局部类固醇注射联合夹板疗法治疗腕管综合征效果观察

Efficacy Observation of Local Steroid Injection Combined with Splinting in Treatment of Patients with Carpal Tunnel Syndrome

目的探究局部类固醇注射联合夹板疗法治疗腕管综合征(CTS)的效果。方法选择解放军463医院2012年6月—2016年6月收治的CTS 120例,根据治疗方法分为观察组和对照组,每组60例。对照组采用腕夹板固定治疗,观察组在对照组基础上联合甲泼尼龙局部注射治疗。连续治疗4周后,观察两组症状严重程度评分(SSS)、功能状态评分(FSS)以及神经电生理指标改善情况。结果两组治疗后SSS、FSS及正中神经运动神经远端潜伏期低于治疗前,正中神经感觉神经传导速度和运动神经传导速度较治疗前增加,且观察组改善程度优于对照组(P<0.05)。结论局部类固醇注射联合夹板疗法治疗CTS临床效果较好。

Objective To investigate efficacy of local steroid injection combined with splinting in treatment ofpatients with carpal tunnel syndrome （ CTS） . Methods A total of 120 CTS patients admitted during June 2012 and June2016 were divided into observation group （ n = 60）and control group （ n = 60） . Control group was treated with wristsplinting,while observation group was combined with Methylprednisolone by local injection on the basis of treatment forcontrol group. After 4 weeks of continuous treatment,conditions of symptom severity score （ SSS） ,function status score（ FSS）and improvement of neural electrophysiological index were observed in two groups. Results After treatment,values of SSS,FSS,distal latency （ DML）times of median nerve and motor nerve were significantly decreased （ P 〈 0. 05） ,while values of median nerve,sensory nerve and motor nerve conduction velocity were significantly increased comparedwith those before treatment,and improvement conditions in observation group were significantly better than those in control group （ P 〈 0. 05） . Conclusion Local steroid injection combined with splinting in treatment of patients with carpaltunnel syndrome may achieve good efficacy.