中西医结合治疗小儿拇指扳机指的临床疗效

Analysis of therapeutic effect of integrative medicine on pediatric trigger thumb

目的观察中西医结合治疗小儿拇指扳机指的临床疗效。方法对2017年7月—2019年6月在上海交通大学医学院附属新华医院康复医学科接受治疗的83例拇指扳机指患儿的临床资料进行回顾性分析。根据不同的治疗方案将患儿分为常规治疗组(n=41)和联合治疗组(n=42)。常规治疗组患儿接受物理因子治疗和家庭康复治疗,联合治疗组在接受与常规治疗组相同治疗的基础上增加中医推拿手法治疗。治疗前、治疗后分别评定患儿拇指分级情况,记录并比较2组患儿扳机指分级改善的时间(起效时间),拇指屈曲畸形消失、能自主活动无弹响的时间(治愈时间)及治疗开始后1年内痊愈的患儿比例(治愈率)。结果治疗前,2组患儿拇指扳机指分级的差异无统计学意义(P>0.05)。与常规治疗组比较,联合治疗组起效时间早(P<0.05),治愈时间短(P<0.01);治疗1年内,常规治疗组共有50指治愈,联合治疗组共有54指治愈,2组治愈率的差异无统计学意义(90.9%vs 94.7%,P>0.05)。结论中西医结合治疗小儿拇指扳机指可以加速治疗过程,缩短治愈时间,其优势明显,值得临床推广应用。

Objective To study the effect of integrative medicine on the treatment of pediatric trigger thumb.Methods Clinical data of 83 children with trigger thumb treated on Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,from July 2017 to June 2019 were analyzed retrospectively.The children were divided into routine treatment group(RTG)(n=41)and combined treatment group(CTG)(n=42)according to different treatment schemes.Children of RTG received physical factor therapy and family rehabilitation.Children of CTG were added traditional Chinese medicine massage therapy on this basis.Before and after treatment,trigger thumb severity grades were recorded.The time of improvement of trigger finger grading,thumb flexion deformity disappearance,and independent movement without bounce was recorded and compared.The cure rates of the two groups in 1 year were compared.Results Before treatment,there was no significant difference in trigger firger grading between the two groups(P>0.05).After treatment,the onset time of CTG was significantly earlier than that of RTG(P<0.05).The cure time of CTG was significantly shorter than that of RTG(P<0.01).In 1 year,50 fingers in RTG were cured with cure rate of 90.9%,and 54 fingers in CTG were cured with cure rate of 94.7%.There was no significant difference in the cure rate between the two groups(P>0.05).Conclusion Integrative medicine in the treatment of pediatric trigger thumb can speed up the treatment process and shorten the cure time.Integrative medicine is worth promoting with obvious advantages.