行气活血方超声药物透入联合体外冲击波治疗腕管综合征临床研究  

Clinical Study on Ultrasound Drug Penetration with Xingqi Huoxue Prescription Combined with Extracorporeal Shock Wave for Carpal Tunnel Syndrome

作　　者：刘尽忠 周健 LIU Jinzhong;ZHOU Jian(The Third School of Clinical Medicine of Zhejiang Chinese Medical University,Hangzhou Zhejiang 310053,China;Department of Orthopedics and Traumatology,Lishui Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University,Lishui Zhejiang 323000,China)

机构地区：[1]浙江中医药大学第三临床医学院,浙江杭州310053 [2]浙江中医药大学附属丽水中医院中医骨伤科,浙江丽水323000

出　　处：《新中医》2024年第19期91-96,共6页New Chinese Medicine

摘　　要：目的:观察行气活血方超声药物透入联合体外冲击波治疗腕管综合征的疗效。方法:选取66例气滞血瘀型轻、中度腕管综合征患者作为研究对象,按随机数字表法分为对照组、试验组各33例。2组均采用体外冲击波治疗,试验组加予行气活血方超声药物透入治疗,2组疗程均为4周。比较治疗前后2组患者的正中神经在手部分布区域的疼痛视觉模拟评分法(VAS)评分、波士顿腕管综合征问卷(BCTQ)评分[功能状态量表(FSS)评分,症状严重度量表(SSS)评分]、正中神经电生理指标[末端运动潜伏期(DML)、感觉传导速度(SCV)、感觉电位波幅(SNAP)];观察治疗期间不良反应发生情况;比较2组的临床疗效。结果:治疗后,试验组总有效率高于对照组(P<0.05)。2组疼痛VAS评分均较治疗前有所降低(P<0.05)。试验组疼痛VAS评分低于对照组(P<0.05)。2组SSS、FSS评分均较治疗前有所降低(P<0.05)。试验组SSS、FSS评分均低于对照组(P<0.05)。2组正中神经DML均较治疗前缩短,SCV均较治疗前加快,SNAP均较治疗前增加,差异均有统计学意义(P<0.05)。试验组正中神经DML较对照组缩短,SCV较对照组加快,SNAP较对照组增加,差异均有统计学意义(P<0.05)。结论:行气活血方超声药物透入联合体外冲击波治疗能有效减轻气滞血瘀型轻、中度腕管综合征患者的正中神经在手部分布区域的疼痛,改善手部功能。Objective:To investigate the effect of ultrasound drug penetration with Xingqi Huoxue Prescription combined with extracorporeal shock wave on carpal tunnel syndrome.Methods:A total of 66 cases with mild-to-moderate carpal tunnel syndrome with syndrome of qi stagnation and blood stasis were selected as the research objects,and were divided into the control group and the trial group according to random number table method,with 33 cases in each group.Both groups were treated with extracorporeal shock wave therapy,and the trial group was additionally treated with ultrasonic drug penetration with Xingqi Huoxue Prescription.The treatment course in both groups was four weeks.The Visual Analogue Scale(VAS)scores of median nerve dominate regional pain of hands,Boston Carpal Tunnel Questionnaire(BCTQ)scores[Functional State Scale(FSS)and Symptom Severity Scale(SSS)],and the median nerve electrophysiological indexes[distal motor latency(DML),sensory conduction velocity(SCV),and sensory nerve action potential(SNAP)]were compared between the two groups before and after treatment.The adverse reactions were observed during treatment,and the clinical effects were compared between the two groups.Results:After treatment,the total effective rate in the trial group was higher than that in the control group(P<0.05).The VAS scores in the two groups were lower than those before treatment(P<0.05).The VAS score in the trial group was lower than that in the control group(P<0.05).The SSS score and FSS scores were decreased when compared with those before treatment(P<0.05).The SSS score and FSS score in the trial group were lower than those in the control group(P<0.05).The DML of median nerve in the two groups were respectively shortened when compared with those before treatment,and the SCV of median nerve were accelerated and the SNAP of median nerve were increased when compared with those before treatment,differences being significant(P<0.05).The DML of median nerve in the trial group was shorter than that in the control group,the SCV of

关 键 词：腕管综合征 气滞血瘀证 行气活血方 体外冲击波 超声药物透入 电生理指标 

分 类 号：R688[医药卫生—骨科学]