肌内效贴结合中药熏洗治疗桡骨茎突狭窄性腱鞘炎临床研究
|
摘要
目的:观察肌内效贴结合中药熏洗治疗桡骨茎突狭窄性腱鞘炎的临床疗效。方法:选取120例桡骨茎突狭窄性腱鞘炎患者,按随机数字表法分为常规组、中药组和观察组各40例,常规组给予双氯芬酸二乙胺乳胶剂外用,中药组给予双氯芬酸二乙胺乳胶剂外用联合中药熏洗治疗,观察组在中药组治疗基础上结合肌内效贴治疗。对比分析3组临床疗效,观察3组治疗前后视觉模拟评分法(VAS)评分、腕关节尺偏活动度及腕关节功能Cooney评分的变化,记不良反应及复发情况。结果:常规组、中药组和观察组总有效率分别为70.0%、82.5%、97.5%,观察组疗效优于中药组和常规组(P <0.05)。治疗后,3组VAS评分均较治疗前降低(P <0.05);观察组VAS评分均低于中药组和常规组(P <0.05)。治疗后,3组腕关节尺偏活动度均较治疗前增加,Cooney评分均较治疗前升高,差异均有统计学意义(P <0.05);观察组腕关节尺偏活动度均大于中药组和常规组,Cooney评分均高于中药组和常规组,差异均有统计学意义(P <0.05);中药组腕关节尺偏活动度大于常规组,Cooney评分高于常规组,差异均有统计学意义(P <0.05)。随访6个月,观察组复发率低于中药组和常规组,差异均有统计学意义(P <0.05)。结论:肌内效贴结合中药熏洗能增加腕关节活动度,缓解疼痛,降低复发率,是一种操作简单、安全有效的治疗方法。
Objective: To observe the clinical effect of Kinesio taping combined with Chinese herbal fumigation and washing for stenosing tenosynovitis at the radial styloid. Methods:Selected 120 cases of patients with stenosing tenosynovitis at the radial styloid, and divided them into the routine group, the Chinese medicine group and the observation group randomly, 40 cases in each group. The routine group received the external application of diclofenac diethylammonium emulgel,and the Chinese medicine group received the external application of diclofenac diethylammonium emulgel combined with Chinese herbal fumigation and washing,while the observation group additionally received Kinesio taping. Compared and analyzed the clinical effect in each group,observed the scores of visual analogue scale(VAS),range of motion of wrist joints in ulnar deviation and Cooney scores for wrist joint function in each group before treatment and after treatment,and recorded adverse reactions and the recurrence in each group. Results:The Total effective rate was 70.0% in the routine group,82.5%in the Chinese medicine group and 97.5% in the observation group,and the therapeutic effect in the observation group was better than that in the routine group and the Chinese medicine group(P < 0.05). After treatment,the scores of VAS in each group were lower than those before treatment(P < 0.05);the scores of VAS in the observation group were lower than those in the routine group and the Chinese medicine group(P < 0.05). After treatment,the range of motion of wrist joints in ulnar deviation in each group was larger than that before treatment, and the Cooney scores were higher than those before treatment,differences being significant(P < 0.05);the range of motion of wrist joints in ulnar deviation in the observation group was respectively larger than that in the routine group and the Chinese medicine group,and the Cooney scores were higher than those in the routine group and the Chinese medicine group,differences being significant(P < 0.05);the range of motion of wrist joints in ulnar deviation in the Chinese medicine group was larger than that in the routine group, and the Cooney scores were higher than those in the routine group,differences being significant(P < 0.05). After follow-ups for 6 months,the recurrence rate in the observation group was respectively lower than that in the routine group and the Chinese medicine group,differences being significant(P < 0.05). Conclusion:Kinesio taping combined with Chinese herbal fumigation and washing can increase the range of motion of wrist joints, alleviate pain and reduce the recurrence rate, which is a easily-operated,safe and effective treatment method.
Objective: To observe the clinical effect of Kinesio taping combined with Chinese herbal fumigation and washing for stenosing tenosynovitis at the radial styloid. Methods:Selected 120 cases of patients with stenosing tenosynovitis at the radial styloid, and divided them into the routine group, the Chinese medicine group and the observation group randomly, 40 cases in each group. The routine group received the external application of diclofenac diethylammonium emulgel,and the Chinese medicine group received the external application of diclofenac diethylammonium emulgel combined with Chinese herbal fumigation and washing,while the observation group additionally received Kinesio taping. Compared and analyzed the clinical effect in each group,observed the scores of visual analogue scale(VAS),range of motion of wrist joints in ulnar deviation and Cooney scores for wrist joint function in each group before treatment and after treatment,and recorded adverse reactions and the recurrence in each group. Results:The Total effective rate was 70.0% in the routine group,82.5%in the Chinese medicine group and 97.5% in the observation group,and the therapeutic effect in the observation group was better than that in the routine group and the Chinese medicine group(P < 0.05). After treatment,the scores of VAS in each group were lower than those before treatment(P < 0.05);the scores of VAS in the observation group were lower than those in the routine group and the Chinese medicine group(P < 0.05). After treatment,the range of motion of wrist joints in ulnar deviation in each group was larger than that before treatment, and the Cooney scores were higher than those before treatment,differences being significant(P < 0.05);the range of motion of wrist joints in ulnar deviation in the observation group was respectively larger than that in the routine group and the Chinese medicine group,and the Cooney scores were higher than those in the routine group and the Chinese medicine group,differences being significant(P < 0.05);the range of motion of wrist joints in ulnar deviation in the Chinese medicine group was larger than that in the routine group, and the Cooney scores were higher than those in the routine group,differences being significant(P < 0.05). After follow-ups for 6 months,the recurrence rate in the observation group was respectively lower than that in the routine group and the Chinese medicine group,differences being significant(P < 0.05). Conclusion:Kinesio taping combined with Chinese herbal fumigation and washing can increase the range of motion of wrist joints, alleviate pain and reduce the recurrence rate, which is a easily-operated,safe and effective treatment method.
引文
[1]NEIDUSKI R.Clinical Relevance Commentary on:Hand therapy versus corticosteroid injections in the treatment of de Quervain's disease:A systematic review and meta-analysis[J].J Hand Ther,2016,29(1):12-13.
[2]常宁.中医电针联合体外冲击波治疗创伤性桡骨茎突狭窄性腱鞘炎的临床疗效[J].中华肩肘外科电子杂志,2016,4(3):166-170.
[3]王莉,李义凯,刘强.针刀治疗桡骨茎突狭窄性腱鞘炎中存在的问题[J].中国康复医学杂志,2011,26(3):275-277.
[4]穆卫强,翟建国,黄毛毛.中药熏洗防治手部肌腱修复术后肌腱粘连的系统评价[J].中国康复医学杂志,2015,30(9):922-926.
[5]汤新安,王人卫.肌内效贴的研究现状及展望[J].南京体育学院学报(自然科学版),2013,12(6):45-48,70.
[6]赵承坤,曲峰.肌内效贴在运动生物力学领域应用研究进展[J].中国运动医学杂志,2015,34(6):609-613.
[7]任素伟,林春,孟兆祥,等.肌内效贴结合悬吊训练对痉挛型偏瘫患儿运动功能的效果[J].中国康复理论与实践,2016,22(11):1310-1313.
[8]国家中医药管理局.ZY/T001.1~001.9-94中医病证诊断疗效标准[S].南京:南京大学出版社,1994:196-197.
[9]王银河,朱丽华,任杰,等.扶他林乳胶剂治疗桡骨茎突狭窄性腱鞘炎的临床疗效观察[J].中国医药导报,2011,8(31):89-90.
[10]余波,祁奇,陈文华,等.不同贴扎方式肌内效贴的回缩力特征及其改变皮下间隙的临床研究[J].中国康复医学杂志,2016,31(3):296-300.
[11]OZMEN T,YAGMUR G G,DOGAN H,et al.The effect of kinesio taping versus stretching techniques on muscle soreness,and flexibility during recovery from nordic hamstring exercise[J].J Bodyw Mov Ther,2017,21(1):41-47.
[12]TANTAWY S A,KAMEL D M.The effect of kinesio taping with exercise compared with exercise alone on pain,range of motion,and disability of the shoulder in postmastectomy females:a randomized control trial[J].J Phys Ther Sci,2016,28(12):3300-3305.
[2]常宁.中医电针联合体外冲击波治疗创伤性桡骨茎突狭窄性腱鞘炎的临床疗效[J].中华肩肘外科电子杂志,2016,4(3):166-170.
[3]王莉,李义凯,刘强.针刀治疗桡骨茎突狭窄性腱鞘炎中存在的问题[J].中国康复医学杂志,2011,26(3):275-277.
[4]穆卫强,翟建国,黄毛毛.中药熏洗防治手部肌腱修复术后肌腱粘连的系统评价[J].中国康复医学杂志,2015,30(9):922-926.
[5]汤新安,王人卫.肌内效贴的研究现状及展望[J].南京体育学院学报(自然科学版),2013,12(6):45-48,70.
[6]赵承坤,曲峰.肌内效贴在运动生物力学领域应用研究进展[J].中国运动医学杂志,2015,34(6):609-613.
[7]任素伟,林春,孟兆祥,等.肌内效贴结合悬吊训练对痉挛型偏瘫患儿运动功能的效果[J].中国康复理论与实践,2016,22(11):1310-1313.
[8]国家中医药管理局.ZY/T001.1~001.9-94中医病证诊断疗效标准[S].南京:南京大学出版社,1994:196-197.
[9]王银河,朱丽华,任杰,等.扶他林乳胶剂治疗桡骨茎突狭窄性腱鞘炎的临床疗效观察[J].中国医药导报,2011,8(31):89-90.
[10]余波,祁奇,陈文华,等.不同贴扎方式肌内效贴的回缩力特征及其改变皮下间隙的临床研究[J].中国康复医学杂志,2016,31(3):296-300.
[11]OZMEN T,YAGMUR G G,DOGAN H,et al.The effect of kinesio taping versus stretching techniques on muscle soreness,and flexibility during recovery from nordic hamstring exercise[J].J Bodyw Mov Ther,2017,21(1):41-47.
[12]TANTAWY S A,KAMEL D M.The effect of kinesio taping with exercise compared with exercise alone on pain,range of motion,and disability of the shoulder in postmastectomy females:a randomized control trial[J].J Phys Ther Sci,2016,28(12):3300-3305.