针灸治疗桡神经牵拉伤临床观察  

Clinical Observation of Acupuncture and Moxibustion for Stretch Injury of Radial Nerve

作　　者：盛莉妍 SHENG Liyan

机构地区：[1]宁波市海曙区鼓楼街道社区卫生服务中心,浙江宁波315000

出　　处：《新中医》2018年第9期205-208,共4页New Chinese Medicine

摘　　要：目的:观察针灸治疗桡神经牵拉损伤的临床疗效。方法:将56例肩关节脱位合并桡神经牵拉损伤的患者随机分为2组,治疗组结合西医解剖先找出桡神经的循行路线辨证选穴针灸;对照组给予口服甲钴胺,2组均治疗3月,治疗前后进行桡神经功能评定(通过评判治疗前后伤肢的运用功能、感觉功能、腕关节活动度来评判治疗效果)及运动神经传导速度(MCV)及波幅分析。结果:治疗后,2组患者的肌力均得到恢复。治疗后第2、3月,2组间肌力评分比较,差异有统计学意义(P<0.0 5)。2组治疗后感觉功能均较前改善,治疗后情况经秩和检验,2组间差异有统计学意义(P<0.0 5)。治疗后2组腕关节、肘关节活动度较前改善(P<0.0 5),2组治疗后2月、治疗后3月腕关节、肘关节活动度比较,差异有统计学意义(P<0.0 5)。治疗后,2组运动神经传导速度及波幅均较前改善(P<0.0 5),2组治疗后2月、治疗后3月组间神经传导速度及波幅比较,差异有统计学意义(P<0.0 5)。总有效率治疗组为75.0%,对照组为57.1%,2组比较,差异有统计学意义(P<0.0 5)。结论:针灸治疗桡神经的牵拉伤可以更快的使患肢的肌力得到恢复,改善神经功能,比甲钴胺治疗更具优势。Objective：To observe the clinical effect of acupuncture and moxibustion for stretch injury of radial nerve. Methods：Divided 56 cases of patients with dislocation of shoulder combined with stretch injury of radial nerve into two groups randomly. The treatment group was given acupuncture and moxibustion for acupoints selected on the basis of syndrome differentiation by combining with western anatomy,while the control group was given oral administration of mecobalamin. The treatment for both groups lasted for 3 months. Evaluated the radial nerve function（ to evaluate the curative effect by judging the using function,sensory function and the range of motion of the wrist joint of the injured limbs before and after treatment） and analyzed the motor nerve conduction velocity（MCV） and amplitude. Results： After treatment, the muscle strength of patients was recovered in both groups. On the 2 nd and 3 rd month after treatment,there was significant difference being found in the comparison of the scores of muscle strength in the two groups（P〈0.05）.The sensory functions of the two groups were improved after treatment, and this situation was examined by rank sum test after treatment, difference being significant（P〈0.05）. After treatment, the ranges of motion of the wrist joint and elbow joints were improved in the two groups（P〈0.05）. Two and three months after treatment, there was significant difference being found in the comparison of the ranges of motion of the wrist joint and elbow joints in the two groups（P〈0.05）. After treatment, the motor nerve conduction velocity and amplitude in both groups were improved（P〈0.05）. Two and three months after treatment,there was significant difference being found in the comparison of the motor nerve conduction velocity and amplitude in the two groups（P〈0.05）. The total effective rate was 75.0% in the treatment group and 57.1% in the control group, difference being significant（P〈0.05）. Conclusion：The application of acupuncture and m

关 键 词：桡神经 牵拉伤 针灸 解剖 甲钴胺 

分 类 号：R246.6[医药卫生—针灸推拿学]