超声引导下针刀联合拇长屈肌激痛点灭活治疗拇指狭窄性腱鞘炎的临床效果  

Clinical effect of ultrasound-guided acupotomy combined with myofascial trigger point of flexor pollicis longus inactivation in treatment of thumb stenotic tenosynovitis

作　　者：于川 王庆甫 宗晨钟 彭浩轩 陶庆春 YU Chuan;WANG Qingfu;ZONG Chenzhong;PENG Haoxuan;TAO Qingchun(The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing100029,China;Acupuncture Hospital of China Academy of Chinese Medical Sciences,Beijing100007,China)

机构地区：[1]北京中医药大学第三附属医院,北京100029 [2]中国中医科学院针灸医院,北京100007

出　　处：《中国医药导报》2023年第15期146-150,共5页China Medical Herald

基　　金：国家自然科学基金资助项目(81373662)。

摘　　要：目的探究超声引导下针刀联合拇长屈肌肌筋膜触发点(以下简称拇长屈肌激痛点)灭活治疗拇指狭窄性腱鞘炎的临床效果。方法将2020年4月至2022年3月于北京中医药大学第三附属医院就诊的100例拇指狭窄性腱鞘炎患者按随机数字表法分为观察组和对照组,各50例。观察组采用超声引导下针刀联合拇长屈肌激痛点灭活治疗,对照组采用超声引导下针刀治疗。分别于治疗前、治疗后1周及治疗后1个月3个不同时间点比较两组视觉模拟评分法(VAS)及扳机指评分,于治疗前及治疗后1个月测量拇长屈肌肌腱厚度,并于治疗后1个月进行疗效评价。结果两组治疗前、1周及治疗后1个月VAS评分、扳机指评分组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。进一步两两比较,组内比较:治疗后1周及1个月后两组VAS评分、扳机指评分均低于治疗前(P<0.05)。组间比较:治疗后1个月观察组VAS及扳机指评分低于同期对照组(P<0.05)。治疗后1个月,两组拇长屈肌肌腱厚度较治疗前均降低,且观察组低于对照组(P<0.05)。观察组临床疗效优于对照组(P<0.05)。结论超声引导下针刀联合拇长屈肌激痛点灭活能有效改善拇指狭窄性腱鞘炎患者疼痛、功能受限及拇长屈肌肌腱厚度。Objective To explore the clinical effect of ultrasound-guided needle-knife combined with myofascial trigger of flexor pollicis longus inactivation(“myofascial trigger point of flexor pollicis”for short)in the treatment of thumb tenosynovitis stenosans.Methods A total of 100 patients with thumb stenotic tenosynovitis treated in the Third Affiliated Hospital of Beijing University of Chinese Medicine from January 2020 to December 2022 were divided into the observation group and the control group according to the random number table method,with 50 cases in each group.The treatment group was treated with ultrasound-guided acupotomy combined with myofascial trigger point of flexor pollicis longus inactivation,and the control group was treated with ultrasound-guided acupotomy.Visual analogue scale(VAS)and trigger finger scores of the two groups were compared at three different time points before treatment,one week and one month after treatment,the thickness of flexor pollicis longus tendon was measured before treatment and one month after treatment,and the efficacy was evaluated one month after treatment.Results There were statistically significant differences in VAS score,trigger finger score,time point comparison,and interaction between the two groups before treatment,one week and one month after treatment.Further pair comparison,intra-group comparison:VAS score and trigger finger score of both groups were lower than before treatment one week and one month after treatment(P<0.05).Comparison between groups:VAS score and trigger finger score of observation group were lower than those of control group one month after treatment(P<0.05).One month after treatment,the tendon thickness of flexor pollicis longus in both groups was lower than that before treatment,and the observation group was lower than the control group(P<0.05).The clinical effect of observation group was better than control group(P<0.05).Conclusion Ultrasound-guided acupotomy combined with myofascial trigger point of flexor pollicis longus inactivation c

关 键 词：针刀 狭窄性腱鞘炎 超声引导 拇长屈肌 激痛点 

分 类 号：R244[医药卫生—针灸推拿学]