摘要
目的探讨针刺与艾灸对腕管综合征患者周围神经电生理特征的影响。方法选取2009年2月至2014年9月中医科门诊就诊的72例腕管综合征患者,根据患者自愿的方式分为针刺组、艾灸组及刺灸结合组,观察各组治疗前后的数字疼痛评估量表(NRS)评分、整体症状分数表(GSS)评分、电生理相关指标以及解剖相关指标,并进行组间比较。结果与治疗前相比,各组治疗后各项指标均明显好转(P<0.05)。刺灸结合组NRS、GSS评分均低于针刺组、艾灸组(P<0.05);刺灸结合组正中神经末端运动潜伏时(DML)低于艾灸组和针刺组;拇指-腕感觉传导速度(SCV)、拇指-腕感觉神经动作单位(SNAP)及中指-腕SNAP高于艾灸组和针刺组,差异均有统计学意义(P<0.05);刺灸结合组豌豆骨正中神经横切面积(MNTA)、桡尺关节平面MNTA及扁平率(FRMN)均优于艾灸组和针刺组(P<0.05)。结论艾灸、针刺可有效改善腕管综合征患者周围神经电生理相关指标,而针刺配合艾灸对于腕管综合征患者中神经DML、拇指-腕SCV、拇指-腕SNAP及中指-腕SNAP方面等电生理指标的改善作用更明显。
Objective To investigate the effect of acupuncture and moxibustion on electrophysiological characteristics of peripheral nerve in patients with carpal tunnel syndrome （CTS）. Methods Seventy - two CTS patients who visited the hospital from February 2009 to September 2014 were studied. According to the patient voluntariness, the patients were divided into acupuncture group, moxibustion group, and needlingmoxibustion group. Numerical rating scale （NRS） pain score, global symptom score （ GSS）, electrophysiological and anatomical related indicators were observed before and after treatment and compared between groups. Results All items observed were significantly improved in each group af- ter treatment in comparison with those before treatment （ P 〈 0.05 ）. NRS, GSS scores were lower in needling - moxibustion group than those in acupuncture and moxibustion group （ P 〈0.05 ）. The distal motor latency （DML） of median nerve in needing - moxibustion group was below the moxibustion group and acupuncture group; the sensory conduction velocity （SCV） of thumb -wrist and sensory nerve action potential （SNAP） of thumb - wrist and middle finger - wrist in needing - moxibustion group were above the acupuncture and moxibustion group, the differences were statistically significant （ al/P 〈 0.05）. Cross - sectional area of median nerve at pisiform and radio - ulnar level and flattening ratio in needling - moxibustion group were better than moxibustion group and acupuncture group （ P 〈 0.05 ）. Conclusion Moxibustion and acupuncture can effectively improve peripheral nerve electrophysiological indicators in CTS, hut with needling - moxibustion, the improvements are more obvious for median nerve DML, thumb -wrist SCV and SNAP of thumbwrist and middle fingerwrist.
出处
《临床和实验医学杂志》
2015年第14期1198-1202,共5页
Journal of Clinical and Experimental Medicine
关键词
腕管综合征
针刺
艾灸
周围神经
电生理指标
Carpal tunnel syndrome
Acupuncture
Moxibustion
Peripheral nerve
Electrophysiological indicators
