小针刀松解Frohse弓治疗骨间后神经卡压综合征的临床疗效

Clinical observation on treatment of posterior interosseous nerve entrapment syndrome by small needle knife release of Frohse arch

目的探讨小针刀松解Frohse弓治疗骨间后神经卡压综合征的临床疗效。方法选取2015年6月—2018年12月于温州医科大学附属第二医院就诊的20例骨间后神经卡压综合征患者使用小针刀疗法松解Frohse弓,观察小针刀治疗该病的疗效及治疗后的恢复情况。使用视觉模拟评分(VAS)评价前臂疼痛分值,英国医学研究会的运动功能恢复等级评定表评定患指伸指肌力等级。结果治疗前和第1周之间、治疗前和第4周之间,以及第1周和第4周之间VAS评分比较,差异均有统计学意义(P<0.05);治疗后第1周与治疗前运动功能恢复比较,差异有统计学意义(P<0.05),治疗后第4周与治疗前运动功能恢复比较,差异有统计学意义(P<0.05)。结论小针刀治疗骨间后神经卡压综合征可显著改善手部功能,其创伤小、疗效好,具有很大的临床应用价值。

Objective To investigate the clinical effect of small needle knife to release Frohse arch on the treatment of posterior interosseous nerve entrapment syndrome.Methods From June 2015 to December 2018,20 patients admitted to the second affiliated hospital of wenzhou medical university were diagnosed as postosseous nerve compression syndrome,and the Frohse arch was released by small needle knife therapy,and the effect and recovery after treatment were observed.The therapeutic effect of small needle knife and the recovery after treatment were observed.VAS score was used to evaluate the forearm pain score,and BMRC motor function scale was used to evaluate the muscle strength of the affected finger.Results VAS score was analyzed by variance test,and there were statistical differences between the first week after treatment and before treatment,between the fourth week after treatment and before treatment and between the first week and the fourth week after treatment(P<0.05).The ranksum test of paired grade data was used to analyze the BMRC evaluation results,and the difference was statistically significant between the first week after treatment and before treatment,and between the fourth week after treatment and before treatment(P<0.05).Conclusion Small needle knife treatment of postosseous nerve entrapment syndrome can significantly improve the hand function,has small trauma and good curative effect,and has great clinical application value.