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弧刃针刀治疗轻中度腕管综合征的随机对照研究 被引量:4

A Randomized Controlled Study on Arc Edge Needle-scalpel for Treating Mild and Moderate Carpal Tunnel Syndrome
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摘要 目的:观察弧刃针刀治疗轻中度腕管综合征的临床疗效。方法:选取轻中度腕管综合征患者128例,按随机数字表法分为治疗组和对照组各64例。治疗组采用弧刃针刀治疗1次,对照组采用温针灸治疗8次(2次/周)。在治疗前和治疗后均进行VAS评分及Levine腕管综合征问卷(评分); 在治疗后判定疗效。结果:治疗前后两组各自VAS评分值比较差异均有统计学意义(P〈0.01); 治疗后治疗组VAS评分值显著低于对照组,差异有统计学意义(P〈0.05); 治疗前后两组各自Levine腕管综合征问卷(评分)中疼痛评分、感觉异常评分、麻木评分、无力评分及夜间症状评分值比较差异均有统计学意义(P〈0.01); 治疗前后治疗组Levine腕管综合征问卷(评分)中总功能评分值比较差异有统计学意义(P〈0.01),对照组差异也有统计学意义(P〈0.05),治疗后两组Levine腕管综合征问卷(评分)差异均有统计学意义(P〈0.05)。治疗后疗效比较:治疗组痊愈60例,好转3例,无效1例,总有效率98.4%; 对照组痊愈40例,好转6例,无效18例,总有效率71.9%.治疗组与对照组比较,差异有统计学意义(P〈0.05)。结论:弧刃针刀治疗轻中度腕管综合征疗效显著。 Objective:To observe the clinical effect of Arc edge needle-scalpel(AENS)for treating mild and moderate carpal tunnel syndrome(CTS).Methods:128 cases of mild and moderate CTS were selected and randomly divided into treatment group and control group according to the random number table,64 cases in each group.The patients in the treatment group were treated with AENS once,and the patients in the control group were treated with warm acupuncture 8 times(2 times/week).The VAS scores and Levine CTS questionnaire(scores)were observed before and after treatment.The curative effect was determined after treatment.Results:There were statistically significant differences in VAS scores between the two groups before and after treatment(P〈0.01).The VAS scores in the treatment group were significantly lower than that of the control group(P〈0.05).The pain scores,abnormal sensation scores,numbness scores,faint scores and nocturnal symptom scores of Levine CTS questionnaire(scores)in the two groups before and after treatment were significantly differences(P〈0.01).There were statistically significant differences in the total functional scores of Levine CTS questionnaire(scores)in treatment group before and after treatment(P〈0.01),and the control group was statistically different too(P〈0.05).After the treatment,the two groups of Levine CTS questionnaire(scores)were statistically different(P〈0.05).Comparison of the efficacy after treatment:in the treatment group,60 cases were cured,3 cases were improved,1 case was ineffective,the total effective rate was 98.4%; and in the control group,40 cases were cured,6 cases were improved,18 cases were ineffective,the total effective rate was 71.9%.There were significant differences between the treatment group and the control group(P〈0.05).Conclusion:The clinical effect of AENS for treating mild and moderate CTS is significant.
作者 程少丹 王学昌 张洋 葛程 张董喆 张中义 都帅刚 庞海莉 刘猛 鞠申丹 席智杰 CHENG Shaodan1 ,WANG Xuechang2, ZHANG Yang1, GE Cheng1, ZHANG Dongzhe2 ,ZHANG Zhongyi2, DU Shuaigang2 ,PANG Haili1, LIU Meng1, JU Shendan1, XI Zhijie1 (1.Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai 200052,China; 2.Henan Hospital of Traditional Chinese Medicine,Zhengzhou 450002,China. )
出处 《中国中医骨伤科杂志》 CAS 2017年第4期5-9,共5页 Chinese Journal of Traditional Medical Traumatology & Orthopeics
基金 上海市进一步加快中医药事业发展三年行动计划 (2014-2016年) 建设项目(ZY3-FWMS-2-1003, ZY3-LCPT-1-1003 ZY3-LCPT-1-1009) 河南省中医药科学研究普通项目专项课题 (2013ZY02079) 上海市卫计委中医药科研课题(2016LP049) 上海市长宁区卫生和计划生育委员会科研课题 (20144Y016) 上海市长宁区青年中医医师培养计划项目 (2015CNQNZY001) 上海市长宁区“光华卓越PI工程”项目(2016-01 2016-05)
关键词 弧刃针刀 腕管综合征 微创治疗 随机对照临床试验 Arc edge needle-scalpel carpal tunnel syndrome minimally invasive treatment randomized controlled clinical trial
作者简介 通信作者 E-mail:13837100131@163.corn
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