推切刀治疗狭窄性腱鞘炎35例疗效观察

Observation of the effect of acupotomy in the treatment of thirty-five cases of the stenosing tenosynovitis

目的 ：探讨推切刀治疗狭窄性腱鞘炎的疗效。方法 ：收集2014年3月至2015年10月门诊收治的狭窄性腱鞘炎患者67例,随机分为观察组35例,采用推切刀治疗,每月1次,治疗1~2次;对照组32例,采用齐刺温针治疗,隔日1次,10次为1个疗程,间隙1周,共2个疗程。治疗结束后采用视觉模拟评分比较两组疗效。结果 ：治疗结束及治疗4个月后的疼痛程度视觉模拟评分与治疗前评分差值相比,观察组分别为（5.63±0.73）分和（5.63±0.73）分;对照组分别为（1.66±1.07）分和（1.69±1.03）分,两组比较差异均有统计学意义（P〈0.001）。结论 ：推切刀治疗狭窄性腱鞘炎的疗效优于温针治疗。

Objective： To explore the effect of acupotomy in the treatment of the stenosing tenosynovitis. Methods： From March 2014 to Oct. 2015, 67 cases diagnosed and treated as the stenosing tenosynovitis were collected and randomly divided into an observation group with 35 cases who were treated with acupotomy, once a month for 1-2 times, and a control group with 32 cases was treated with the triple warm acupuncture and moxibustion, qod, 10 times for a treatment course, a week apart 2 courses in total. After the treatment, the treatment effects were compared between the two groups using visual analogue scale. Results： At the end of the treatment and 4 months after the treatment, the different values of visual analogue scale for the pain degree were（5.63±0.73） and（5.63±0.73） in the observation group, and（1.66±1.07） and（1.69±1.03） in the control group, respectively. The difference compared between the two groups had the statistical significance（P〈0.001）. Conclusions： The effect of acupotomy in the treatment of the stenosing tenosynovitis is better than that of the warm acupuncture and moxibustion.