综合康复治疗肘管综合征的临床疗效观察

目的:观察术中电刺激、生物蛋白胶、术后分米波综合措施治疗肘管综合征的临床疗效,以探索尺神经损伤较佳的治疗方法。方法:肘管综合征患者64例,随机分为两组:综合治疗组(A组):术中应用电刺激+生物蛋白胶,术后行分米波辐射治疗。对照组(B组):术后口服甲钴胺。两组均行尺神经松解+前置术。观察两组的运动、感觉功能和电生理变化。结果:术后6个月,A组有效率为84.38%,治愈率为46.88%;B组有效率为59.38%,治愈率为21.88%;术后12个月,A组有效率为93.75%,治愈率为68.75%;B组有效率为75.00%,治愈率为43.75%。两组比较均为P<0.05。术后6个月,两组间再生电位、运动电位、MCV及SCV比较差异有显著性意义(P<0.05);术后12个月,两组间再生电位、运动电位比较差异有显著性意义(P<0.05),两组间MCV、SCV比较差异无显著性意义(P>0.05)。结论:综合措施是治疗肘管综合征较为理想的方法。

Observation of the therapeutic effects of comprehensive rehabilitation on cubital tunnel syndrome impairment

Objective:To observe the therapeutic effects of comprehensive rehabilitation on cubital tunnel syndrome and provide an effective method for clinical treatment.Method:Sixty-four cases with cubital tunnel syndrome patients were randomly divided into two groups.After decompression,comprehensive rehabilitation group were treated with electric stimulation,bioprotein glue and decimeter wave;the control group were treated with drugs.All the patients were evaluated with function of motion and sensory and electrophysiology changes after treatment.Result:Six months after operation,in comprehensive rehabilitation group the effective rate was 84.38%,recovery rate 46.88%;in control group the effective rate was 59.38%,recovery rate 21.88%.Twelve months after operation,in comprehensive rehabilitation group the effective rate was 93.75%,recovery rate 68.75%;in control group the effective rate was 75.00%,recovery rate 43.75%.There were statistical significant differences on effective rate and recovery rate in both groups.Six months after operation the reinneration potentials,motor potentials,MCV and SCV in both groups were completely different(P<0.05).Twelve months after operation the reinneration potentials and motor potentials in both groups were different(P<0.05);but there was no statistical significant difference on MCV and SCV in both groups.Conclusion:The comprehensive rehabilitation was an effective therapeutic method for peripheral nerve complete impairment.