针刀疗法联合中药熏蒸治疗旋前圆肌综合征  

Akupotomye Treatment Combined with Traditional Chinese Medicine Fumigation in the Treatment of Pronator Syndrome

作　　者：王波[1] 曹雪 唐航 李子瑜 刘楷煜 牛犇 WANG Bo;CAO Xue;TANG Hang;LI Ziyu;LIU Kaiyu;NIU Ben(Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学

出　　处：《吉林中医药》2020年第1期124-127,共4页Jilin Journal of Chinese Medicine

基　　金：黑龙江省自然科学基金项目(H2017058)

摘　　要：目的观察针刀疗法联合中药熏蒸治疗旋前圆肌综合征的症状改善特点。方法选取我院骨伤一科门诊自2017年9月-2018年9月期间收治的旋前圆肌综合征患者共30例,根据随机双盲试验,将样本含量随机分配为2组,观察组和对照组各15例。观察组与对照组均给予每周1次针刀基础治疗,进针部位为患者Tinel征阳性点处,观察组于就诊后第2天~第14天规律应用中药自拟方熏洗患处,方药包括:荆芥、防风、苍术、威灵仙等,1次/d。在就诊后第15 d及第6个月对患者进行电话随访与观察,通过VAS疼痛评分、VAS满意度评分等观察2组患者就诊后的症状改善情况及6个月后的复发情况。结果就诊第15天后2组患者疼痛改善明显,VAS等级评分组间比较差异具有统计学意义(P<0.05),观察组应用的治疗方法在缓解疼痛方面优于对照组应用的治疗方法,2组受试者治疗后满意度组间比较差异无统计学意义(P>0.05),患者对于观察组与对照组治疗结果的满意度均较高。第6个月随访,2组受试者复发率回访比较具有统计学意义(P<0.05),观察组的复发率明显低于对照组,患者满意率比较差异具有统计学意义(P<0.05),观察组患者满意率明显优于对照组。结论针刀疗法联合中药熏蒸可以放松肌筋、通畅气血,减轻神经压迫症状,降低旋前圆肌综合征的复发率,且副损伤较轻,禁忌证较少,患者的接受度更高,易于临床推广。Objective To observe the symptom improvement characteristics of akupotomye treatment combined with traditional Chinese medicine fumigation and washing for the treatment of pronator syndrome.Methods Selecting the department of orthopedic injury in our hospital a total of 30 patients with pronator syndrome were admitted in the outpatient clinic from September 2017 to September 2018.According to a randomized double-blind trial,the sample size was followed.The machine was assigned to 2 groups,and the observation group and the control group were 15 cases each.The observation group and the control group were given a basic treatment once a week for akupotomye treatment,the needle insertion site is at the positive point of the patient’s Tinel sign.The observation group was regularly applied with Chinese medicine self-prepared side to wash the affected area from the first day after the treatment to the 14 th day after the treatment,recipe includes:Nepeta,Wind,Atractylodes,Clematis,etc.once a day.On the 15 th day and the 6 th month after the visit,the patients were followed up and observed by telephone.The results of the prosthetic round muscle electromyography and the VAS pain score and VAS satisfaction score were observed to improve the symptoms of the two groups.Recurrence after months.Results On the 15 th day of treatment:pain was significantly improved in the 2 groups,and P<0.05 was compared between the VAS grades.The difference between the groups was statistically significant.The treatment method used in the observation group was superior to the control group in the treatment of pain relief.There were no significant differences between the two groups in the satisfaction group after treatment.There was no significant difference between the two groups.The patients were more satisfied with the treatment results of the observation group and the control group.At the 6 th month of the visit:the 6 th month follow-up,the recurrence rate of the two groups was significantly different compared with the P<0.05.The recurrence r

关 键 词：旋前圆肌 针刀疗法 中药熏蒸 

分 类 号：R274.9[医药卫生—中西医结合]