远道巨刺结合局部针刺治疗轻中度腕管综合征临床研究
发布时间：2019-07-31 18:12
【摘要】：目的:比较远道巨刺结合局部针刺与单纯局部针刺治疗轻、中度腕管综合征的临床疗效差异。方法:将60例轻、中度腕管综合征患者按随机数字表分为观察组与对照组,每组30例。两组针刺同取患侧劳宫、大陵、内关、鱼际、合谷;观察组先刺对侧太冲、中封,行提插泻法,再取患侧所选穴位;对照组仅针刺患侧所选穴位,两组患侧穴位均施平补平泻手法,每日治疗1次,每次30min,10d为一疗程,3个疗程后行疗效评价。观察两组治疗前后正中神经的神经电生理改变、Levine腕管综合征问卷调查表及腕关节患者评估量表(patient-rated wrist evaluation,PRWE)评分变化并评价疗效。结果:观察组总有效率为90.0%(27/30),优于对照组的70.0%(21/30,P0.05);两组治疗后正中神经感觉传导速度和波幅均增高,差异有统计学意义(均P0.05),且观察组较对照组增高明显(均P0.05);两组治疗后症状严重程度(SSS)评分和功能状态(FSS)评分均明显下降(均P0.05),且观察组治疗后SSS、FSS评分明显低于对照组(均P0.05);两组治疗后PRWE评分较治疗前明显降低(均P0.05),且观察组治疗后低于对照组(P0.05)。结论:远道巨刺结合局部针刺治疗轻、中度腕管综合征疗效确切,明显优于常规局部针刺。
[Abstract]:Objective: to compare the clinical efficacy of distal giant acupuncture combined with local acupuncture and simple local acupuncture in the treatment of mild to moderate carpal tunnel syndrome. Methods: sixty patients with mild to moderate carpal tunnel syndrome were randomly divided into observation group (n = 30) and control group (n = 30). The two groups were treated with acupuncture at the same time as Laogong, Daling, Neiguan, Interfish and Hegu on the affected side; in the observation group, Taichong, Zhongfeng, lifting and inserting diarrhea were carried out on the opposite side, and then the acupoints on the affected side were taken; the control group only acupuncture the acupoints selected on the affected side, and the acupoints on the affected side were treated once a day for 30 minutes, each time for 10 days as a course of treatment, and the curative effect was evaluated after 3 courses of treatment. The neuroelectrophysiological changes of median nerve, Levine carpal tunnel syndrome questionnaire and wrist joint assessment scale (patient-rated wrist evaluation,PRWE) were observed before and after treatment in the two groups, and the curative effect was evaluated. Results: the total effective rate of the observation group was 90.0% (27 鈮，
本文编号：2521491
[Abstract]:Objective: to compare the clinical efficacy of distal giant acupuncture combined with local acupuncture and simple local acupuncture in the treatment of mild to moderate carpal tunnel syndrome. Methods: sixty patients with mild to moderate carpal tunnel syndrome were randomly divided into observation group (n = 30) and control group (n = 30). The two groups were treated with acupuncture at the same time as Laogong, Daling, Neiguan, Interfish and Hegu on the affected side; in the observation group, Taichong, Zhongfeng, lifting and inserting diarrhea were carried out on the opposite side, and then the acupoints on the affected side were taken; the control group only acupuncture the acupoints selected on the affected side, and the acupoints on the affected side were treated once a day for 30 minutes, each time for 10 days as a course of treatment, and the curative effect was evaluated after 3 courses of treatment. The neuroelectrophysiological changes of median nerve, Levine carpal tunnel syndrome questionnaire and wrist joint assessment scale (patient-rated wrist evaluation,PRWE) were observed before and after treatment in the two groups, and the curative effect was evaluated. Results: the total effective rate of the observation group was 90.0% (27 鈮，
本文编号：2521491
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