| 谢求恩,潘 江,张 雄,徐永贵,王林华.电针治疗轻中度腕管综合征患者的疗效及对电生理参数的影响[J].,2018,(2):343-347 |
| 电针治疗轻中度腕管综合征患者的疗效及对电生理参数的影响 |
| Curative Effect of Electroacupuncture Treatment on Patients with Mild to Moderate Carpal Tunnel Syndrome and its Influence on Electrophysiological Parameters |
| 投稿时间：2017-09-03 修订日期：2017-09-25 |
| DOI：10.13241/j.cnki.pmb.2018.02.033 |
| 中文关键词: 腕管综合征 电针治疗 电生理参数 临床疗效 |
| 英文关键词: Carpal Tunnel Syndrome Electroacupuncture treatment Electrophysiological parameters Curative effect |
| 基金项目:湖南省中医药管理局科技项目（201652） |
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| 中文摘要: |
| 摘要 目的：探讨电针治疗轻度、中度腕管综合征（CTS）患者的临床疗效及对患者电生理参数的影响。方法：将2015年1月~2017年5月本院收治的86例轻度、中度CTS患者随机分为电针组（43例）和对照组（43例），给予对照组患者常规方案治疗，电针组患者在对照组常规治疗的基础上增加穴位电针进行治疗，治疗后比较两组的临床疗效，于治疗前、治疗后比较两组患者症状及功能评分、电生理参数及超声检查结果。结果：电针组的临床总有效率为97.67%，明显高于对照组的81.40%（P＜0.05）。治疗后电针组症状及功能评分分别为（15.28±2.35）分和（9.92±1.42）分，均明显低于对照组的（20.73±3.18）分和（14.28±2.26）分（P＜0.05）；治疗后电针组正中神经末梢运动潜伏时（DML）低于对照组，拇指展肌肌肉复合动作电位（CMAP）波幅、拇指-腕正中神经感觉传导速度（SCV）、中指-腕SCV、拇指-腕正中神经感觉动作电位（SNAP）波幅、中指-腕SNAP波幅均高于对照组（P＜0.05）。治疗后电针组腕管正中神经近端肿胀≥10 mm2的比例为27.91%，明显低于对照组的55.81%（P＜0.05）。结论：电针治疗轻中度CTS可进一步提高临床疗效，能够改善腕部症状和功能，同时明显改善患者的电生理参数。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the curative effect of electroacupuncture treatment on patients with mild to moderate carpal tunnel syndrome (CTS) and its influence on electrophysiological parameters. Methods: 86 cases of patients with mild to moderate CTS who were treated in our hospital form January 2015 to May 2017 were randomly divided into the electroacupuncture group (43 cases) and control group (43 cases). Control group was given conventional treatment, and the electroacupuncture group was given electroacupuncture treatment on the basis of control group. After 4 weeks of treatment, the clinical efficacy of the two groups was compared. Before and after treatment, the symptoms and function scores, electrophysiological parameters and ultrasonic examination result. of the two groups were compared. Results: The total effective rate of electroacupuncture group was 97.67%, which was obviously higher than 81.40% of control group (P<0.05). After treatment, the scores of symptoms and function in electroacupuncture group were (15.28±2.35) score and (9.92±1.42) score, which were significantly lower than (20.73±3.18) score and (14.28±2.26) score in the control group (P<0.05). After treatment, the median nerve distal motor latencv (DML) of electroacupuncture group was lower than that of control group, and the abductor pollicis muscle compound muscle action potential (CMAP) amplitude, thumb-carpal sensory nerve conduction velocity (SCV), middle finger-carpal SCV, thumb-carpal sensory nerve action potential (SNAP), middle finger-carpal SNAP amplitude were higher than the control group, the differences were statistically significant (P<0.05). After treatment, the radio of proximal swelling of median nerve of carpal tunnel≥10 mm2 was 27.91% in the electroacupuncture group, significantly lower than 55.81% in control group, the difference was statistically significant (P<0.05). Conclusion: Electroacupuncture treatment on mild to moderate CTS can further improve the clinical efficacy, improve the patient's wrist symptoms and functions, and improve the electrophysiological parameters of patients. |
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