针灸刀与封闭治疗屈指肌腱狭窄性腱鞘炎疗效对照观察  

Comparative observation on curative effects of stenosing tenovaginitis of flexor digitorum treated with acupuncture knife therapy and blocking therapy

作　　者：周光涛[1] 杨翊[2] 

机构地区：[1]东风汽车公司茅箭医院中医康复科,湖北十堰442000 [2]十堰市人民医院康复医学科

出　　处：《中国针灸》2011年第9期840-842,共3页Chinese Acupuncture & Moxibustion

摘　　要：目的：比较针灸刀与封闭治疗屈指肌腱狭窄性腱鞘炎的疗效差异,探寻较优疗法。方法：将304例患者随机分为针灸刀组（164例）和封闭组（140例）。于患指压痛点和硬结处,针灸刀组应用任氏钩型针灸刀行勾割治疗,封闭组行常规封闭治疗。治疗1~2次后观察两组疗效以及治疗后6个月的复发情况。结果：针灸刀组治愈率为98.2%（161/164）,优于封闭组的65.7%（92/140）;针灸刀组复发率为1.9%（3/161）,低于封闭组的37.0%（34/92）,组间差异均有统计学意义（均P〈0.01）。结论：针灸刀治疗屈指肌腱狭窄性腱鞘炎疗效优于封闭治疗,且复发率低。Objective To compare the curative effects on stenosing tenovaginitis of flexor digitorum treated with acupuncture knife therapy and blocking therapy so as to explore the better method.Methods Three hundred and four cases were randomly divided into acupuncture knife therapy group（164 cases） and blocking therapy group（140 cases）.In acupuncture knife therapy group,hooking and cutting were applied on the pressure points and scleromas with Ren＇s hooked acupuncture knife;routine blocking therapy was applied in blocking therapy group.The curative effects of both groups after 1~2 treatments and the recurrence after treatment in following 6 months were observed.Results The curative rate was 98.2%（161/164）in acupuncture knife therapy group,superior to that of 65.7%（92/140）in blocking therapy group;the recurrence rate was 1.9%（3/161） in acupuncture knife therapy group,inferior to that of 37.0%（34/92）in blocking therapy group.The differences are significant between groups（both P〈0.01）.Conclusion The curative effect of stenosing tenovaginitis of flexor digitorum treated with acupuncture knife therapy is superior to that of blocking therapy,with low recurrence rate.

关 键 词：屈指肌腱狭窄性腱鞘炎 针灸刀疗法 封闭疗法 对比研究 

分 类 号：R246[医药卫生—针灸推拿学]