刺络配合推拿治疗轻度腕管综合征疗效对照研究

Control Study on Effect of Pricking Collateral Blood Therapy Combined with Massage on Mild Carpal Tunnel Syndrome

目的比较刺络配合推拿与单纯推拿治疗轻度腕管综合征的疗效。方法60例轻度腕管综合征患者随机分为治疗组与对照组,每组30例。对照组采用单纯推拿疗法;治疗组推拿加用患侧上肢六井穴刺络疗法。治疗3个疗程后观察两组疗效,并比较两组治疗前后环指正中神经与尺神经感觉传导速度差值。结果治疗组30例中优26例,良4例,可、差均为0例;对照组30例中优8例,良20例,可2例,差0例;两组比较差异有显著性(P<0．05),治疗组疗效优于对照组。在每疗程结束时,两组环指正中神经与尺神经感觉传导速度差值比较,差异均有显著性(P<0．05)。两组差值变化值在第1、3疗程比较,差异有显著性(P< 0．05),第2疗程比较,差异无显著性(P>0．05)。结论推拿配合刺络治疗轻度腕管综合征较单纯推拿疗效好。刺络频率与显效时间可能存在正相关性。

Objective To compare the effect of massage alone or in combination with pricking collateral blood therapy （PCBT） on mild carpal tunnel syndrome （CTS）, Methods Sixty cases with mild CTS were randomly assigned into two groups, the control group treated with massage therapy alone, and the treated group with PCBT at the six Jing points of the affected upper limb combined with massage, 30 cases in each group. The therapy was conducted in all patients for 3 courses. The therapeutic effect was observed and the differential value （D-value） of sensory conduction velocity （SCV） between the median and ulnar nerves of the fourth digit （D4） was detected before and after each course of therapy. Results After 3 treatment courses, excellent, therapeutic effect was shown in 26 patients and good effect in 4 of the treated group, while in the control group, the effect was excellent in 8, good in 20, and improved in 2. The effect was better in the former group than that in the latter （P〈 0.05）. Marked difference in the D-value of SCV was shown at the end of each course in both groups （P 〈 0.05）. As compared it between the two groups, significant difference was shown at the end of the 1st and 3rd course respectively （P〈0.05）. Conclusion Combined treatment of massage and PCBT showed better effect on mild CTS than massage therapy alone, and the onset time may positively correlated to the frequency of applying PCBT.