对照组VAS(4.9±1.8)分,Cooney腕关节综合评分(74.63±1.72)分;观察组VAS(2.2±1.4)分,Cooney腕关节综合评分(86.31±2.53)分;两组治疗后VAS、Cooney腕关节综合评分均较治疗前改善,且观察组优于对照组(P<0.05)。观察组的疗效优于对照组。

结论:郑氏推拿结合电针治疗手腕部反射性交感神经营养不良综合征,创伤小,患者乐于接受,促进功能康复,值得临床推广。
【关键词】电针  肌肉骨骼手法  腕关节  反射性交感神经营养不良综合征
 
Zheng's massage combined with electroacupuncture in the treatment of reflex sympathetic dystrophy syndrome of the wrist
ABSTRACT  

Objective: To observe the clinical effects of zheng's massage combined with electroacupuncture in the treatment ofreflex sensory dystrophy syndrome of the wrist.

Methods: From October 2016 to September 2018,48 cases of reflex sensory dystrophy syndrome of the wrist were divided into the observation group and the control group. In the observation group,there were 24 cases,including 10 males and 14 females,ranging in age from 54 to 76 years old,with an average age of(61.41±7.90) years old. The patients in the observation group were treated with Zheng's massage combined with electroacupuncture. The control group consisted of 24 patients,including 9 males and 15 females,ranging in age from 52 to 75 years old,with an average age of (58.71±8.11) years old. The patients in the control group were treated with electroacupuncture alone. All the patients in both groups were treated for 6 weeks. The clinical symptoms and signs,visual anglogue scale (VAS),Cooney wrist score and clinical efficacy evaluation were compared between the two groups before and after treatment,and statistical analysis was conducted.

Results: After 6 weeks of treatment,VAS in the control group was 4.9±1.8,and Cooney wrist score was 74.63±1.72; VAS in the observation group was 2.2±1.4,and Cooney wrist score was 86.31±2.53. The comprehensive scores of VAS and Cooney wrist joint between two groups were improved after treatment,and the observation group was better than control group(P<0.05). The curative effect of the observation group was better than that of the control group.

Conclusion: Zheng's massage combined with electroacupuncture has the following advantages in the treatment of reflex sympathetic dystrophy syndrome of the wrist,such as small trauma,patients' willingness promoting functional rehabilitation,which is worthy of clinical promotion.
KEY WORDS  Electroacupuncture  Musculoskeletal manipulations  Carpal joints  Reflex sympathetic dystrophy syndrome
 
引用本文,请按以下格式著录参考文献:
中文格式:唐浩琛,唐流刚,程远东,刘太,王标,周娅.郑氏推拿结合电针治疗手腕部反射性交感神经营养不良综合征[J].中国骨伤,2020,33(6):540~545
英文格式:TANG Hao-chen,TANG Liu-gang,CHENG Yuan-dong,LIU Tai,WANG Biao,ZHOU Ya.Zheng's massage combined with electroacupuncture in the treatment of reflex sympathetic dystrophy syndrome of the wrist[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(6):540~545
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