针刀治疗屈指肌腱狭窄性腱鞘炎的临床观察
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摘要
目的观察针刀治疗屈指肌腱狭窄性腱鞘炎的临床疗效。方法 60例屈指肌腱狭窄性腱鞘炎患者,采用随机数字表法分为对照组和观察组,每组30例。对照组患者采用扶他林乳胶剂治疗,观察组患者采用针刀联合扶他林乳胶剂治疗。观察比较两组患者临床疗效。结果观察组患者治愈20例,好转10例,无效0例,总有效率为100.0%;复发1例,复发率为3.3%;对照组患者治愈10例,好转13例,无效7例,总有效率为76.7%;复发6例,复发率为20.0%。观察组患者治疗总有效率明显高于对照组,复发率明显低于对照组,差异具有统计学意义(P<0.05)。结论针刀联合扶他林乳胶剂治疗屈指肌腱狭窄性腱鞘炎效果显著,复发率低,更适合在临床推广应用。
Objective To observe the clinical efficacy of needle-knife in the treatment of stenosis tenosynovitis of flexor tendon. Methods A total of 60 patients with stenosis tenosynovitis of flexor tendon were divided by random number table into control group and observation group, with 30 cases in each group. The control group was treated with vitalin emulgel, and the observation group was treated with needle-knife combined with vitalin emulgel. The clinical efficacy in two groups was observed and compared. Results The observation group had 20 cure cases, 10 improved cases and 0 ineffective case, with total effective rate as 100.0%, 1 recurrent cases,with recurrent rate as 3.3%. The control group had 10 cure cases, 13 improved cases and 7 ineffective cases, with total effective rate as 76.7%, 6 recurrent cases, with recurrent rate as 20.0%. The observation group had obviously higher total treatment effective rate than the control group, and obviously lower recurrent rate than the control group. Their difference was statistically significant(P<0.05). Conclusion Combination of needle-knife and vitalin emulgel shows remarkable effect in treating stenosis tenosynovitis of flexor tendon with lower recurrence rate, and it is more suitable for clinical application.
Objective To observe the clinical efficacy of needle-knife in the treatment of stenosis tenosynovitis of flexor tendon. Methods A total of 60 patients with stenosis tenosynovitis of flexor tendon were divided by random number table into control group and observation group, with 30 cases in each group. The control group was treated with vitalin emulgel, and the observation group was treated with needle-knife combined with vitalin emulgel. The clinical efficacy in two groups was observed and compared. Results The observation group had 20 cure cases, 10 improved cases and 0 ineffective case, with total effective rate as 100.0%, 1 recurrent cases,with recurrent rate as 3.3%. The control group had 10 cure cases, 13 improved cases and 7 ineffective cases, with total effective rate as 76.7%, 6 recurrent cases, with recurrent rate as 20.0%. The observation group had obviously higher total treatment effective rate than the control group, and obviously lower recurrent rate than the control group. Their difference was statistically significant(P<0.05). Conclusion Combination of needle-knife and vitalin emulgel shows remarkable effect in treating stenosis tenosynovitis of flexor tendon with lower recurrence rate, and it is more suitable for clinical application.
引文
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[2]汪玲,苏丹,陈立,等.屈指肌腱腱鞘炎的治疗进展.西南国防医药, 2015, 25(5):570-572.
[3]张云涛,张涛,金达银,等.针刀配合阻滞疗法治疗屈指肌腱腱鞘炎疗效观察.湖北中医杂志, 2014, 36(2):70-71.
[4]国家中医药管理局.中医病证诊断疗效标准.北京:人民卫生出版社, 1994:192.
[5]万国强,刘学俊.针刀运动疗法治疗屈指肌腱腱鞘炎35例.中医外治杂志, 2014, 23(3):19.
[6]郝俊,张晓伟,宇光锋,等.针刀治疗屈指肌腱狭窄性腱鞘炎62例疗效观察.河北中医, 2014(10):1514-1515.
[7]张继伟,江苏闽,吴海波,等.针刀治疗屈指肌腱狭窄性腱鞘炎系统评价.中国中医药信息杂志, 2016, 23(7):46-50.
[8]胡四中,胡秋容,胡华平,等.小针刀治疗屈指肌腱狭窄性腱鞘炎50例临床观察.中医药导报, 2008, 14(9):42.
[9]陈娟,钟才进.小针刀治疗屈指肌腱狭窄性腱鞘炎32例疗效观察.中国疗养医学, 2014, 23(2):123-124.
[10]丁晓丹.小针刀治疗屈指肌腱狭窄性腱鞘炎的临床疗效观察.医学信息旬刊, 2011, 24(4):105.
[2]汪玲,苏丹,陈立,等.屈指肌腱腱鞘炎的治疗进展.西南国防医药, 2015, 25(5):570-572.
[3]张云涛,张涛,金达银,等.针刀配合阻滞疗法治疗屈指肌腱腱鞘炎疗效观察.湖北中医杂志, 2014, 36(2):70-71.
[4]国家中医药管理局.中医病证诊断疗效标准.北京:人民卫生出版社, 1994:192.
[5]万国强,刘学俊.针刀运动疗法治疗屈指肌腱腱鞘炎35例.中医外治杂志, 2014, 23(3):19.
[6]郝俊,张晓伟,宇光锋,等.针刀治疗屈指肌腱狭窄性腱鞘炎62例疗效观察.河北中医, 2014(10):1514-1515.
[7]张继伟,江苏闽,吴海波,等.针刀治疗屈指肌腱狭窄性腱鞘炎系统评价.中国中医药信息杂志, 2016, 23(7):46-50.
[8]胡四中,胡秋容,胡华平,等.小针刀治疗屈指肌腱狭窄性腱鞘炎50例临床观察.中医药导报, 2008, 14(9):42.
[9]陈娟,钟才进.小针刀治疗屈指肌腱狭窄性腱鞘炎32例疗效观察.中国疗养医学, 2014, 23(2):123-124.
[10]丁晓丹.小针刀治疗屈指肌腱狭窄性腱鞘炎的临床疗效观察.医学信息旬刊, 2011, 24(4):105.