小切口正中神经松解术联合穴位注射序贯疗法治疗腕管综合征的效果  

Effect of Small Incision Median Nerve Release Combined with Acupoint Injection Sequential Therapy on the Treatment of Carpal Tunnel Syndrome

作　　者：柯淼[1] 黄粹业[1] 仇继任[1] KE Miao;HUANG Cuiye;QIU Jiren(The Second People's Hospital of Qinzhou,Qinzhou 535000,China;不详)

机构地区：[1]钦州市第二人民医院,广西钦州535000

出　　处：《中外医学研究》2024年第14期137-140,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：广西壮族自治区卫生健康委员会科研课题项目(Z-N20231877)。

摘　　要：目的:探讨小切口正中神经松解术联合穴位注射序贯疗法治疗腕管综合征(CTS)的效果。方法:选择2021年1月—2023年1月钦州市第二人民医院收治的103例CTS患者作为研究对象。按照随机数表法分为对照组(n=52)和观察组(n=51),两组均进行小切口正中神经松解术治疗,对照组术后口服神经营养素药物治疗,观察组术后采用穴位注射序贯法治疗。比较两组治疗效果、腕关节综合征Levine评分及正中神经肌电图指标[感觉传导速度(SCV)、感觉神经动作电位波幅(SNAP)、运动神经末端运动潜伏期(DML)]。结果:观察组总有效率为98.00%,高于对照组的80.00%,差异有统计学意义(P<0.05)。治疗6个月后,两组严重程度、功能状态评分低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗6个月后,两组SCV、SNAP均高于治疗前,DML低于治疗前,且观察组SCV、SNAP高于对照组,DML低于对照组,差异有统计学意义(P<0.05)。结论:小切口正中神经松解术联合穴位注射序贯疗法治疗CTS可有效提高其治疗效果,改善患者腕关节功能,促进神经恢复。Objective:To investigate the effect of small incision median nerve release combined with acupoint injection sequential therapy in the treatment of carpal tunnel syndrome(CTS).Method:A total of 103 CTS patients admitted to the Second People's Hospital of Qinzhou from January 2021 to January 2023 were selected as the study objects.According to random number table method,the they were divided into control group(n=52)and observation group(n=51).Both groups were treated with small incision median nerve release,the control group was treated with oral neurenergen drugs after surgery,and the observation group was treated with acupoint injection sequential therapy after surgery.The therapeutic effect,Levine score and median nerve electromyography indexes[sensory conduction velocity(SCV),sensory nerve action potential amplitude(SNAP),motor nerve distal motor latency(DML)]were compared between the two groups.Result:The total effective rate of the observation group was 98.00%,which was higher than 80.00%of the control group,the difference was statistically significant(P<0.05).After 6 months of treatment,the severity and functional status scores of the two groups were lower than those before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After 6 months of treatment,SCV and SNAP in both groups were higher than those before treatment,and DML was lower than that before treatment,SCV and SNAP in observation group were higher than those in control group,DML was lower than that in control group,the differences were statistically significant(P<0.05).Conclusion:Small incision median nerve release combined with point injection sequential therapy can effectively improve the therapeutic effect of CTS,improve the wrist function and promote nerve recovery.

关 键 词：小切口正中神经松解术 穴位注射序贯疗法 腕管综合征 腕关节综合征 Levine评分 

分 类 号：R688[医药卫生—骨科学]