摘要
目的探讨温针治疗对职业性手臂振动病(HAVD)患者运动和感觉神经传导的影响。方法采用随机数表法,将男性职业性HAVD患者分为对照组(39例)和试验组(36例)。对照组予常规治疗,试验组予温针治疗和常规治疗;每周5次,连续治疗4周。比较2组患者治疗前后的神经传导变化情况。结果治疗前,2组人群正中神经和尺神经的运动神经传导速度(MCV)、运动末端潜伏期(DML)、运动神经复合肌肉动作电位波幅(CMAP)、感觉神经传导速度(SCV)和感觉神经动作电位波幅(SNAP)分别比较,差异均无统计学意义(P值均>0.05)。治疗后,与对照组比较,试验组患者正中神经、尺神经的MCV和SCV均加快(P值均<0.05),DML均缩短(P值均<0.01),且正中神经CMAP升高(P<0.01);但2组患者尺神经CMAP和正中神经、尺神经SNAP分别比较,差异均无统计学意义(P值均>0.05)。结论温针治疗有利于改善职业性HAVD患者的运动和感觉神经传导;可能与温针可促进神经轴索与髓鞘损伤的修复有关。
Objective To investigate the effect of warm needling therapy on the conduction of hand-arm motor nerve and sensory nerve in patients with occupational hand-arm vibration disease(HAVD). Methods Male occupational HAVD patients were divided into control group(39 cases) and experimental group(36 cases) by random number table method. The control group received routine therapy, while the experimental group was treated with routine therapy plus warm needling therapy five times a week for four consecutive weeks. The changes on the conduction of motor nerve and sensory nerve in these two groups before and after treatment were compared. Results Before treatment, the motor nerve conduction velocity(MCV), distal motor latency(DML), compound muscle action potential amplitude(CMAP), sensory nerve conduction velocity(SCV) and sensory nerve action potential amplitude(SNAP) of the median nerve and ulnar nerve in the two groups were compared, and there was no statistically significant difference(all P>0.05). After treatment, the MCV and SCV of median nerve and ulnar nerve in the experimental group were accelerated(all P<0.05), the DML of median nerve and ulnar nerve were shortened(all P<0.01), and the CMAP of median nerve increased compared with the control group(P<0.01). However, there was no significant difference in the CMAP of ulnar nerve and SNAP of median nerve and ulnar nerve(all P>0.05). Conclusion Warm needling therapy can improve the conduction of motor nerve and sensory nerve. Warm needling therapy might be able to promote the repair of injury in axons and myelin sheaths.
作者
刘庆凤
郭集军
黄丽蓉
陈思枝
严茂胜
LIU Qing-feng;GUO Ji-jun;HUANG Li-rong;CHEN Si-zhi;YAN Mao-sheng(Guangdong Province Hospital for Occupational Disease Prevention and Treatment,Guangdong Provincial Key Laboratory of Occupational Disease Prevention and Treatment,,Guangzhou,Guangdong 510300,China)
出处
《中国职业医学》
CAS
北大核心
2021年第4期417-421,共5页
China Occupational Medicine
基金
广东省中医药局科研项目(20201044,20202028)
广东省职业病防治重点实验室(2017B030314152)。
关键词
温针
手臂振动病
职业病
神经传导
正中神经
尺神经
Warm needling
Hand-arm vibration disease
Occupational disease
Nerve conduction
Median nerve
Ulnar nerve
