浮针联合再灌注活动治疗前斜角肌综合征的临床观察

Clinical Observation of Subcutaneous Needling Combined with Reperfusion Approach in the Treatment of Scalenus Anticus Syndrome

【目的】观察浮针联合再灌注活动治疗前斜角肌综合征的临床疗效。【方法】将62例前斜角肌综合征患者随机分为对照组和观察组,每组各31例,对照组给予常规针刺治疗,观察组给予浮针联合再灌注活动治疗。每周治疗2次,连续治疗4周。治疗4周后,评价2组临床疗效,观察2组患者治疗前后视觉模拟量表(VAS)评分的变化情况,以及DASH Chinese上肢功能评分的变化情况。并评价2组不良反应的发生情况。【结果】(1)研究过程中,观察组失访1例,对照组失访2例,最终观察组30例、对照组29例纳入疗效统计。(2)治疗后,2组患者的VAS评分明显改善(P<0.05),且观察组在改善VAS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的DASH Chinese上肢功能评分明显改善(P<0.05),且观察组在改善DASH Chinese上肢功能评分方面明显优于对照组,差异有统计学意义(P<0.05)。(4)观察组总有效率为93.33%(28/30),对照组总有效率为89.66%(26/29)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(5)观察组与对照组均无明显不良反应情况发生。2组的不良反应发生率比较,差异无统计学意义(P>0.05)。【结论】浮针联合再灌注活动治疗前斜角肌综合征,能明显改善患者的疼痛症状,恢复肢体功能及肌力,且安全性高,操作方便,疗效显著。

Objective To observe the clinical efficacy of the subcutaneous needling combined with reperfusion approach in treating scalenus anticus syndrome.Methods Sixty-two patients with scalenus anticus syndrome were randomly divided into the control group and the observation group,31 patients in each group.The control group was given conventional acupuncture treatment,while the observation group was given subcutaneous needling combined with reperfusion approach.The treatment in both groups was given twice a week for consecutive 4 weeks.After 4 weeks of treatment,the clinical efficacy of the two groups was evaluated,and the changes of visual analogue scale(VAS)scores and the DASH Chinese upper limb function scores were observed in the two groups before and after the treatment.The incidence of adverse reactions in the two groups was also evaluated.Results(1)During the study,1 case in the observation group and 2 cases in the control group were lost to follow up.Finally,30 cases in the observation group and 29 cases in the control group were included in the efficacy statistics.(2)After treatment,the VAS scores of patients in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the VAS scores,and the difference was statistically significant(P<0.05).(3)After treatment,the functional scores of the upper limbs of the DASH Chinese in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the functional scores of the upper limbs of the DASH Chinese,and the difference was statistically significant(P<0.05).(4)The total effective rate of the observation group was 93.33%(28/30)and the total effective rate of the control group was 89.66%(26/29).The efficacy of the observation group was superior to that of the control group,and the difference was statistically significant(P<0.05).(5)There were no significant adverse reactions occurred in the observation group and the control group,and the difference in the incidence of adverse reactions between the two groups was not statistically significant(P>0.05).Conclusion Subcutaneous needling combined with reperfusion approach in treating scalenus anticus syndrome exert significant effect in improving patients’pain symptoms and restoring limb function and muscle strength with high safety,ease of operation and remarkable efficacy.