浮针疗法治疗神经型胸廓出口综合征疗效观察  

Clinical Effect of Fu s Subcutaneous Needling therapy in Treatment of Neurogenic Thoracic Outlet Syndrome

作　　者：曲宇豪 张昊 王正[2] 张海宽 蔡国庆 徐璨 姜昊南 张建华[2] 陈迪 QU Yuhao;ZHANG Hao;WANG Zheng;ZHANG Haikuan;CAI Guoqing;XU Can;JIANG Haonan;ZHANG Jianhua;CHEN Di(The First Clinical Medical College of Anhui University of Chinese Medicine,Anhui Hefei 230031,China;First Department of Orthopedics and Trauma,The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei230031,China;Second Department of Massage,The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei230031,China)

机构地区：[1]安徽中医药大学第一临床医学院,安徽合肥230031 [2]安徽中医药大学第一附属医院骨伤一科,安徽合肥230031 [3]安徽中医药大学第一附属医院推拿二科,安徽合肥230031

出　　处：《安徽中医药大学学报》2025年第2期64-68,共5页Journal of Anhui University of Chinese Medicine

基　　金：安徽省名中医及基层名中医工作室建设项目(中发展〔2022〕5号);安徽省卫生健康科研项目(AHWJ2023A30271);安徽省中医药学会中医药科研项目(2024ZYYXH008)。

摘　　要：目的观察浮针疗法治疗神经型胸廓出口综合征(neurogenic thoracic outlet syndrome,NTOS)的疗效。方法将60例NTOS患者按随机数字表法分为观察组和对照组,每组30例。观察组和对照组分别采用浮针疗法与普通针刺疗法治疗,隔日治疗1次,共治疗10次。比较两组患者上肢麻痛视觉模拟量表(visual analogue scale,VAS)评分,胸廓出口综合征(thoracic outlet syndrome,TOS)功能评定标准表评分,臂、肩、手功能障碍定量表(disability of arm-shoulder-hand,DASH)评分,基于DASH值的临床疗效,并进行安全性评价。结果两组患者治疗后VAS评分、TOS功能评定标准表评分、DASH评分均较治疗前显著改善(P<0.05),且观察组上述各指标改善情况均显著优于对照组(P<0.05);观察组临床疗效优于对照组(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论浮针疗法能显著减轻NTOS患者上肢麻痛与无力等症状,提高患者生活质量且安全可靠,可作为治疗NTOS的新选择。Objective To investigate the clinical effect of Fu s subcutaneous needling therapy in the treatment of neurogenic thoracic outlet syndrome(NTOS).Methods A total of 60 patients with NTOS were randomly divided into observation group and control group,with 30 patients in each group.The patients in the observation group received Fu s subcutaneous needling therapy,and those in the control group received routine acupuncture therapy,once every other day for 10 times in total.The two groups were compared in terms of Visual Analogue Scale(VAS)score of pain in upper limbs,thoracic outlet syndrome(TOS)functional assessment score,Disability of Arm-Shoulder-and Hand(DASH)score,and clinical outcome based on DASH score,and safety assessment was also performed.Results After treatment,both groups had significant improvements in VAS score,TOS functional assessment score,and DASH score(P<0.05),and the observation group had significantly better improvements than the control group(P<0.05).The observation group had a better clinical outcome than the control group(P<0.05),and there was no significant difference in the incidence rate of adverse reactions between the two groups(P>0.05).Conclusion Fu s subcutaneous needling therapy can significantly alleviatethe symptoms of upper limb pain and weakness in patients with NTOS and improve their quality of life,with a favorable safety profile,and therefore,it can be used as a new treatment option for NTOS.

关 键 词：浮针疗法 胸廓出口综合征 神经型 

分 类 号：R245.31[医药卫生—针灸推拿学]