再灌注手法治疗桡骨茎突狭窄性腱鞘炎的疗效观察

The Clinical Efficacy of Reperfusion Manipulation on Stenosing Tendovaginitis of Radial Styloid

目的:探究再灌注手法治疗桡骨茎突狭窄性腱鞘炎的临床疗效。方法:选取2020年12月至2021年12月某中医院收治的桡骨茎突狭窄性腱鞘炎患者80例,应用随机数字表法分为对照组和试验组,每组各40例。对照组患者予以双氯芬酸二乙胺乳胶剂涂抹治疗配合腕关节制动,试验组患者在对照组治疗的基础上配合再灌注手法。记录两组患者治疗1周后、治疗后3周的VAS疼痛评分、腕关节尺偏角度、拇指外展角度,全面评价其临床疗效。结果:对比治疗前,治疗1周后、治疗后3周时两组患者的VAS疼痛评分值、腕关节尺偏角度、拇指活动度均有所改善(P<0.05),且试验组患者改善程度优于同时期对照组(P<0.05)。治疗1周后,两组患者临床治疗总有效率差异无统计学意义(P>0.05);试验组治愈率(32.5%)高于对照组治愈率(7.5%)(P<0.05)。治疗后3周回访,试验组患者临床治疗总有效率高于对照组(P<0.01)。结论:再灌注手法在治疗桡骨茎突狭窄性腱鞘炎患者的临床症状方面疗效突出,同时在改善疼痛症状、腕关节活动度的远期疗效方面较对照组更为稳定。

Objective:To explore the clinical efficacy of reperfusion manipulation on stenosing tendovaginitis of radial styloid.Methods:From December 2020 to December 2021,80 patients with Stenosing tendovaginitis of radial styloid were randomly divided into the control group and the test group,with 40 cases in each group.The control group was treated with diclofenac diethylamine emulgel and wrist immobilization,while the test group was treated with reperfusion manipulation on the basis of the treatment of control group.The VAS score,ulnar deviation angle of wrist joint and thumb abduction angle of the two groups of patients were recorded after 1 week of treatment and 3 weeks after the treatment and the clinical efficacy were comprehensively evaluated.Results:Compared with before treatment,the VAS score,ulnar deviation angle of wrist joint and thumb range of motion were improved in both groups after 1 week of treatment(P<0.05)and 3 weeks after the treatment(P<0.05).The improvement degree of the test group was better than that of the control group in the same period(P<0.05).After 1 week of treatment,there was no statistical difference between the two groups in clinical total effective rate(P>0.05),and the cure rate of the test group(32.5%)was higher than that of the control group(7.5%)(P<0.05).3 weeks after the treatment,the total clinical effective rate of the test group was higher than that of the control group(P<0.01).Conclusion:Reperfusion manipulation is effective in treating the clinical symptoms of patients with stenosing tendovaginitis of radial styloid,and its long-term effect of improving pain symptoms and wrist range of motion is better than that of the control group.