黄芪桂枝五物汤治疗气虚血瘀型腕管综合征临床研究

Clinical Study of Huangqi Guizhi Wuwu Tang for Carpal Tunnel Syndrome of Qi-deficiency and Blood-stasis Type

目的:观察黄芪桂枝五物汤治疗气虚血瘀型腕管综合征的临床疗效。方法:本研究为非随机对照研究,将60例患者(72腕)分为黄芪桂枝五物汤治疗组37例和对照组35例。治疗组采用黄芪桂枝五物汤治疗,对照组予甲钴胺治疗。比较2组功能状态评分、疗效评价、肌电图表现等情况。结果:治疗后,2组功能状态评分、肌电图各指标(包括)分别与治疗前比较,差异均有统计学意义(P<0.01,P<0.05);2组功能状态评分、肌电图各指标比较,差异有统计学意义(P<0.05)。2组临床疗效比较,差异有统计学意义(P<0.05)。结论:黄芪桂枝五物汤治疗气虚血瘀型腕管综合征是有效的,值得临床运用。

Objective：To observe the clinical effect of Huangqi Guizhi Wuwu tang for carpal tunnel syndrome of qi-deficiency and blood-stasis type.Methods：This was a non-randomized controlled study.Selected 60 patients,and divided 72 cases of carpals into the treatment group of Huangqi Guizhi Wuwu tang being 37 cases and the control group being 35 cases randomly.The treatment group received Huangqi Guizhi Wuwu tang for treatment,while the control group was given mecobalamine for treatment.Compared such status as functional status score,therapeutic evaluation and electromyography in two groups.Results：After treatment,compared functional status score and each index of electromyography（included）in the two groups with those before treatment,there were significant differences being found（P 0.01,P 0.05）.There were significant differences being found in the comparisons of functional status scores and each index of electromyography between the two groups（P 0.05）.There was significant difference being found in the comparison of the clinical effect within the two groups（P 0.05）.Conclusion：Huangqi Guizhi Wuwu tang can effectively treat carpal tunnel syndrome of qi-deficiency and blood-stasis type,which is worthy of clinical application.