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温针灸联合局部封闭治疗桡骨茎突狭窄性腱鞘炎的临床研究
作者姓名:尹继勇  梁哲瑞  胡志伟  车旭东
作者单位:大连市中医医院推拿康复科, 辽宁 大连 116013,大连市中医医院推拿康复科, 辽宁 大连 116013,大连市中医医院推拿康复科, 辽宁 大连 116013,大连市中医医院推拿康复科, 辽宁 大连 116013
摘    要:目的 观察温针灸联合局部封闭治疗桡骨茎突狭窄性腱鞘炎的临床疗效。方法 选取68例桡骨茎突狭窄性腱鞘炎患者随机分成观察组和对照组(每组各34例),对照组给予单纯局部封闭治疗,观察组在对照组基础上给予温针灸治疗,观察两组患者治疗前后视觉模拟评分法(visual analog scale,VAS)、主要症状及体征评分,比较治疗后两组患者临床疗效。结果 治疗后,两组患者VAS评分和主症及体征评分总分均较本组治疗前有所降低,差异有统计学意义(P<0.05或P<0.01),且观察组评分均低于对照组,差异有统计学意义(P<0.05);观察组总有效率高于对照组,两组比较差异有统计学意义(P<0.05)。结论 温针灸联合局部封闭治疗桡骨茎突狭窄性腱鞘炎效果显著,且优于单纯局部封闭治疗,值得临床进一步研究推广。

关 键 词:桡骨茎突狭窄性腱鞘炎  温针灸  局部封闭  VAS  主症及体征评分
收稿时间:2017/10/27 0:00:00

Clinical Effect of Needle Warming Moxibustion Combined with Local Block Therapy on Radial Styloid Tenosynovitis
Authors:YIN Jiyong  LIANG Zherui  HU Zhiwei and CHE Xudong
Institution:Department of Massage Rehabilitation, Dalian City Hospital of Traditional Chinese Medicine, Dalian, Liaoning 116013, China,Department of Massage Rehabilitation, Dalian City Hospital of Traditional Chinese Medicine, Dalian, Liaoning 116013, China,Department of Massage Rehabilitation, Dalian City Hospital of Traditional Chinese Medicine, Dalian, Liaoning 116013, China and Department of Massage Rehabilitation, Dalian City Hospital of Traditional Chinese Medicine, Dalian, Liaoning 116013, China
Abstract:Objective To observe the needle warming moxibustion combined with local block therapy on radial styloid stenosing tenosynovitis. Methods A total of 68 patients with radial stenosing tenosynovitis were randomly divided into the observation group and control group (n=34). The control group was treated with local block therapy, and the observation group was given acupuncture treatment on the basis of control group. The visual analogue scale (VAS), the main symptoms signs score and clinical curative effect between the two groups were observed before and after treatment. Results After treatment, the VAS score of the two groups and the main symptoms and signs score decreased after treatment, the difference was statistically significant (P<0.05 or P<0.01), and the observation group were significantly lower than the control group, the difference was statistically significant (P<0.05). The total effective rate in the observation group was higher than the control group, there was significant difference between two groups (P<0.05). Conclusion Needle warming moxibustion combined with local block therapy shows good effect in treatment of stenosing tenosynovitis, which is better than pure local block therapy. It is worthy of further promotion.
Keywords:radial styloid tenosynovitis  needle warming moxibustion  local block  VAS  main symptoms and signs score
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