自拟四步理筋手法治疗拇指狭窄性腱鞘炎30例临床观察  

Clinical Observation of Self-made Four-step Tendon Regulating Manipulation in the Treatment of 30 Cases of Thumb Stenotic Tenosynovitis

作　　者：杨宇 张开伟 YANG Yu;ZHANG KaiWei(Guizhou University of traditional Chinese medicine,Guiyang 550025,China;The First Affiliated Hospital of Guizhou University of Jraditional Chinese Medicine,Guiyang 550001,China)

机构地区：[1]贵州中医药大学,贵州贵阳550025 [2]贵州中医药大学第一附属医院,贵州贵阳550001

出　　处：《中国民族民间医药》2023年第2期95-98,共4页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：目的:在“以筋为先”理论指导下,观察四步理筋手法治疗拇指狭窄性腱鞘炎的有效性。方法:运用四步理筋手法跟传统手法各治疗30例拇指狭窄性腱鞘炎患者,分别治疗6次,每周3次。观察治疗前后的临床疗效、视觉模拟评分(VAS)变化及随访治疗15天后的复发率,差异均具有统计学意义(P<0.05)。结果:治疗后,观察组视觉模拟评分(VAS)、治疗15天后的复发率明显低于对照组,差异具有统计学意义(P<0.05);治疗后,对照组总有效率73.33%,观察组总有效率93.33%,差异具有统计学意义(P<0.05)。结论:四步理筋手法治疗拇指狭窄性腱鞘炎效果理想,在改善拇指疼痛及功能方面,效果明显优于传统中医手法,值得临床大力推广。Objective Under the guidance of“tendon first”theory,to observe the effectiveness of four-step tendon manipulation in the treatment of thumb stenotic tenosynovitis.Methods 30 patients with stenotic tenosynovitis of thumb were treated with four-step tendon manipulation and traditional manipulation respectively,6 times a week and 3 times a week.The clinical efficacy,changes of visual analogue scale(VAS)and the recurrence rate after 15 days of follow-up treatment were observed before and after treatment.The differences were statistically significant(P<0.05).Results After treatment,the visual analogue scale(VAS)and the recurrence rate after 15 days of treatment in the observation group were significantly lower than those in the control group(P<0.05);After treatment,the total effective rate was 73.33%in the control group and 93.33%in the observation group(P<0.05).Conclusion The effect of four-step tendon regulating manipulation in the treatment of thumb stenotic tenosynovitis is ideal.The effect is significantly better than that of traditional Chinese medicine in improving thumb pain and function,which is worthy of clinical promotion.

关 键 词：以筋为先 四步理筋手法 拇指狭窄性腱鞘炎 

分 类 号：R686.1[医药卫生—骨科学]