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[针刀疗法与封闭疗法治疗指屈肌腱狭窄性腱鞘炎疗效的对比观察]

[Comparative observation on curative effects of stenosing tenovaginitis of flexor digitorum treated with acupuncture knife therapy and blocking therapy].

作者信息

Zhou Guang-Tao, Yang Yi

机构信息

Rehabilitation Department of TCM, Maojian Hospital of Dongfeng Motor Company, Shiyan 442000, Hubei Province, China.

出版信息

Zhongguo Zhen Jiu. 2011 Sep;31(9):840-2.

Abstract

OBJECTIVE

To compare the curative effects on stenosing tenovaginitis of flexor digitorum treated with acupuncture knife therapy and blocking therapy so as to explore the better method.

METHODS

Three hundred and four cases were randomly divided into acupuncture knife therapy group (164 cases) and blocking therapy group (140 cases). In acupuncture knife therapy group, hooking and cutting were applied on the pressure points and scleromas with Ren's hooked acupuncture knife; routine blocking therapy was applied in blocking therapy group. The curative effects of both groups after 1-2 treatments and the recurrence after treatment in following 6 months were observed.

RESULTS

The curative rate was 98.2% (161/164)in acupuncture knife therapy group, superior to that of 65.7% (92/140) in blocking therapy group; the recurrence rate was 1.9% (3/161) in acupuncture knife therapy group, inferior to that of 37.0% (34/92) in blocking therapy group. The differences are significant between groups (both P < 0.01).

CONCLUSION

The curative effect of stenosing tenovaginitis of flexor digitorum treated with acupuncture knife therapy is superior to that of blocking therapy, with low recurrence rate.

摘要

目的

比较针刀疗法与封闭疗法治疗屈指肌腱狭窄性腱鞘炎的疗效,以探寻更佳治疗方法。

方法

将304例患者随机分为针刀治疗组(164例)和封闭治疗组(140例)。针刀治疗组采用任氏钩针刀对压痛点及硬结进行钩割;封闭治疗组采用常规封闭疗法。观察两组治疗1 - 2次后的疗效及治疗后6个月内的复发情况。

结果

针刀治疗组治愈率为98.2%(161/164),高于封闭治疗组的65.7%(92/140);针刀治疗组复发率为1.9%(3/161),低于封闭治疗组的37.0%(34/92)。两组差异有统计学意义(均P < 0.01)。

结论

针刀疗法治疗屈指肌腱狭窄性腱鞘炎疗效优于封闭疗法,复发率低。

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