针刀治疗拇指腱鞘炎的临床观察  

CLINICAL EFFICACY OF ACUPOTOMY IN TREATMENT OF THUMB STENOSIS TENOSYNOVITIS

作　　者：聂巧珍[1] 云靖[1] NIE Qiao-zhen;YUN Jing(The Affiliated Hospital,Inner Mongolia Medical University,Hohhot 010050 China)

机构地区：[1]内蒙古医科大学附属医院理疗科

出　　处：《内蒙古医科大学学报》2019年第6期578-580,共3页Journal of Inner Mongolia Medical University

摘　　要：目的观察针刀治疗拇指腱鞘炎的临床疗效。方法将98例拇指腱鞘炎病人随机分为观察组48例和对照组50例。分别采用局部封闭治疗及针刀治疗。治疗后评估临床疗效,统计复发率,观察拇指4项特定功能活动的视觉模拟评分法(VAS)评分。结果治愈率,2组比较,差异有统计学意义(P<0.05);6mo和12mo随访,复发率,2组比较,差异均有统计学意义(P<0.05);2组治疗后4项特定功能活动VAS评分均较治疗前降低,观察组较对照组降低明显,差异均有统计学意义(P<0.05)。结论针刀治疗拇指腱鞘炎,能有效改善病人的疼痛状况和拇指活动功能,效果优于局部封闭治疗。Objective:To examine the clinical efficacy of acupotomy in the treatment of thumb stenosis tenosynovitis.Methods:A total of 98 patients with thumb stenosis tenosynovitis were randomly divided into treatment group(n=48)and control group(n=50).The control group was treated with local blocking,and the treatment group was treated with acupotomy.Clinical efficacy,relapse rate,and Visual Analog Scale(VAS)score of the four specific functional activities of the thumb were assessed following treatment.Results:The recovery was higher in the treatment group than in the control group (P<0.05).At 6-month and 12-month follow-ups,the relapse rate was significantly lower in the treatment group than in the control group (both P<0.05).In addition,VAS score of the four specific functional activities of the thumb,and the reduction was significantly greater in the treatment group than in the control group(P<0.05).Conclusion:Acupotomy can effectively improve pain and thumb activity and function,and is therefore superior to local blocking in the treatment of thumb stenosis tenosynovitis.

关 键 词：拇指腱鞘炎 针刀疗法 局部封闭疗法 

分 类 号：R453.9[医药卫生—治疗学]