浮针联合肌内效贴在治疗腕部三角纤维软骨复合体损伤的临床应用

The clinical application of floating-acupuncture combined with kinesio taping in the treatment of wrist triangular fibrocartilage complex injury

目的探讨浮针联合肌内效贴治疗在武警部队官兵腕部训练伤防治领域的临床效果,为部队军事训练伤的防治提供借鉴和参考。方法回顾2022年1月至2023年12月72例武警部队官兵腕部三角纤维软骨复合体(TFCC)损伤的患者,按治疗方法不同,分为浮针组和常规组。其中浮针组采用浮针治疗联合肌内效贴处理,共36例;常规组采用腕关节外固定制动、非甾体类药物治疗及去除外固定后康复训练,共36例。比较两组患者治疗前后NRS疼痛评分、腕关节功能Cooney评分。结果72例患者均获得随访。浮针组、常规组治疗前NRS疼痛评分、腕关节功能Cooney评分差异无统计学意义(P>0.05),两组治疗后NRS评分、Cooney评分均得到改善,与治疗前比较差异具有统计学意义(P<0.05),治疗后NRS评分、Cooney评分浮针组优于常规组,差异具有统计学意义(P<0.05)。结论浮针联合肌内效贴对武警部队官兵军事训练所致腕部TFCC损伤效果著,值得在基层卫生部门推广应用。

Objective To explore the clinical effect of floating-acupuncture combined with Kinesio Taping in the prevention and treatment of wrist training injuries for China’s armed police force soldiers and officials,and to provide reference for the prevention and treatment of military training injuries.Methods From January 2022 to December 2023,it was retrospectively analyzed 72 patients with wrist triangular fibrocartilage complex(TFCC)injury in China’s armed police force soldiers and officials,which were divided into floating-acupuncture group and conventional treatment group according to different treatment methods.In the floating-acupuncture group,36 patients were treated with floating-acupuncture combined with kinesio taping.In the conventional treatment group,36 patients were treated with external wrist fixation,non-steroidal drugs and rehabilitation training after removal of fixation.The numerical rating scale(NRS)pain scores and Cooney scores of wrist joint function were compared between the two groups before and after treatment.Results All 72 patients were followed up.There was no statistical significance in NRS pain scores and Cooney scores of wrist joint function between the floating-acupuncture group and the conven-tional treatment group before treatment(P>0.05).Both NRS scores and Cooney scores were improved after treatment,and the difference was statistically significant compared with before treatment(P<0.05).After treatment,NRS scores and Cooney scores in floating-acupuncture group were better than those in conventional treatment group,and the differences were statistically significant(P<0.05).Conclusion Floating-acupuncture combined with kinesio taping shows significant effects on TFCC injuries caused by military training in the Chinese Armed Police Force soldiers and officials,and it is worth promoting and applying in basic health departments.