针刀配合揿针治疗腕管综合征临床疗效观察

目的 观察针刀配合揿针治疗腕管综合征的临床疗效。方法 将125例腕管综合征患者随机分成对照组61例和试验组64例。对照组接受单纯针刀治疗，试验组接受针刀配合揿针治疗，术后根据英国医学研究委员会提出的肢体神经运动功能和感觉功能评价方法及肌电图对两组患者进行疗效评价。结果 治疗后两组患肢感觉和运动功能均较治疗前明显改善（P＜0.05），但试验组治疗后感觉和运动功能分级改善程度显著优于对照组（P＜0.05）。两组治疗前波幅、运动电位潜伏期和运动神经传导速度比较，差异均无统计学意义（P＞0.05）；与治疗前比较，两组治疗后波幅、运动电位潜伏期与运动神经传导速度均明显改善，差异均有统计学意义（P＜0.05）；治疗前后波幅、运动电位潜伏期与运动神经传导速度差值比较，试验组大于对照组，差异有统计学意义（P＜0.05）。结论 针刀配合揿针治疗腕管综合征临床疗效满意。

Clinical Effect of Needle Knife Combined with Press Needle in Treatment of Carpal Tunnel Syndrome

Objective To investigate the clinical effect of needle knife combined with press needle in the treatment of carpal tunnel syndrome. Methods A total of 125 patients with carpal tunnel syndrome were randomly divided into control group with 61 patients and experimental group with 64 patients. The patients in the control group were given needle knife alone, and those in the experimental group were given needle knife combined with press needle. The clinical outcome was evaluated after surgery based on the methods for the assessment of limb motor and sensory functions put forward by England Medical Research Council and electromyography. Results Both groups had significant improvements in motor and sensory functions of the affected limb after treatment (P<0.05), and the experimental group had significantly greater improvements than the control group (P<0.05). There were no significant differences in amplitude, the latency period of motor potential, and nerve conduction velocity between the two groups before treatment (P>0.05); both groups had significant improvements in amplitude, the latency period of motor potential, and nerve conduction velocity after treatment (P<0.05), and the experimental group had significantly greater changes in these indices than the control group (P<0.05). Conclusion Needle knife combined with press needle has a satisfactory clinical effect in the treatment of carpal tunnel syndrome.