痛点注射与针刀治疗屈指肌腱狭窄性腱鞘炎的临床观察  

Trigger point injection and small knife-needle for treatment of constrictive flexor digitorum tenosynovitis

作　　者：肖鸿智[1] 胡青[1] 陈遇源[1] 

机构地区：[1]湖南省郴州市第一人民医院麻醉科,423000

出　　处：《实用疼痛学杂志》2006年第1期13-15,共3页Pain Clinic Journal

摘　　要：目的观察痛点注射与针刀治疗屈指肌腱狭窄性腱鞘炎的临床效果。方法将 119例屈指肌腱狭窄性腱鞘炎患者随机分成2组,A组为对照组56例,采用消炎镇痛液局部痛点注射治疗;B组为观察组63例,根据临床症状轻重分成Ⅰ、Ⅱ、Ⅲ、Ⅳ4度,Ⅰ度采用痛点注射疗法,Ⅱ、Ⅲ、Ⅳ度采用痛点注射加针刀疗法。结果 A组与B组治愈者分别为20例(35．7％)与 52例(82．5％),有效者分别为44例(81．5％)与61例(96．8％),治愈率及有效率B组明显高于A 组(P<0．01),无效率(A组12例,21．4％;B组2例3．2％)及复发率(A组15例,36．4％;B组1例, 1．6％),B组明显低于A组(P<0．01)。结论痛点注射疗法对屈指肌腱狭窄性腱鞘炎症状较轻、病程较短的Ⅰ度患者疗效高,且损伤小。痛点注射加针刀疗法对Ⅱ、Ⅲ、Ⅳ度患者的疗效好,且不易复发。Objective To observe the treatment efficacy of trigger point injection and knife-needle for constrictive flexor digitorum tenosynovitis. Methods 119 patients with constrictive flexor digitorum tenosynovitis were allocated randomly into two groups. In group A （control group）, 56 patients were treated by trigger point injection with lidocaine and prednisolone acetate; in group B （study group）, 63 patients were divided into four subgroup （Ⅰ, Ⅱ, Ⅲ, and Ⅳ） according to the clinical symptoms, and subgroup Ⅰ treated by trigger point injection as control, subgroup Ⅱ, Ⅲ and Ⅳ treated by trigger point injection and small knifeneedle. Results Cure rate and effective rate were 52 patients （82.5%） and 56 patients （96.8%） respectively in group B, which were higher than that in group A, 20 patients （35.7%） and 44 patients （81.5%）. Recurrent rate was also lower in group B （ 1 case） than in group A （ 15 cases）. Conclusion Trigger point injection is an effective method for treatment of constrictive flexor digitorum tenosynovitis with mild symptom and short duration; combining trigger point and small knife-needle are more effective and lower recurrent rate for severe symptom.

关 键 词：腱鞘炎 小刀针 触痛点 肌筋膜 注射 

分 类 号：R686[医药卫生—骨科学]