摘要
目的:观察郑氏推拿结合电针治疗手腕部反射性交感神经营养不良综合征的临床疗效。方法:自2016年10月至2018年9月,选取48例手腕部反射性交感神经营养不良综合征的患者,分为观察组和对照组,观察组24例:男10例,女14例,年龄54~76(61.41±7.90)岁,采用郑氏推拿结合电针治疗;对照组24例,男9例,女15例,年龄52~75(58.71±8.11)岁,采用单纯电针治疗。两组患者均治疗6周。比较两组患者治疗前后临床症状体征,采用疼痛视觉模拟评分(visual analogue scale,VAS),Cooney腕关节综合评分进行疗效评价。结果:经过6周治疗后,对照组VAS(4.9±1.8)分,Cooney腕关节综合评分(74.63±1.72)分;观察组VAS(2.2±1.4)分,Cooney腕关节综合评分(86.31±2.53)分;两组治疗后VAS、Cooney腕关节综合评分均较治疗前改善,且观察组优于对照组(P<0.05)。观察组的疗效优于对照组。结论:郑氏推拿结合电针治疗手腕部反射性交感神经营养不良综合征,创伤小,患者乐于接受,促进功能康复,值得临床推广。
Objective:To observe the clinical effects of zheng’s massage combined with electroacupuncture in the treatment ofreflex sensory dystrophy syndrome of the wrist.Methods:From October 2016 to September 2018,48 cases of reflex sensory dystrophy syndrome of the wrist were divided into the observation group and the control group.In the observation group,there were 24 cases,including 10 males and 14 females,ranging in age from 54 to 76 years old,with an average age of(61.41±7.90)years old.The patients in the observation group were treated with Zheng’s massage combined with electroacupuncture.The control group consisted of 24 patients,including 9 males and 15 females,ranging in age from 52 to 75 years old,with an average age of(58.71±8.11)years old.The patients in the control group were treated with electroacupuncture alone.All the patients in both groups were treated for 6 weeks.The clinical symptoms and signs,visual anglogue scale(VAS),Cooney wrist score and clinical efficacy evaluation were compared between the two groups before and after treatment,and statistical analysis was conducted.Results:After 6 weeks of treatment,VAS in the control group was 4.9±1.8,and Cooney wrist score was 74.63±1.72;VAS in the observation group was 2.2±1.4,and Cooney wrist score was 86.31±2.53.The comprehensive scores of VAS and Cooney wrist joint between two groups were improved after treatment,and the observation group was better than control group(P<0.05).The curative effect of the observation group was better than that of the control group.Conclusion:Zheng’s massage combined with electroacupuncture has the following advantages in the treatment of reflex sympathetic dystrophy syndrome of the wrist,such as small trauma,patients’willingness promoting functional rehabilitation,which is worthy of clinical promotion.
作者
唐浩琛
唐流刚
程远东
刘太
王标
周娅
TANG Hao-chen;TANG Liu-gang;CHENG Yuan-dong;LIU Tai;WANG Biao;ZHOU Ya(Department of Traumatology,Sichuan Orthopedics Hospital,Chengdu 610041,Sichuan,China)
出处
《中国骨伤》
CAS
CSCD
2020年第6期540-545,共6页
China Journal of Orthopaedics and Traumatology
基金
四川省骨科医院院内基金(编号:2017-3)。
关键词
电针
肌肉骨骼手法
腕关节
反射性交感神经营养不良综合征
Electroacupuncture
Musculoskeletal manipulations
Carpal joints
Reflex sympathetic dystrophy syndrome
