温和灸与TDP治疗陈旧性指间关节侧副韧带损伤疗效对照观察  

Control observation between mild moxibustion and TDP for obsolete collateral ligament injury of interphalangeal joints

作　　者：梁玉磊[1] 李维华[2] 许晓康[1] 丁晨光[2] 田玲[3] 段佳强[1] 张治方 孙立虹[1] 

机构地区：[1]河北中医学院针灸推拿学院,石家庄050200 [2]河北中医学院公共课教学部,石家庄050200 [3]河北中医学院门诊部,石家庄050200

出　　处：《中国针灸》2016年第1期21-24,共4页Chinese Acupuncture & Moxibustion

基　　金：河北省中医药管理局资助项目:2014001;河北中医学院青年基金项目:QNZ2015004;河北省大学生创新创业训练计划项目:201514432028

摘　　要：目的：比较温和灸与特定电磁波谱治疗仪（TDP）治疗陈旧性指间关节侧副韧带损伤的临床疗效差异。方法：将60例患者随机分为温灸组、TDP组,每组30例。温灸组采用纯艾条对患指关节局部施温和灸治疗,每次20~30 min;TDP组采用TDP照射患指关节局部,每次20~30min。两组均每天治疗1次,10天为一疗程,治疗2个疗程。观察两组患者治疗前后疼痛视觉模拟评分（VAS）、患指关节的肿胀程度,并评定两组临床疗效及安全性。结果：温灸组的达优率为56.7%（17/30）,优良率为83.4%（25/30）,优于TDP组的36.7%（11/30）、76.7%（23/30,P〈0.01）。两组患者治疗后VAS评分、患指关节肿胀程度均较治疗前改善（P〈0.01,P〈0.05）,温灸组的改善程度均优于TDP组（P〈0.01,P〈0.05）。结论：温和灸治疗陈旧性指间关节侧副韧带损伤可明显减轻疼痛及肿胀程度,疗效优于TDP照射。Objective To compare the effects between mild moxibustion and specific electromagnetic spectrum therapy apparatus（TDP）for obsolete collateral ligament injury of interphalangeal joints.Methods Sixty patients were randomly divided into a mild moxibustion group and a TDP group,30 cases in each one.In the mild moxibustion group,pure moxa sticks were used at the affected digital joints locally for 20-30 min a time.In the TDP group,TDP was applied at the affected digital joints locally for 20-30 min a time.The treatment was given once a day for two courses,and 10-day treatment was made into a course.Visual analogue scale（VAS）for pain,swelling degree of the affected digital joints before and after treatment were observed and the clinical efficacy and safety were evaluated in the two groups.Results The excellent rate was 56.7%（17/30）and the excellent and good rate was 83.4%（25/30）in the mild moxibustion group,which were better than 36.7%（11/30）and 76.7%（23/30）in the TDP group respectively（both P〈0.01）.After treatment the score of VAS and digital joints swelling degree were improved than those before treatment in the two groups（P〈0.01,P〈0.05）,and the improvements of the mild moxibustion group were better than those of the TDP group（P〈0.01,P〈0.05）.Conclusion Mild moxibustion can apparently relieve the painful and swelling degree of obsolete collateral ligament injury of interphalangeal joints,which is superior to TDP.

关 键 词：侧副韧带损伤 陈旧性 温和灸 TDP 指间关节 

分 类 号：R246.23[医药卫生—针灸推拿学]