针刺加TDP照射和中药熏洗治疗早期腕管综合征疗效观察

目的:探寻治疗早期腕管综合征的有效疗法.方法:将60例患者随机分为观察1组(21例)、观察2组(22例)和基础治疗组(17例).3组患者均予口服维生素B_1、维生素B_(12)和复合维生素B及小夹板腕部保护作为基础治疗,观察1组再予针刺局部穴(劳宫、鱼际、合谷、外关等)配合局部TDP照射,观察2组再予红花、透骨草等中药熏洗患部.观察3组患者治疗前后肌电图、疼痛视觉模拟评分(VAS)及临床疗效.结果:3组治疗前后肌电图改变差异无统计学意义(均P＞0.05),VAS评分两个观察组优于基础治疗组(均P%0.05).观察1组、观察2组的优良率分别为90.5 9,6、86.4%,均高于基础治疗组的64.7%.结论:针刺加TDP照射和中药熏洗法治疗早期腕管综合征均疗效显著.

Observation on therapeutic effects of acupuncture combined with TDP irradiation and Chinese herbal steaming and washing therapy for treatment of carpal tunnel syndrome in early stage

Objective To search for an effective therapy for carpal tunnel syndrome in early stage. Methods Sixty cases were randomly divided into an observation group 1 (21 cases), an observation group 2 (22 cases) and a basic treatment group (17 cases). The patients in three groups were treated with oral administration of Vitamin B_1,Vitamin B_(12), compound Vitamin B and small splint for wrist protection as basic treatment, and the observation group 1 was also treated with acupuncture on local points as Laogong (PC 8), Yuji (LU 10), Hegu (LI 4) and Waiguan (TE 5) etc. combined with TDP irradiation, and the observation group 2 was treated with herbal steaming and washing on the affected part using Safflower and Lopseed etc. Electromyography, visual analogue scale (VAS) and clinical effect of three groups were observed before and after treatment. Results The changes of electromyography had no significant difference before and after treatment in all groups (all P>0. 05) , the VAS scores in two observation groups were superior to that in basic treatment group (both P<0. 05). The excellent and good rates were 90. 5% and 86. 4% in the observation group 1 and the observation group 2 respectively, both higher than that of 64. 7% in the basic treatment group. Conclusion Acupunture combined with TDP irradiation and Chinese herbal steaming and washing therapy both have significant therapeutic effects for treatment of carpal tunnel syndrome in early stage.