毫火针治疗屈指肌腱腱鞘炎的临床观察  

Clinical Observation of Filiform-fire Needling for Treatment of Tenosynovitis of Finger Flexor Tendon

作　　者：郭蓓宁 童基伟 张志玲[2] 赵鑫伟 黎晓静 GUO Bei-Ning;TONG Ji-Wei;ZHANG Zhi-Ling;ZHAO Xin-Wei;LI Xiao-Jing(The Fourth Clinical Medical School,Guangzhou University of Chinese Medicine,Shenzhen 518033 Guangdong,China;Shenzhen Traditional Chinese Medicine Hospital,Shenzhen 518033 Guangdong,China;Chinese Medicine School,the University of Hongkong,Hongkong 999077,China)

机构地区：[1]广州中医药大学第四临床医学院,广东深圳518033 [2]深圳市中医院,广东深圳518033 [3]香港大学中医药学院,香港999077

出　　处：《广州中医药大学学报》2021年第8期1650-1655,共6页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】观察毫火针治疗屈指肌腱腱鞘炎的临床疗效。【方法】将80例屈指肌腱腱鞘炎患者随机分为观察组和对照组,每组各40例,观察组给予毫火针针刺治疗,对照组给予毫针针刺治疗。2组均隔日治疗1次,共治疗10 d,并于治疗后1个月进行随访。治疗后,评价2组临床疗效,观察2组患者治疗前后视觉模拟量表(VAS)评分的变化情况,以及疼痛缓解时间的情况,并评价2组的安全性及不良反应的发生情况。【结果】(1)研究过程中,观察组失访3例,对照组失访10例。最终观察组37例、对照组30例纳入疗效统计。(2)观察组总有效率为91.89%(34/37),对照组为73.33%(22/30)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(3)治疗10 d后以及治疗后1个月随访,2组患者的VAS评分明显改善(P<0.05),且观察组在改善VAS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(4)治疗后,观察组的疼痛缓解时间明显优于对照组,差异有统计学意义(P<0.05)。(5)治疗后1个月随访,观察组复发率为13.51%(5/37),对照组为36.67%(11/30)。观察组复发率明显低于对照组,差异有统计学意义(P<0.05)。(6)2组患者在治疗及随访过程中均未出现感染、皮疹瘙痒、胃肠道不适等不良反应情况。【结论】毫火针治疗屈指肌腱腱鞘炎可明显改善患者疼痛症状,且复发率低,临床效果显著。Objective To observe the clinical efficacy of filiform-fire needling for the treatment of tenosynovitis of finger flexor tendon. Methods Eighty cases of patients were randomly divided into observation group and control group,40 cases in each group. The observation group was treated with filiform-fire needling,and the control group was treated with filiform needle, once every other day, lasting 10 days. After treatment, the clinical efficacy of the two groups was evaluated. Before and after treatment,the changes of Visual Analogue Scale(VAS)score and time to pain relief of the two groups were observed,and safety and adverse reactions of the two groups were evaluated. Results(1)During the trial,3 cases from the observation group were lost to follow-up,and 10 cases from the control group. Ultimately, 37 cases in the observation group and 30 cases in the control group completed the test.(2)The total effective rate of the observation group was 91.89%(34/37),while that of the control group was 73.33%(22/30). The therapeutic efficacy of the observation group was superior to that of the control group, the difference being statistically significant(P<0.05).(3)After 10-day treatment, and onemonth follow-up after treatment, the VAS scores of the two groups were improved(P<0.05), and the improvement in VAS scores of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05).(4)After treatment,the time to pain relief of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05).(5)One-month follow-up after treatment,the reoccurrence rate of the observation group was 13.51%(5/37),while that of the control group was36.67%(11/30). The reoccurrence rate of the observation group was lower than that of the control group, the difference being statistically significant(P<0.05).(6)There were no adverse reactions such as infection, skin pruritus, gastrointestinal disorder during treatment and follow-up in both groups.

关 键 词：毫火针 屈指肌腱腱鞘炎 视觉模拟量表评分 临床观察 

分 类 号：R246.9[医药卫生—针灸推拿学]